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Guided product tour · no account required

Follow the operation from panel to payment-ready evidence.

See what each person does, what the system retains, and where your FQHC keeps authority. The records below are illustrative and use synthetic data.

What this tour proves

Six connected handoffs

Practice-controlled
  1. 01Panel intelligence
  2. 02Enrollment
  3. 03Monthly care
  4. 04Clinical supervision
  5. 05Safeguards
  6. 06Billing evidence
APCM is operated as a monthly service—not reduced to a minute threshold.
  1. Step 01

    Panel intelligence

    Find the patients worth reviewing—not a list to bill.

    The scanner organizes eligibility signals, care gaps, program conflicts, QMB evidence, and missing facts into a reviewable opportunity map.

    Buyer question
    Who appears eligible, and what still needs verification?
    Authority retained
    Your team confirms patient facts, program fit, and exclusions before outreach.

    Panel scanner

    Synthetic workspace preview

    Current state

    1,142 records need program review

    784

    Ready for review

    219

    Facts missing

    139

    Conflict flagged

    Review candidate evidence
  2. Step 02

    Enrollment

    Make consent and patient choice visible before work begins.

    Enrollment records the outreach result, consent method, effective date, assigned team, and unresolved requirements in one traceable handoff.

    Buyer question
    Can we prove why this patient entered the program?
    Authority retained
    Approved scripts, consent policy, and enrollment decisions remain practice-controlled.

    Enrollment review

    Synthetic workspace preview

    Current state

    Consent captured · assignment pending

    Yes

    Patient agreed

    Phone

    Consent method

    1

    Open requirement

    Assign care owner
  3. Step 03

    Monthly care

    Run the required care operation—not a 20-minute stopwatch.

    Navigators work from a ranked monthly list of care, outreach, coordination, and follow-up actions shaped by the patient’s current needs.

    Buyer question
    What does this patient need next, and who owns it?
    Authority retained
    The practice defines the care model, documentation standard, and clinical boundaries.

    Today’s worklist

    Synthetic workspace preview

    Current state

    12 patient actions due today

    5

    Care planning

    4

    Coordination

    3

    Follow-up

    Open next care action
  4. Step 04

    Clinical supervision

    Move exceptions to the right person before they become risk.

    Clinical needs, missing evidence, conflicting records, and out-of-scope requests are routed with context, urgency, and a named owner.

    Buyer question
    What needs clinical judgment or leadership attention?
    Authority retained
    Licensed staff retain clinical judgment, escalation authority, and final resolution.

    Exception queue

    Synthetic workspace preview

    Current state

    3 items need supervisor review

    1

    Clinical

    1

    Consent

    1

    Documentation

    Route with context
  5. Step 05

    Safeguards

    Stop unsupported work from quietly becoming a claim.

    Consent, patient facts, QMB status, configured program conflicts, service evidence, and review decisions stay visible before release.

    Buyer question
    What is supported, what is withheld, and why?
    Authority retained
    Compliance, coding, correction, and overpayment processes remain with the responsible organization.

    Release safeguards

    Synthetic workspace preview

    Current state

    2 lines held for evidence

    18

    Supported

    2

    Withheld

    0

    Auto-submitted

    Review held lines
  6. Step 06

    Billing evidence

    Give billing a review-ready packet, not a black box.

    The packet assembles the monthly operating evidence, exceptions, review history, and reason codes needed for the practice’s final billing decision.

    Buyer question
    Can billing trace the support for every proposed line?
    Authority retained
    The practice and its billing team retain final coding and claims-submission authority.

    Evidence packet

    Synthetic workspace preview

    Current state

    Ready for billing-team review

    20

    Lines reviewed

    18

    Supported

    2

    Held back

    Export review packet

From product tour to operating plan

Now map this workflow to your practice.

The readiness brief captures your panel, team, EHR handoffs, supervision, billing workflow, and preferred operating model. It is a planning tool—not a revenue, compliance, or enrollment guarantee.

Your EHR remains the clinical system of record.

Software supports controls; it does not certify compliance.

The billing team makes the final claim decision.