Advanced Primary Care Management
Advanced Primary Care Management
The Advanced Primary Care Management (APCM) program rules have been finalized as of November 1, 2024. For the most up-to-date and accurate information, please refer to official CMS communications.
Advanced Primary Care Management (APCM) is a program by CMS beginning in 2025 that aims to strengthen primary care by bundling various care management services into a single monthly payment. APCM recognizes the comprehensive nature of primary care and supports longitudinal, patient-centered care delivery. This program is designed to reduce administrative burden, improve care coordination, and align payment with the value of primary care services.
For a more detailed overview of Advanced Primary Care Management, visit our APCM Resource Center.
Our Difference
MD Revolution’s care management platform is uniquely positioned to support APCM implementation. Our comprehensive care management solution already incorporates many of the required APCM elements, including 24/7 access to care, population health management, and enhanced communication capabilities. We offer seamless integration with existing EHR systems, robust analytics for quality reporting, and flexible tools to support patient attribution and consent processes. Our team of experts can guide practices through the transition to RevCare APCM, ensuring compliance and maximizing the benefits of this new model.
Medicare Billable Codes
CMS has proposed three new HCPCS G-codes for APCM services:
- G0556: For patients with one or fewer chronic conditions (Proposed value: 0.17 RVUs)
- G0557: For patients with two or more chronic conditions (Proposed value: 0.77 RVUs)
- G0558: For Qualified Medicare Beneficiaries with two or more chronic conditions (Proposed value: 1.67 RVUs)
Advanced Primary Care Management Features + Benefits
Comprehensive Care Coordination
Bundled services for holistic patient management, integrated into provider workflows
24/7 Access and Continuity
Ensure round-the-clock availability and consistent care delivery for all patients
Population Health Management
Proactively identify and address care gaps across the entire patient panel
Enhanced Communication Channels
Facilitate multiple modes of patient-provider interaction, including digital options
Quality Measurement Integration
Seamless reporting through Value in Primary Care MIPS Value Pathway
Simplified Billing Process
Reduce administrative burden with bundled monthly payments for care management services
Team-Based Care Support
Enable and incentivize multidisciplinary approach to patient care