Run APCM insideathenahealth

Enroll APCM patients, document care events, and automate bulk G0556, G0557, and G0558 billing in one athenahealth workflow. Launch quickly from zero and scale without adding administrative overhead.

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Built for athenaOne practices

Start with your first enrolled patient or expand across your Medicare panel. Sematic reduces manual work across enrollment, compliant documentation synced to the chart, and month-end billing review.

1-minute enrollment

Run eligibility checks, confirm chronic conditions, and complete APCM enrollment directly from the chart with documentation captured automatically.

Automated care-event capture

Track calls, coordination, and interventions with compliant templates and sync each event back into athenahealth as structured chart notes.

Billing-ready every month

Surface billable G0556, G0557, and G0558 opportunities with audit-ready context so your team can submit claims with less manual review.

See Sematic + athenahealth in action

Watch how your team can move from enrollment to billing without bouncing across systems.

  • Enrollment flow with eligibility and condition verification
  • Daily APCM documentation synced back into the chart
  • Bulk APCM billing review for G0556, G0557, and G0558

Frequently Asked Questions

What is the athenahealth Authorize & Consent (A&C) form and how do I submit it?+

The Authorize and Consent form is required by athenahealth to enable third-party integrations like Sematic Health. After you sign up for Sematic Health, our team will walk you through the A&C process and submit it to athenahealth for you. athenahealth will email you to confirm they received it, then send another email when it's approved and the integration is ready. Once approved, you can access Sematic Health's APCM tools directly from patient charts in athenahealth.

Why do I need a Business Associate Agreement (BAA) with Sematic Health?+

athenahealth requires all marketplace partners to have a BAA with practices using their integrations. We have a standard BAA ready as part of your setup. Just give us your: Legal Entity Name, Main Address, Signatory's Name, and Signatory's Email Address. We'll send you the BAA through DocuSign to make signing easy.

How do I enable the Sematic Health + athenahealth integration for my practice?+

Here are the steps to get started: With athenahealth: 1. We'll help you complete the athenahealth Authorize & Consent form 2. As a Practice Manager, set up Embedded App User Subscriptions in Settings -> Practice Manager Admin 3. We recommend making Sematic Health available to "All Users" With Sematic Health: 1. Create your Sematic Health account during a demo 2. Sign the Business Associate Agreement 3. Our team will handle the technical setup and train your staff Once everything is complete, you'll get confirmation that you can start using Sematic Health's APCM features directly in athenahealth.

Where do I access Sematic Health within athenahealth?+

Once enabled, you can access Sematic Health's APCM tools directly from patient charts in athenahealth. Go to a patient's chart and look for Sematic Health in the Apps section. From there, you can enroll patients in APCM, document care events, create care plans, billing APCM, and track all APCM activities - all without leaving athenahealth.

How does Sematic Health sync with athenahealth patient data?+

Sematic Health syncs with athenahealth in real-time. When you open a patient through the integration, Sematic automatically pulls their clinical data, demographics, and care history. Any APCM activities you document in Sematic - including care events, care plans, and billing information - are automatically saved back to athenahealth as structured notes, keeping your patient records complete and current.

Can multiple providers in my practice use the integration?+

Yes! Sematic Health is built for team-based care. Once the integration is enabled for your practice, any authorized provider can access Sematic Health's APCM tools. Each provider gets their own login and can work together on patient care plans, share care events, and track team activities - all synced through athenahealth.

Ready to run APCM in athenahealth?

We'll handle integration setup, validate your workflow with your staff, and get your team confidently through go-live and beyond.