The Proposed Rule for the 2025 Medicare Physician Fee Schedule plans to introduce a new preventative care program, called Advanced Primary Care Management (APCM) with new billing codes. This program will be available for primary care practices, including general practice, geriatric care, family practice, and internal medicine. With the aim to transform preventative care by combining multiple care management and telehealth programs into a single program, an APCM program will incorporate the functionalities of:
Only a handful of specialists who serve as a primary source of care, like cardiologists and OB-GYNs can offer this program.
Unlike other care management programs, APCM expands eligibility and introduces new billing codes that are not time-based. One of the key differences in Advanced Primary Care Management compared to existing care management programs is that it expands eligibility to all Medicare patients.
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