Advanced Primary Care Management (APCM)

Q: Does APCM require special devices?

Information available upon request.

Q: Can MayaMD's APCM service be customized for my practice workflows?

Information available upon request.

MayaMD's modern APCM solution delivers higher patient engagement, personalized care & more reimbursement.

Differentiate your practice with a modern APCM solution that delivers you more. One complete service that improves patient outcomes and continuity of care — without creating more work for your staff.

Common gaps with Primary Care:

No visibility into patient status between visits

Delayed response to worsening symptoms

Costly unnecessary hospital visits

MayaMD’s APCM fills these gaps with our Award-winning technology and trained MA team elevating your care.

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MayaMD's Advanced Primary Care Management (APCM)

A fully integrated premium service extending your care beyond the office with AI-powered monitoring, dedicated care teams, and proactive support keeping your patients on track.

24/7 Patient Engagement

Patients remain connected to their care plan through the MayaMD platform.

Patient-facing app with care plan
Ongoing reminders and education
Access to support when questions arise

Monitoring & Risk Detection

MayaMD monitors patient data and engagement patterns to identify early warning signs.

Real time symptom & vitals tracking
Medication reconciliation
Monthly calls to patients
Chronic disease monitoring workflows

Escalation & Human Support

When issues arise, MayaMD ensures they don’t go unnoticed.

Call center support for patient questions
Triage and escalation pathways
Coordination with clinical teams when intervention is required

A truly modern solution extending your care.

Disease specific care plans

Captures patient-reported updates between visits

Flags issues before the next appointment

Reduces unnecessary visits & prevents delayed care

MayaMD APCM gives you high-quality patient centered care and new monthly revenue. Your patients get a premium care experience.

A state-of-the-art solution that includes:

Identifying eligible patients & enrolling them

Comprehensive assessments & care plans

State-of-the-art patient engagement technology

Documentation and billing support

Our APCM platform solution has a clinic web-portal for your staff plus patient & provider apps.

Providing The Key Elements of APCM

One unified platform with human support providing all of the required elements of Advanced Primary Care Management.

Onboarding

We identify eligible patients for you, get their consent and enroll them in a secure way.

Comprehensive Care Plans

Each patient gets a personalized care plans with condition-specific guidance & education.

Care Coordination

Support for referrals, follow-up appointments, transitions of care, medication reviews, and communication between providers.

Dedicated Medical Assistants

Each patient gets a trained medical assistant supporting care planning, follow-ups & urgent needs.

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Learn more about our technology

At the Time of Discharge

Explains diagnosis and care

Reviews medication changes

Highlights red flag symptoms

Reinforces follow up steps

Confirms patient understanding

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What it is:

A supporting capability that extends care beyond visits

A patient engagement and monitoring layer

A risk-reduction tool for chronic and post-acute care

What it is not:

A standalone RPM hardware platform

A generic alerting or device-only solution

A replacement for clinical judgment or care teams

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FAQs – Advanced Primary Care Management (APCM)

Reimbursement, Key Elements and Our Technology:

Do I still need to do my expense reports when using Neurex?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

What types of businesses are ineligible for Neurex?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Where are the funds being held?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Can I truly make unlimited design request?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Does Neurex offer marketing, sales, or customer success support?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

What are the 2026 CPT codes and reimbursement rates for Advanced Primary Care Management (APCM)?

G0556 is for patients with one or no chronic illnesses and covers services provided by clinical staff under the guidance of a physician or qualified healthcare professional. The current national average reimbursement rate for G0556 is about $16 per patient per month.
G0557 is for patients with two or more chronic conditions which are expected to last for at least 12 months and may put the patient at a high risk of death, sudden health decline, or loss of function. The national average payment rate for G0557 is about $54 per patient per month.
G0558 is for patients who are a Qualified Medicare Beneficiary and have two or more chronic conditions. A Qualified Medicare Beneficiary, or QMB, is an individual who receives assistance from their state to help cover Medicare costs. Due to this support, they are not required to pay for Medicare cost-sharing, which includes deductibles, co-insurance, and copayments. The current national average reimbursement rate for G0558 is $117 per patient per month. To learn more about how to qualify for QMB, contact your state's Medicare office.

Why Advanced Primary Care Management (APCM) is relevant now for primary care?

