Advanced Primary Care Management (APCM)
Advanced Primary Care Management (APCM)
Advanced Primary Care Management (APCM)
Advanced Primary Care Management (APCM)
Advanced Primary Care Management (APCM)
The Future of Primary Care Management
Zero Added Workload.
APCM is CMS's most comprehensive primary care coordination programme to date — covering chronic disease management, care transitions, social determinants, referrals, and 24/7 access, all in one CMS-compliant, turnkey service
AI-Powered All-in-One Care Platform for CCM, APCM, RPM, RTM, CoCM, Telehealth & Patient Engagement — Built to Deliver Better Outcomes.
CMS Advanced Primary Care Management
The Next Evolution of
Primary Care Management.
LEVEL 1 - G0556
Medicare Part B patients with at least one chronic condition.
~$15
/mo
~$180,000
Annual revenue / 1,000 patients
Level 2 · G0557
Patients with 2+ chronic conditions, not classified as high-risk.
~$50
/mo
~$600,000
Annual revenue / 1,000 patients
Level 3 · G0558
Patients with 2+ chronic conditions and Qualified Medicare Beneficiary (QMB) status.
~$115
/mo
~$1,380,000
Annual revenue / 1,000 patients
Patient Eligibility & Conditions Covered
Broader Than CCM. More Patients.
More Revenue. More Impact.
Who Qualifies
Medicare Part B Beneficiaries
Patients With 1+ Chronic Condition (G0556)
Patients With 2+ Conditions (G0557/G0558)
High-Risk Complex Patients (G0558)
Not Enrolled in Hospice During the Month
Who Can Bill APCM
Primary Care Physicians (MD/DO)
Nurse Practitioners (NP)
Physician Assistants (PA)
Clinical Nurse Specialists (CNS)
Certified Nurse-Midwives (CNM)
What CMS Requires
Patient Consent & Comprehensive Care Plan
24/7 Patient Access to Care Team
Support TCM, CCM, PCM Services
Medication Adherence, Referral Coordination
Annual Care Plan Review …
All 30+ CMS-Approved Chronic Conditions Covered
Hypertension
Hyperlipidemia
Rheumatoid / Osteoarthritis
Acquired Hypothyroidism
Chronic Kidney Disease
Ischemic Heart Disease
Atrial Fibrillation / Flutter
Heart Failure
Acute Myocardial Infarction
COPD
Asthma
Non-Alzheimer’s Dementia
Alzheimer’s Disease
Depression / Bipolar / Mood D/O
Diabetes
Stroke / TIA
Osteoporosis
Hip / Pelvic Fracture
Cataract
Glaucoma
Benign Prostatic Hyperplasia
Breast Cancer
Colorectal Cancer
Lung Cancer
Prostate Cancer
Endometrial Cancer
Urologic Cancer
Schizophrenia / Psychotic D/O
Anxiety Disorders
Anemia
A True Concierge Service Model
A Dedicated Personal Care Champion
Just a Click Away.
Experienced
Certified
AI-Powered
CMS- Compliant
Designed by physicians for physicians
UNIFIED PLATFORM
Eight Virtual Care Programs. One Intelligent Platform
PROCLE identifies the right care program or combination of programs for every patient and orchestrates coordinated care through one unified platform and care team. Built to support both Fee-for-Service and Value-Based Care.
PROCLE
AI Care Orchestration
tag line
Advanced Primary Care Management
Whole-Person Care Coordination Built for VBC & ACO REACH
APCM
AI Intelligence + Clinical Execution
At Scale
Our AI-powered platform identifies which patients need intervention — and our certified clinical care teams deliver that intervention.
AI-Powered Platform
CCM, RPM, RTM, APCM, CoCM & Telemedicine — all-in-one
AI Risk Stratification & Care Gap Identification
Continuously scans the enrolled population for emerging risk and missed care.
Real-Time Deterioration Alerts
Adherence monitoring and anomaly detection surfaced the moment they occur.
EMR Integration & Population Health Analytics
Connects to your existing systems — no rip and replace.
Configurable Workflows
Adapts to your network's standards and existing clinical protocols.
PROTOCOL
Certified Clinical Execution
Real clinicians, delivering real care
Certified, Credentialed Care Coordinators
Clinical supervisors overseeing every enrolled patient.
Proactive Outreach & Medication Coaching
Patient engagement that keeps care plans on track.
24/7 Monitoring, Response & Escalation Protocols
Protocol-driven care management at every hour.
