For eligible primary care populations
Identify the patients and service level your practice believes meet current CMS and payer requirements. Your team retains eligibility and coding judgment.
Seamlessly integrates with your EHR
Built for primary care
APCM operations without building another internal program
Compound Care supports practices that want a structured way to manage monthly patient outreach, care-team follow-up, documentation, and billing review.
Works alongside your EHR
Turn patient conversations into structured, reviewable records and follow-up tasks that fit the systems your staff already uses.
Designed for supervised delivery
Compound Care prepares care-management and billing-support artifacts. The practice owns clinical decisions, final coding, and claim submission.
How it works
From patient conversation to a reviewable monthly record
Implementation starts with practice-defined eligibility, consent, scripts, escalation rules, and responsibilities. Compound Care then helps run a consistent monthly loop.
01
Reach the patient
Voice and SMS follow approved scripts, identity checks, consent, preferences, and practice-defined stop conditions.
02
Turn talk into work
Responses become source-linked facts, refill requests, care gaps, and clinical tasks—not autonomous diagnoses.
03
Close the loop
Every exception receives an owner, urgency, due time, disposition, and closure record.
04
Assemble the packet
Rules prepare a candidate code and encounter packet for internal review, then practice approval.
Compliance by design
Automation supports the team. It does not replace accountable review.
APCM requirements and payer rules can change. Confirm current requirements with CMS, your Medicare Administrative Contractor, and your compliance advisors.
01Rules before language modelsEligibility, consent, conflicts, permissions, and code logic use deterministic controls.
02Internal review before practice reviewCompound reviews first; the responsible practice can approve, change, hold, or reject.
03No autonomous clinical decisionsThe system does not diagnose, prescribe, change medication instructions, or clear urgent concerns.
04No autonomous claim submissionCompound prepares billing support. The clinic owns coding judgment and every submission.
Primary source: CMS Advanced Primary Care Management Services
Medicare revenue model
Map your panel to the programs it can support.
Annual opportunity across APCM, preventive visits, behavioral health, and transitions
Estimated annual Medicare revenue$588,898At 70% capture · $841,283 eligible
Advanced Primary Care Management$405,964
400 / 450 / 150 patients by tier G0556 · G0557 · G0558
Behavioral Health Integration$97,440
200 eligible patients G0570 with APCM
Annual Wellness Visits$66,839
650 visits due annually G0402 · G0438 · G0439
Transitional Care Management$18,655
144 qualifying discharges annually 99495 · 99496
Illustrative planning model only—not coding, billing, legal, or financial advice. Rates are fixed assumptions in this estimate ($16.37 for G0556) and should be updated in the model using the current CMS Physician Fee Schedule, your MAC, locality, site of service, payer contracts, and applicable requirements. Practices retain responsibility for eligibility, documentation, coding, and claim submission.
APCM resources
Start with the rules, then design the workflow
Practical, source-linked guidance for evaluating APCM and preparing an implementation plan.
Implementation guide
Advanced Primary Care Management: a 2026 practice guide
Eligibility, consent, service capabilities, implementation, and operating controls.
Read the guide →Billing & reimbursementAPCM billing requirements and codes
Compare service levels, documentation, estimates, and the monthly review process.
Review APCM billing →Program comparisonAPCM vs. CCM: what changes for your practice?
Compare eligibility, time tracking, care requirements, and operating models.
Compare APCM and CCM →Patient enrollmentAPCM consent requirements and sample language
Build a documented consent workflow and adapt a careful starting template.
Review the consent guide →See how much you'd make
Give us 15 minutes. We’ll model your economics, demo the workflow, and play the patient experience end to end.
- No new software or IT person required
- No changes to your office workflow
- No long-term contracts
Prefer email? hello@compoundcare.co