July 1, 2025

A quick guide to Advanced Primary Care Management (APCM) and how it helps your practice

From scaling chronic care programs to simplifying billing and documentation, APCM helps clinics deliver better care with less operational burden. Here’s a quick guide to understand how APCM works and how Medsien makes it fully manageable.
A quick guide to Advanced Primary Care Management (APCM) and how it helps your practice

Introduction to Advanced Primary Care Management (APCM)

Advanced Primary Care Management (APCM) is a structured care model designed to support patients with chronic conditions beyond the traditional in-office visit. It enables practices to provide ongoing, preventive, and coordinated care, especially between appointments, while driving stronger patient outcomes and creating new revenue streams.

At its core, APCM ensures:

  • Patients receive consistent support between visits

  • Practices can streamline documentation and compliance

  • Long-term engagement replaces fragmented care

Why APCM matters for your clinic

Addressing real practice challenges

Healthcare today isn’t just about treating symptoms; it’s about managing patients holistically. APCM is designed to ease:

  • Staff shortages through dedicated care partner support

  • Administrative overload by automating documentation workflows

  • Gaps in communication with consistent patient outreach

  • Missed revenue opportunities by unlocking new Medicare reimbursements

How Medsien delivers a fully managed APCM program

We don’t just support APCM. We handle it for you. Here’s how:

1. Smart patient identification  

We utilize real-time Medicare data analysis, powered by artificial intelligence, to identify patients eligible for APCM based on their risk profiles, chronic condition history, and compliance requirements.

2. Seamless enrollment and consent

Digital consent flows and documentation ensure faster onboarding without paper bottlenecks.

3. Dedicated Care Partner support

Our care team performs monthly outreach, care plan monitoring, and CMS-compliant assessments while seamlessly integrating into your workflows.

4. Real-time performance insights

With AI-enhanced dashboards, you can monitor engagement, care gaps, and revenue performance with clarity and precision at any time.

5. Built-in billing compliance

We align every touchpoint with CMS billing codes like G0511 for RHC and FQHC, so you get reimbursed accurately and effortlessly.

An elderly patient receiving remote care support at home

APCM vs Chronic Care Management (CCM)

Feature Chronic Care Management (CCM) Advanced Primary Care Management (APCM)
Patient Check-Ins Monthly Monthly + ongoing support
Eligibility Two or more chronic conditions One or more chronic conditions or complex needs
Access Limited to business hours Around-the-clock availability encouraged
Coordination Provider-led Integrated - whole team effort

While CCM focuses on monthly check-ins, APCM enables comprehensive, team-based care with measurable impact.

How APCM helps you improve patient outcomes

Your patients aren’t just data points. They’re individuals managing complex conditions like diabetes, hypertension, or COPD. APCM enables:

  • Personalized care plans tailored to each condition
  • Regular engagement through calls, messages, or video
  • Early intervention through timely outreach
  • Support for social needs like food security or transportation

When your patients feel supported beyond the clinic walls, outcomes improve and so does satisfaction.

Why Medsien is the best APCM partner for your clinic

Unlike fragmented tools or partial support providers, Medsien offers:

  • End-to-end delivery from onboarding to billing
  • No extra tech burden with seamless EHR integration
  • Expert care staff clinically trained and US-based
  • AI-powered automation to drive real-time insights and smarter workflows
  • Smooth onboarding to launch in under a week
We went from overwhelmed to optimized in just five days. Medsien’s APCM rollout gave us confidence and results. — Practice Administrator, Federally Qualified Health Center (FQHC)

Ready to launch your APCM program

Medsien handles every aspect of APCM, so your team can focus on delivering care.

Schedule a demo to learn how your clinic can unlock new revenue and deliver better care with a fully managed, AI-enhanced APCM solution.

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