ADVANCED PRIMARY CARE MANAGEMENT SERVICES (APCM)

Advanced Primary Care Management Service (APCM)

Streamlining Patient Care, Enhancing Outcomes
MacBook mockup

APCM HCPCS Code

MacBook mockup
G 0 5 5 6
CMS NATIONAL AVG $15.20
WELBY FEE $10.00

Available to ALL Medicare beneficiaries
1) Clinical staff provide the APCM services
2) A physician or other qualified health care professional who’s responsible for all primary care directs the clinical staff and serves as the continuing focal point for all needed health care services
G 0 5 5 7
CMS NATIONAL AVG $48.84
WELBY FEE $30.00

The patient has two or more chronic conditions.
1) Be expected to last at least 12 months or until the death of the patient
2) Place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline
G 0 5 5 8
CMS NATIONAL AVG $107.07
WELBY FEE $70.00

The patient is a Qualified Medicare Beneficiary with 2 or more chronic conditions. These conditions must:
1) Be expected to last at least 12 months or until the death of the patient
2) Place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline

Ready To Learn More?

Your dedicated Client Success Manager is here to answer your questions and discuss how APCM can benefit your practice.