Care Transitions & Specialist Coordination
CMS-compliant documentation, billing, and reporting handled end-to-end.
Clinical Workflow
You Enroll. We Transform Your
Primary Care Delivery.
PROCLE
Turn identified gaps into meaningful patient action through targeted outreach, Follow ups and engagement.
CLINIC
Find overdue care and prioritize patients by urgency
02
03
04
05
01
Provider oversight maintained at every stage · No minimum time requirement · Full audit trail · Zero operational burden on your team
Whole-Person Care Plan
AI-generated, CMS-compliant plan
Addresses conditions, SDOHs, meds
Provider reviews and approves
Billable
Billing &
Reporting
G0556/G0557/G0558 auto-filed
CMS-compliant documentation
Revenue reporting delivered monthly
Billable
Care Champion Assigned
Dedicated credentialed coordinator
24/7 patient access activated
Proactive outreach begins
Billable
Ongoing
Coordination
Monthly check-ins and monitoring
Transitions, referrals, medication
Care gaps identified and closed
Billable
Patient Enrolment
Obtain patient consent
Risk-stratify by G0556/57/58 tier
No IT or EMR change required
From AI Innovation to
Measurable Impacts.
We turn AI-powered healthcare into practical solutions that improve decisions, streamline care, and create better outcomes—every time.
PROCLE
Care Orchestrator
Ambient AI
LLM-Powered Care Intelligence — Simplifying CCM, Streamlining Workflows & Connecting Care.
Conversational AI
Context-Aware AI That Turns Patient Conversations & RPM Alerts into the Next Best Action
Agentic AI
Autonomous AI Agents That Act — Orchestrating Care, Closing Gaps & Driving Patient Engagement.
Predictive AI
Detects Risk & Deterioration Early — Enables Proactive Intervention
Proof, Not Promises
Real AI. Real Outcomes. Real Lives.
This is not just data, these are lives changed, families protected, and communities healthier.
46%
Reduction in Hospital Readmissions
96%
Improvement in Patient Experience
22.8%
Average. Vital reduction – Glucose
14%
Average Vital reduction - BP
72%
Avgerage Patient Engagement Rate
22%
Improved Medication Adherence
8%
Increase in in-person Preventive Care Visit
$120/m
Average New Revenue per enrolled patient
For more outcome improvement stats & details Please
Talk to our team
REVENUE & BILLING
Each Step Is Valuable & Billable
From enrollment to documentation, every stage of the PROCLE workflow maps to a reimbursable CPT code.
Identify & Enroll
A targeted patient engagement campaign identifies and enrolls eligible patients.
Device Delivery & Setup
Preconfigured devices, ready to use, ship directly to the patient’s home.
Patient Monitoring & Engagement
Continuous monitoring and proactive patient engagement, 24×7.
Care Team Management
Our clinical team manages alerts, outreach, and care coordination.
Documentation & Billing
We handle documentation and billing end-to-end for maximum reimbursement.
RPM
99453
$18.48
99454
$54.10
RTM
98975
$18.82
98984/
98985
$45.00
98976/
98977
$54.10
RPM Check-Ins
99457
$48.72
99458
$39.65
99091
$59.00
RTM Check-in
98979
$26.00
98980
$48.72
98981
$39.60
Basic CCM Check-Ins
99490
$64.00
99439
$48.00
99487
$134.00
Basic CoCM Check-Ins
99492
$156.99
99493
$126.31
99494
$63.88
APCM
G0556
$14.24
G0557
$45.90
G0558
$100.18
Generate an additional annual revenue of
$1.2M
(Aprox.)
per 1000 enrolled patients.
Get the your personalized revenue calculator
WHY PROCLE
The REAL PROCLE Difference
Zero Upfront Investment
No capital outlay and no new infrastructure required to deploy the platform.
Dedicated Care Champion
A dedicated care champion for every patient available 24X7 just a click away.
Start Billing in 30 Days
Begin generating reimbursement revenue within your first month of going live.
Go Live in One Week
Rapid onboarding gets your care teams active fast, with no disruption to existing workflows.
EMR Agnostic
Integrates with your existing EMR & billing platform and workflow.
LET’S BUILD BETTER CARE
Ready to Deliver Advanced Primary Care?
You enroll, we do the rest — a whole-person APCM programme with a dedicated Care Champion, live in one week, with zero upfront investment.
AI- Powered, human-guided solutions for
chronic care and better outcomes.
Solutions
Our Office
3555 Montwood Ct., Marietta, GA - 30062
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