Advanced Primary Care Management (APCM) is Medicare's newest care management program launched January 1, 2025. Nearly four in five Medicare beneficiaries live with two or more chronic conditions. For primary care practices managing these patients, the challenge is administrative burden: tracking minutes, documenting time thresholds, and navigating overlapping code requirements across CCM, PCM, and TCM. Advanced Primary Care Management has no time tracking and just about every patient qualifies. The program mirrors the clinical value of Chrionic Care Management (CCM), Principal Care Management (PCM) and Transitional Care Management (TCM) into a single billing program, enabling primary care providers a clear pathway to reimbursement for the care coordination they are already doing.

The 10 Key Elements of Advanced Primary Care Management (APCM)

Do I still need to do my expense reports when using Neurex?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

What types of businesses are ineligible for Neurex?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Where are the funds being held?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Can I truly make unlimited design request?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Does Neurex offer marketing, sales, or customer success support?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Patient Consent, Initiating Visit, 24/7 Access and Continuity of Care:

1. Patient Consent - it's a requirement to inform patients about their eligibility, cost-sharing, rights to discontinue services, and obtain verbal or written consent to participate in APCM.
2. Initiating Visit - an initial visit is required for new patients unless the patient has been seen within the past 3 years or has received care management services, such as Chronic Care Management, Principal Care Management, or Remote Patient Monitoring, from another provider in the same practice within the previous year.
3. 24/7 Access and Continuity of Care - patients can contact a member of their care team and have real-time access to their medical information. This includes routine appointment scheduling with designated care team members and alternative care delivery options.

Comprehensive Care Management, Patient-Centered Care Plan, Care Transitions:

4. Comprehensive Care Management - an organized care plan that focuses on understanding a patient's needs and providing preventive care services which can include: effective medication management, support for Social Determinants of Health and Behavioral Health (SDOH) services.
5. Patient-Centered Care Plan - develop, implement, revise, and maintain an electronic care plan that the care team and the patient can access. This plan should focus on the needs of the patient and be available electronically, both inside and outside the billing practice.
6. Care Transitions Management - this includes facilitating referrals to other providers, follow-up after emergency department visits or discharges, and the timely exchange of electronic health information.

Enhanced & Ongoing Communication, Patient Population-Level Management, Risk Stratification, Performance Measurement:

7. Enhanced & Ongoing Communication - regular patient contact through calls, portal messages, or in-person touchpoints and utilizing technology for patient engagement (secure messaging, remote check-ins, virtual visits).
8. Patient Population-Level Management - analyze data to identify care gaps and offer interventions. This includes risk-stratifying populations based on pre-defined criteria.
9. Risk Stratification - stratify patients by risk level; high-risk patients receive more intensive management.
10. Performance Measurement - track and report quality metrics aligned with CMS value-based care initiatives.

Technology & Compliance

Do I still need to do my expense reports when using Neurex?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

What types of businesses are ineligible for Neurex?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Where are the funds being held?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Can I truly make unlimited design request?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Does Neurex offer marketing, sales, or customer success support?

Yes. You can throw as many requests as you have our way. We will take care of each one at a time, according to the order of priority.

Does APCM require special devices?

No, but if combined with Remote Patient Monitoring (RPM), then FDA approved devices are needed and MayaMD can provide them for your patients to track and monitor vitals like: blood pressure, weight, heart rate and oxygen saturation levels.

Is MayaMD's APCM platform HIPAA-compliant?

Yes. All patient interactions and data handling are fully HIPAA-compliant.

Can MayaMD's APCM service be customized for my practice workflows?

Yes, our APCM workflows can be configured to create a seamless service for your primary care clinic to eliminate any friction.

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Advanced Primary Care Management (APCM)

MayaMD's modern APCM solution delivers higher patient engagement, personalized care & more reimbursement.

MayaMD's Connected Care Platform for APCM

MayaMD's Advanced Primary Care Management (APCM)

Personalized Care Plans for Chronic Conditions and Remote Patient Monitoring for Preventive Care

Support For Your Patients When They Need It

Providing The Key Elements of APCM

Onboarding

Comprehensive Care Plans

Care Coordination

Dedicated Medical Assistants

APCM Can Be Enhanced with Our Remote Patient Monitoring (RPM)

FAQs – Advanced Primary Care Management (APCM)

Reimbursement, Key Elements and Our Technology:

The 10 Key Elements of Advanced Primary Care Management (APCM)

Technology & Compliance

Improve care quality, patient communication and access to better healthcare with MayaMD

See The MayaMD Difference

Fill the form below

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