APCM (Advanced Primary Care Management) is a Medicare care management model enabling sustained, proactive primary care delivery. It brings together care coordination, chronic disease management, post-discharge support, and patient communication under one streamlined monthly program, reimbursable through new HCPCS codes.

APCM expands beyond chronic condition management to encompass care coordination, transition support, preventive planning, and communication within an integrated framework. Unlike CCM, APCM is billed monthly without tracking individual minutes, simplifying documentation for practices.

Physicians and eligible practitioners overseeing a patient’s complete primary care services can bill APCM codes upon meeting all clinical requirements, including patient consent, 24/7 availability, holistic care management, and care transition coordination.

Under the 2026 Medicare Physician Fee Schedule, APCM uses dedicated HCPCS codes: G0556 (patients with ≥1 chronic condition), G0557 (patients with ≥2 chronic conditions), and G0558 (complex or qualified Medicare beneficiaries).

APCM requires written or verbal patient consent with proper medical record documentation, 24/7 availability assurance, holistic care management records, care transition coordination documentation, and population health initiative tracking with quality metrics.

Absolutely. APCM and RPM are complementary offerings. You can track patient vitals through RPM while delivering comprehensive care coordination through APCM, all seamlessly integrated on the DocToDoor platform.