Implement APCM with Pear
Boost revenue and improve patient outcomes with our industry-leading Advanced Primary Care Management (APCM) solution
Implement APCM with Pear
Boost revenue and improve patient outcomes with our industry-leading Advanced Primary Care Management (APCM) solution
APCM: New CMS program for 2025
- •Combines CCM, TCM, and other care management services
- •Simplified monthly billing
- •Higher revenue potential than CCM
What is APCM?
Advanced Primary Care Management (APCM) is Medicare's revolutionary new program that streamlines care management billing while improving patient outcomes. Unlike CCM, APCM eliminates minute-tracking and combines multiple services into one simple monthly bundle.
Key Benefits for Your Practice:
- ✓ Bill once monthly - no more minute tracking
- ✓ Higher reimbursement potential than CCM
- ✓ Simplified documentation requirements
- ✓ Better patient outcomes through comprehensive care
APCM vs. CCM: What's Different?
| Feature | APCM | CCM |
|---|---|---|
| Billing | Simple monthly bundle | Complex minute tracking |
| Difficulty | Simpler | High and tedious |
| Documentation | Outcome-focused | Time-focused |
| Patient Eligibility | Broader criteria | More restrictive |
Revenue Impact
- • Average practice sees 40% increase over CCM revenue*
- • No minute tracking requirements
- • Predictable monthly revenue
- • Multiple complexity tiers for optimal reimbursement
* This is an estimate based on CMS data and guidelines
Calculate Your APCM Revenue Potential
Single Condition (G0556)250
Multiple Conditions (G0557)468
Multiple with QMB (G0558)132
Estimated APCM Qualified850
Estimated CCM Qualified600
Monthly Revenue Potential$44,170
Why Pear for APCM?
Focus on Your Patients, We'll Handle Everything Else
APCM shouldn't mean more work for your practice. That's why we handle all the heavy lifting.
What Pear Delivers:
- Automated Monthly Check-ins: Our AI makes natural, thorough calls to patients and provides actionable insights
- Physician-Supervised Care: You review and approve all care plans and get immediate notifications of any clinical concerns
- 24/7 Patient Support Line: Patients can call anytime for care coordination and support
- Complete Documentation: All calls are automatically documented and coded for billing
- EMR Integration: Everything syncs directly with your existing systems
- HEDIS Gap Closure: We identify and help close care gaps during every interaction
Zero Extra Work for Your Team
- No additional staff training needed
- No complex documentation requirements
- No after-hours coverage needed
- No compliance headaches
Real Results for Practices
What Our Partners Experience:
- Their staff stays focused on direct patient care
- Patients get consistent, quality follow-up
- Documentation and billing happen automatically
- HEDIS measures improve naturally
- Revenue increases without adding work
Ready to dive in?
Start your pilot today.
