2025-07-07 10:56:00
A new program is helping healthcare orgs navigate Medicare’s changing landscape
Medsien’s APCM addresses chronic care delivery and sustainable growth.
- Medsien’s APCM program assists in transitioning to the CMS’ new care model.
- The CMS’ 2025 initiative replaces time-based needs with a monthly per-patient payment model.
- The program allows practices to become operational in as little as five days.
Medsien’s Advanced Primary Care Management (APCM) program is designed to help healthcare organizations adapt to the Centers for Medicare & Medicaid Services’ (CMS) new care model.
Shifting Medicare Reimbursement
Medsien’s APCM program directly addresses the CMS’ 2025 initiative, which marks a significant shift in Medicare reimbursement. Forget the old way; traditional time-based billing is out.
Now, a monthly per-patient payment model is in, utilizing billing codes G0556, G0557, and G0558. This approach enables healthcare providers to categorize patients based on risk levels.
They then receive consolidated payments for a broad spectrum of services. This includes chronic, primary, and transitional care management, virtual visits, telehealth check-ins, and even remote evaluations.
Focus on Patient Care
The shift emphasizes preparedness and continuity of care. The focus is on patients, rather than administrative time-tracking. Practices can now concentrate on what matters most: patient well-being.
The APCM program offers a rapid, scalable, and forward-thinking solution. Medical practices can become operational in just five days.
It integrates seamlessly with electronic health records (EHR), ensuring consistent and automated record-keeping. The AI-driven workflows also streamline program operations. This also ensures compliance with regulations.
A Transformation in Care Delivery
Medsien co-founder and CEO Hamed Ahmadi said: “This programme is more than a billing opportunity, it’s a transformation in how care is delivered.”
Ahmadi added, “We’ve built APCM to help practices embrace relationship-based, proactive care with confidence and scalability.”
Lessening the Operational Burden
The launch of Medsien’s APCM solution aims to reduce the operational burden on healthcare organizations. It helps ensure compliance with new regulations.
It also empowers them to excel in today’s value-based care environment. This initiative aligns with Medsien’s broader goal. That goal is to improve care by leveraging patient-centered design and intelligent systems.
