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Care beyond the visit.

in-house with one athenahealth-connected workflow for enrollment, care plans, follow-up, and claims.

athenahealthmarketplace partner

Trusted by primary care practices, multispecialty groups, and home-based care teams.

DTC Family Health
Gem Family Medicine
MedPrevent
Nouriche Health
San Juan Clinic
Iris Medical Group
Elevate Health Group
Care Dimensions
athenahealthMarketplace partner

Works inside athenaOne.

Move from individual patient care to program-wide APCM operations without losing context. Sematic keeps the chart current, access controlled, and every action traceable.

  1. Start in the patient chart

    Open Sematic from the athenahealth chart with the patient already selected.

  2. Manage the full APCM panel

    Track enrollment, care plans, follow-up, and claim readiness across the program.

  3. Document once, keep the chart current

    Save structured APCM activity to athenahealth with traceable billing evidence.

One workflow from enrollment to claim.

Prepare enrollment and coding, manage the panel, generate care plans, turn clinical signals into follow-up, and submit ready claims in bulk.

Automate enrollment and coding.

Verify eligibility. Sematic suggests the supervising provider and prepares the APCM claim from coverage and the problem list, then guides consent and enrollment.

Choose how to start.

See how each approach works and scales.

Start manually

Spreadsheet template

How it runs
Your team runs APCM manually in spreadsheets outside athenahealth.
At scale
Fragmented data increases the risk of missed follow-up, inconsistent coding, and billing errors.

Scale in-house

Sematic platform

How it runs
Your team runs APCM in one athenahealth-connected workflow with practice-wide visibility and control.
At scale
Manage the full APCM panel and submit ready claims in bulk.

Add capacity

Managed services

How it runs
Sematic adds operating capacity; clinical decisions and billing remain with your practice.
At scale
Support expands with enrollment and the scope you choose.
The team at Nouriche Wellness and Aesthetics

APCM that works in practice.

“They actually understood Athena and how clinics operate. That made implementation much easier.”

Kasy Mire Romero, MHA, PPMC · Operations Manager, Nouriche Wellness and Aesthetics

enrolled patients
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recent monthly claims growth
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What teams need to know.

Practical answers about APCM, athenahealth, billing, and security.

Running APCM with Sematic

Is Sematic software or a managed care service?

Sematic is software for practices that want to operate APCM with their own team. It organizes the work while your practice retains the patient relationship and continues making clinical, operational, coding, and billing decisions.

Is this another tool my team has to learn?

Sematic follows the APCM work your team already does: enroll the patient, build the plan, follow up, document activity, and bill the month. Teams receive onboarding and work from a guided workspace instead of reconstructing the process across spreadsheets, chart review, and billing queues.

What parts of APCM does Sematic support?

Sematic brings patient review, coverage and tier context, consent and enrollment, care-plan creation, follow-up work, panel management, documentation, claim readiness, and authorized bulk submission into one workflow. It supports the work; it does not replace the practice's responsibility to meet APCM requirements.

Can we start from zero or bring an existing APCM panel?

Both. New programs can establish enrollment, care-plan, follow-up, and month-end routines during onboarding. Existing programs can bring their current panel and map established workflows into Sematic. Implementation timing depends on the practice, its athenahealth configuration, and whether the program is launching or migrating.

What does Sematic automate, and what does our team review?

Sematic can organize patient data, draft care-plan content, surface follow-up suggestions, and prepare work for review. Authorized staff decide what is clinically appropriate, what is saved to the chart, and which claims are submitted. Sematic assists the care team rather than making autonomous clinical or billing decisions.

Bring your APCM program together.

See how Sematic connects enrollment, care plans, follow-up, and claims in one workflow with athenaOne.