In 2024, CMS introduced new reimbursement opportunities for primary care practices through the 2025 Medicare Physician Fee Schedule Proposed Rule. Advanced Primary Care Management (APCM) is a new initiative meant to support primary care physicians to move towards value-based care. The goals of the program are to improve provider/patient relationships while supporting reimbursement for risk-stratified care management services.
The proposed Advanced Primary Care Management program is different in four ways:
If CMS accepts the 2025 Medicare Physician Fee Schedule Proposed Rule, APCM would be available January 1, 2025. Practices that already participate in CCM and PCM can also participate in APCM. However, a patient can only be enrolled in and billed under one monthly program (either CCM or APCM-not both). Patients enrolled in CCM or PCM would need to be re-enrolled in APCM.
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