Medical Billing for APCM, CCM, and PCM
We align documentation with payer rules to support clean claims and fewer denials. Clear reports and logs make audits faster and simpler.
APCM Billing
Primary-care workflows support monthly services with oversight. Required elements are captured and summarized for sign-off.
CCM Billing
Chronic care minutes and tasks are tracked each month. Summaries roll up cleanly to the billing practitioner.
PCM Billing
Single-condition care is documented end-to-end with specialty details. Notes reflect clinical nuances and payer expectations.
Controls & Scenarios
We standardize requirements to minimize denials across payers and plans. Common scenarios are addressed with playbooks and checklists.
Documentation Rules
Elements required by CMS are built into templates and SOPs. Teams follow the same steps every month for consistency.
Audit Trails
Each interaction ties to an encounter and user with timestamps. Exportable logs simplify retrospective reviews and appeals.
Common Scenarios
Edge cases are resolved with documented guidance and examples. Patterns are updated as rules evolve or new FAQs appear.