Advanced Primary Care Management is a Medicare program that reimburses clinics for ongoing, proactive chronic care coordination — not just office visits.
Structured Care Plans
Every enrolled patient gets a personalized plan documenting their goals, barriers, medications, and assigned care team — all in one place.
Monthly Outreach Tracking
Log every call and message with your patients. Our dashboard flags who needs contact before the month ends — so no one slips through the cracks.
Billing Readiness Alerts
APCM Health automatically tracks which patients have met the three billing criteria — consent, care plan, and monthly contact — and surfaces who's ready to bill.
412
Patients enrolled
6
Active clinics
$65
Per patient/month
89%
Billing readiness rate
Built for independent primary care clinics
APCM Health is designed for practices that want to participate in Medicare's APCM program without adding administrative burden. We make it simple to track, document, and bill.
Independent family medicine and internal medicine practices
Clinics with high volumes of Medicare patients with chronic conditions
Care coordinators and nurse practitioners managing outreach programs
Multi-location groups needing a centralized care management platform
April Billing Dashboard
Live
98
Patients
84
Bill Ready
8
Needs Contact
MG
Maria Gonzalez
Last contact: Apr 5
Ready
JW
James Whitfield
38 days since contact
Contact
RO
Robert Okafor
Last contact: Apr 2
Ready
Sunrise Family Medicine · April 2026
Ready to start billing for the care you're already providing?
Most clinics recoup platform costs within the first month of billing.
Everything your clinic needs to run a compliant, billable APCM program — without the overhead.
Patient Enrollment
Custom enrollment links per clinic. Patients self-enroll through a simple form — conditions, consent, and provider assignment all captured at intake.
Clinic-specific enrollment URL
Consent capture at enrollment
Auto-email notification to clinic admin
Care Plan Management
Create and update individualized care plans for every patient. Document goals, barriers, medications, and staff assignments — all tied to the patient record.
Per-patient goals and barriers
Medication list documentation
Staff assignment tracking
Outreach Logging
Log every patient interaction — calls, messages, outcomes. The system automatically tracks last contact dates and surfaces patients overdue for monthly check-ins.
Call and message logging
Automated "needs contact" flagging
Outcome documentation
Billing Readiness Tracking
Automatically monitors which patients have met all three billing criteria each month. See at a glance who's ready and who isn't — before you submit claims.
Real-time billing status per patient
Monthly billing-ready export
Clinic-level billing overview
Multi-Clinic Management
Run APCM Health across multiple clinic locations from a single admin panel. Each clinic gets its own isolated workspace, staff, and patient registry.
Per-clinic data isolation
Cross-clinic admin dashboard
White-label subdomain per clinic
HIPAA-Compliant Infrastructure
All patient data is encrypted in transit and at rest. Row-level security ensures staff can only access their clinic's patients. No PHI exposed in URLs or logs.
AES-256 encryption at rest
TLS 1.3 in transit
Role-based access control
Who APCM Health Is For
Primary Care Physicians
Get reimbursed for the chronic care coordination you're already doing. APCM Health handles the documentation so you can focus on patients.
Care Coordinators
A purpose-built tool for managing outreach, logging contacts, and ensuring no patient misses their monthly check-in.
Clinic Administrators
Full visibility into billing readiness, staff performance, and program enrollment across your clinic — all from one dashboard.
See APCM Health in action
We'll walk you through a live demo tailored to your clinic's size and patient mix.
How It Works
From enrollment to billing — a simple, repeatable monthly workflow for your team.
1
Step One
Patient Enrollment
Patients enroll through a clinic-specific link. They provide their chronic conditions, consent to APCM care management, and select their primary provider. Your clinic admin gets an email notification instantly.
What gets captured:
Name, DOB, contact info
Chronic conditions list
Written consent
Primary care provider
2
Step Two
Build the Care Plan
Your care team creates a personalized care plan within APCM Health. Document the patient's goals, identify barriers to care, list current medications, and assign a care coordinator. Plans auto-populate from a clinic-customizable template.
Billing requirement #2 of 3
A care plan must exist before a patient is billing-ready.
3
Step Three
Monthly Outreach & Engagement
Each month, your team connects with every active patient — by call or message. Log each interaction in APCM Health with notes and outcome. The system automatically updates the patient's "last contact" date and flags who still needs outreach before month-end.
Billing requirement #3 of 3
At least one contact must be logged within the current calendar month.
Step Four
Bill with Confidence
At month-end, APCM Health shows you exactly which patients are billing-ready. All three criteria met — consent, care plan, and monthly contact — shown as a clear checklist. Export your billing-ready list and submit claims.
A patient is billing-ready when:
Written consent is on file
An active care plan exists
At least one contact logged this month
Ready to run your first APCM month?
Most clinics are live within one week of signing up.
Get in Touch
Schedule a demo, ask a question, or tell us about your clinic. We'll follow up within one business day.
Send us a message
Message sent! We'll be in touch within one business day.
Schedule a demo call
Book a 30-minute walkthrough
We'll show you the provider dashboard, patient enrollment flow, and billing readiness reports.
Contact Info
hello@apcmhub.com
(555) 820-4400
Monday–Friday, 9am–5pm ET Response within 1 business day
Sunrise Family Medicine
Enroll in APCM Care Management
Fill out the form below to enroll in our Advanced Primary Care Management program. Your care team will follow up within 2 business days.
You're enrolled!
Thank you for enrolling in the APCM program at Sunrise Family Medicine. Your care team will reach out within 2 business days to introduce themselves and schedule your first care check-in.
What happens next:
1.Your care coordinator will call you to introduce the program
2.A personalized care plan will be created for you
3.Monthly check-in calls will begin within the week
