All programs
APCM
Advanced Primary Care Management
APCM replaces time-based billing with an activity-based model, letting every Medicare Part B patient receive structured, continuous primary care management without a stopwatch running in the background.
What it means for patients
Widest patient eligibility with no time tracking burden.
The foundation of proactive primary care.
Eligibility
All Medicare Part B patients
Billing model
Activity-based HCPCS G-codes
Time required
None — no time tracking
Medicare reimbursement
$16 – $117 / patient
Billing codes
G0556G0557G0558
Stay audit-ready
Documentation requirements
Each concurrently billed program requires independent, separately documented evidence.
Patient consent (captured once)
13 service elements documented
Electronic care plan on file
Risk stratification completed
Quality reporting recorded
Compatible combinations
Valid stacking
APCM + RPMAPCM + RTM
Never bill together
APCM + CCM