Advanced Primary Care Management Software for Risk-Stratified Medicare Panels
Panel-based monthly care management with risk stratification and documentation for G0556, G0557, and G0558.
The Three APCM Tiers
| Code | Patient Complexity | Approx. 2024 Rate |
|---|
| G0556 | 1+ chronic conditions, lower complexity | ~$15/patient/month |
| G0557 | Multiple high-risk chronic conditions | ~$50/patient/month |
| G0558 | Highest complexity, intensive primary care | ~$110/patient/month |
Rates are approximate 2024 Medicare national rates and are subject to change through annual CMS rulemaking.
How Accelerate Supports APCM
Patient Enrollment and Consent
APCM requires patient consent. Accelerate tracks consent status for all enrolled patients, documents consent dates and methods, and flags patients without documented consent.
Risk Stratification Documentation
Clinical factors determining each patient's APCM tier are documented with rationale — chronic condition count, complexity level, and qualifying criteria. Risk tier assignments are reviewable over time as patient conditions change.
Comprehensive Care Plan Management
Structured care plans capture problem list, medication management, care goals, care team coordination, and follow-up plans — all version-tracked.
Panel-Level Visibility
APCM dashboard showing all enrolled patients organized by risk tier, with care plan review status, recent activity dates, and outstanding program requirements flagged.
APCM vs. CCM — Quick Comparison
| Factor | CCM | APCM |
|---|
| Billing model | Time-based (per minute) | Panel-based (per patient/month) |
| Min. time threshold | 20 min/month | No minimum time requirement |
| Complexity tiers | Standard vs. complex | Three tiers (G0556/G0557/G0558) |
| Patient consent | Required | Required |
Evaluating APCM as an alternative or complement to your CCM program?
Accelerate supports both. Schedule a walkthrough to see how the two programs compare in the platform.
Frequently Asked Questions
What billing codes does Accelerate support for APCM?
Accelerate supports documentation and enrollment tracking for G0556 (low/moderate complexity), G0557 (moderate/high complexity), and G0558 (highest complexity APCM).
Does APCM require tracking care minutes like CCM?
APCM does not have the same minimum monthly care minute requirement as CCM. However, CMS still requires that care management services are delivered and documented. Accelerate logs care activities with timestamps for all APCM patients.
Can patients be enrolled in both APCM and CCM simultaneously?
Per CMS guidance, APCM and CCM cannot be billed for the same patient in the same month. Consult your billing and compliance advisors when evaluating which program is appropriate for individual patients.
How does Accelerate handle APCM risk stratification?
Accelerate includes documentation workflows for capturing clinical factors that determine each patient's APCM tier — chronic condition count, complexity criteria, and qualifying factors for higher-tier codes.
How does APCM billing work in Accelerate at month end?
Accelerate generates a monthly APCM billing summary per patient showing current risk tier, consent status, enrollment status, and care activities documented. Your billing team reviews and submits the appropriate G code claim.
Disclaimer: Accelerate is a clinical workflow and documentation platform. It does not provide medical advice, coding advice, or legal compliance guidance. Reimbursement results vary by practice, payer, and patient population. Practices are responsible for ensuring their billing and coding decisions comply with applicable Medicare program requirements, CMS guidance, and payer policies. Nothing on this website constitutes a guarantee of payment or reimbursement.