Advanced Primary Care Management
Advanced Primary Care Management
Advanced Primary Care Management (APCM) is a Medicare program designed to strengthen primary care through a monthly reimbursement model that supports longitudinal, relationship-based care. APCM recognizes the comprehensive nature of primary care and creates a pathway for practices to deliver coordinated, patient-centered services beyond the traditional office visit.
By bundling care management services into a single monthly payment, APCM helps practices reduce administrative burden, improve care coordination, and align reimbursement with the value of comprehensive primary care delivery.
For a more detailed overview of Advanced Primary Care Management, visit our APCM Resource Center.
Our Difference
CoachCare’s care management platform is uniquely positioned to support APCM implementation. Our comprehensive solution aligns closely with APCM service requirements, including patient engagement, care coordination, population health management, and access to care team support.
We provide seamless integration with leading EHR systems, robust analytics for quality reporting and performance measurement, and flexible tools to support patient attribution, consent, and ongoing care management workflows. CoachCare helps practices operationalize APCM efficiently—supporting compliance, reducing operational burden, and enabling scalable care delivery across the patient journey.
Medicare Billable Codes
CMS established three HCPCS G-codes for APCM services based on patient complexity:
G0556 — For patients with one or fewer chronic conditions
G0557 — For patients with two or more chronic conditions
G0558 — For Qualified Medicare Beneficiaries (QMBs) with two or more chronic conditions
These tiered billing codes support reimbursement for longitudinal primary care services while recognizing the varying complexity of patient populations across Medicare.
Advanced Primary Care Management Features + Benefits
Comprehensive Care Coordination
Bundled services for holistic patient management, integrated into provider workflows
24/7 Access and Continuity
Ensure round-the-clock availability and consistent care delivery for all patients
Population Health Management
Proactively identify and address care gaps across the entire patient panel
Enhanced Communication Channels
Facilitate multiple modes of patient-provider interaction, including digital options
Quality Measurement Integration
Seamless reporting through Value in Primary Care MIPS Value Pathway
Simplified Billing Process
Reduce administrative burden with bundled monthly payments for care management services
Team-Based Care Support
Enable and incentivize multidisciplinary approach to patient care