Advanced Primary Care Management

Advanced Primary CareManagement (APCM)

Transform your primary care practice with DocToDoor's APCM platform - empowering healthcare providers to move beyond reactive, visit-based care toward proactive, whole-person health management aligned with the 2026 Medicare reimbursement structure.

APCM brings together care coordination, chronic disease management, post-discharge support, and patient communication under one streamlined monthly program with simplified billing.

What Is APCM?

A Modern Approach to
Care Delivery

Advanced Primary Care Management represents a transformative healthcare delivery model that empowers practices to provide comprehensive, relationship-centered primary care while capturing appropriate Medicare reimbursement.

Streamlined Monthly Program

Brings together care coordination, chronic disease management, post-discharge support, and patient communication under one unified monthly framework.

Proactive Patient Engagement

Enables ongoing, proactive patient engagement through consistent outreach and scheduled touchpoints beyond traditional office visits.

Eliminated Documentation Burden

Replaces minute-by-minute time tracking with simplified monthly billing codes, reducing administrative overhead significantly.

Core APCM Features

Address the Complete Patient,
Beyond Individual Conditions

APCM delivers holistic care coordination addressing every dimension of patient health through integrated management capabilities.

Integrated Care Management

Bring together chronic condition oversight, post-hospitalization support, patient outreach, medication reconciliation, and cross-provider health information coordination.

Personalized Care Planning

Develop, maintain, and refine customized care plans documenting health history, patient goals, preventive measures, and long-term care requirements.

Around-the-Clock Access

24/7 availability via phone, patient portal, or secure messaging with proactive scheduled wellness check-ins and virtual engagement alternatives.

Seamless Care Transitions

Manage patient transitions from emergency visits, inpatient stays, and post-acute facilities with prompt follow-up and secure information exchange.

Proactive Risk Management

Data-driven insights through patient panel risk stratification, care gap detection, and customized outreach workflows.

Multi-Channel Communication

Facilitate encrypted messaging, video-based virtual visits, and remote health assessments for stronger patient-provider relationships.

Ideal APCM Candidates

Organizations committed to optimizing value-based revenue while driving measurable improvements in patient health.

Primary Care Clinicians

Ready to elevate their care delivery model, enhance patient connections, and align with value-based care frameworks.

Elevate care delivery workflows
Scale patient engagement effectively
Optimize Medicare reimbursement capture

Healthcare Organizations

Seeking to unify care planning, telehealth engagement, and outcomes tracking for superior results.

Unify comprehensive care planning
Implement telehealth engagement tools
Monitor quality metrics and outcomes
Reimbursement & Medicare Compliance

2026 Medicare
APCM Billing Codes

The 2026 Medicare Physician Fee Schedule establishes specific HCPCS codes for APCM billing, enabling monthly service billing without minute-level documentation.

G0556

APCM for patients with ≥1 chronic condition

G0557

APCM for patients with ≥2 chronic conditions

G0558

APCM for complex or qualified Medicare beneficiaries

Essential Billing Criteria

Secure written or verbal patient consent with proper medical record documentation
Ensure 24/7 availability and care continuity
Provide holistic care management encompassing preventive services and ongoing follow-up
Manage care transitions with enhanced communication protocols
Conduct population health initiatives with quality metric documentation
APCM Delivery with DocToDoor

Simplified APCM Implementation
in Five Clear Steps

01

Patient Identification

Locate qualifying patients and document written or verbal consent properly in the medical record.

02

Dynamic Care Planning

Construct comprehensive, adaptable plans addressing each patient's long-term needs and health objectives.

03

Virtual Engagement

Maintain regular contact through phone calls, secure messaging, or video consultations.

04

Compliant Documentation

Record all services meeting APCM specifications using dedicated HCPCS codes.

05

Monthly Reporting

Generate APCM summaries and billing documentation with comprehensive records.

DocToDoor APCM Advantages

Elevate Your Primary Care
Practice with APCM

DocToDoor APCM drives tangible improvements in patient health, operational efficiency, and practice profitability.

Enhanced Health Outcomes

Vigilant monitoring and ongoing communication drive measurable improvements in patient health and satisfaction.

Streamlined Documentation

Unified monthly reporting replaces fragmented, minute-by-minute time tracking requirements.

Deeper Patient Relationships

Convenient, tailored support extends well beyond clinic walls, building trust and improving treatment adherence.

Optimized Team Efficiency

Minimize workflow fragmentation while maximizing care coordination across your entire practice.

Frequently Asked Questions

Your Questions Answered About
Advanced Primary Care Management

Start Delivering Comprehensive Continuous Care

Activate APCM through DocToDoor today - equip your practice to provide integrated, patient-focused care while maximizing reimbursement under current Medicare standards.