Definition
Advanced Primary Care Management (APCM) is a set of monthly Medicare care-management services, introduced in 2025, that pay primary care practices a bundled amount per patient for delivering ongoing, coordinated, patient-centered care.
CMS created APCM in the calendar year 2025 Physician Fee Schedule final rule, effective January 1, 2025. Practices bill one of three HCPCS codes each month, G0556, G0557, or G0558, tiered by the patient's number of chronic conditions and whether the patient is a Qualified Medicare Beneficiary. Unlike Chronic Care Management, the codes carry no minimum monthly time requirement.
In exchange, the practice must offer a defined set of capabilities, including patient consent, 24/7 access to the care team, continuity with a designated clinician, comprehensive care management and a care plan, management of care transitions, coordination with other providers and community services, communication options beyond the office visit, and population-level management and performance measurement. APCM is meant to pay for the practice's ongoing relationship with the patient rather than a count of minutes.
Because payment is monthly and per patient, APCM depends on recurring contact: check-ins, chasing missing information, care-gap follow-up, and coordination between visits. Done by hand, that outreach is labor-intensive.
How Consig handles it
Consig runs the recurring outreach that CCM and APCM programs depend on, including regular check-in calls, chasing missing device readings, and scheduling time with staff. Consig does not make billing determinations; every attempt is documented and returned to the customer's platform. See chronic care management.