Monthly Medicare reimbursement for care management between visits
Medicare pays a recurring monthly fee per patient for care management between visits. No time tracking required.
The catch: it has to happen consistently for patients who need care. That's where most practices stall. FRQ automates the outreach, check-ins, and follow-ups so your team reviews and documents instead of chasing patients.
What is Advanced Primary Care Management?
APCM is a Medicare billing program that allows primary care practices to bill a monthly fee for providing ongoing care management to Medicare beneficiaries between visits. It's not based on time — it's based on whether meaningful care management was performed and documented.
Your practice must demonstrate the infrastructure to manage patients between visits:
- →Communicate with patients outside of visits
- →Manage patient populations proactively
- →Provide access to care outside standard hours
- →Measure and report performance
Each month, your practice must perform and document these activities:
- →Patient consent for APCM services
- →Comprehensive care management (assessments, monitoring)
- →Care transitions follow-up (post-discharge, ED visits)
- →Practitioner & community coordination
- →Initiating visit (when required)
- →Maintain a patient-centered care plan
APCM is a consistency problem. FRQ makes consistency automatic.
Most practices know what to do — the hard part is doing it reliably across hundreds of patients without burning out your staff. FRQ gives you the consistency engine so your clinical team can focus on reviewing, deciding, and documenting.
Consistent follow-up for patients who need it.
FRQ runs the outreach, check-ins, and follow-ups automatically — so nothing slips through the cracks. Your clinical team reviews, makes decisions, and documents.
What Medicare requires of your practice — and where FRQ helps
Each capability has parts FRQ automates and parts your practice owns. Here's the breakdown.
Requirement: Communicate with patients outside of visits using asynchronous methods.
Requirement: Identify care gaps and manage groups of patients.
Requirement: Provide access to care outside office hours.
Requirement: Track and report quality performance.
The 6 activities Medicare requires — and where FRQ helps
Each month, CMS requires documented evidence of these care management activities for every enrolled Medicare patient. Here's who does what.
Obtain and document Medicare beneficiary consent for APCM services.
Ongoing assessments, monitoring, and symptom tracking for Medicare patients.
Follow up after hospital or ED discharge to prevent readmissions.
Confirm whether ordered labs, imaging, and referrals were completed.
Required when needed — an in-person or telehealth visit to establish or update the care plan.
Maintain a longitudinal care plan with problems, goals, and interventions.
The workflows that make monthly consistency possible
Each Care Task is a purpose-built AI workflow that runs automatically — outreach, conversation, and structured data capture — across your entire Medicare panel. No patients forgotten. No months missed. Your team reviews and documents.
How this works in practice
The provider selects which follow-ups, check-ins, and screenings should run for each patient based on their care plan.
FRQ sends SMS check-ins at the right time. Patients respond naturally in their own words.
Patient-reported data is captured, organized, and delivered to the care team — barriers flagged, gaps highlighted.
Your clinical team interprets the information, makes care decisions, and documents interventions — creating the record that supports APCM billing.
See what Medicare APCM could mean for your practice
Missed documentation means missed revenue. APCM rewards consistency — and FRQ makes consistency the default, not the exception.
- →Recurring monthly Medicare revenue — not one-time visit charges
- →Revenue scales with your panel size, not your staff headcount
- →FRQ automates the outreach — your team documents and bills
- →No time tracking required — Medicare pays on activity, not minutes
Estimates only. Actual reimbursement depends on payer, patient complexity, and compliance. Consult CMS guidance.
What FRQ does and doesn't do
- ✓Consistency at scale — reliable outreach for patients who need care
- ✓Capturing clinically relevant patient-reported data
- ✓Identifying care gaps and barriers
- ✓Structured summaries for clinical review
- ✓Consent capture at scale across your panel
- ✓No missed months — consistent activity trail for billing
- —Clinical decision-making
- —Care plan development and goal-setting
- —EMR documentation and claims submission
- —After-hours and urgent care workflows
- —Determining APCM eligibility and compliance
- —Conducting and documenting initiating visits
Built for how your practice actually works
FRQ Tech comes integrated out of the box with major EHRsSupported EHRsAthenahealthDrChronoeClinicalWorks (v11.52+)ElationeMedicalPracticeMDland iClinicNextGen EnterpriseOffice Ally EHR 24/7Practice FusionTouchWorks. No IT project needed. Most practices set it up on their own, but our team is always happy to jump on a call and walk you through it until you're comfortable.
Yes, and that's by design. Patients are told upfront they're speaking with a conversational AI, validated for healthcare, that their provider asked to check in and collect information that helps provide better care. The conversation feels natural, and practices have seen strong engagement and meaningful clinical insights about patients' lives between visits.
Minimal. The care tasks are pre-built. You tell us which patients need follow-up, and the AI runs. No workflow redesign, no training, no new software to learn.
Yes. FRQ Tech is HIPAA-compliant from the ground up. All data encrypted in transit and at rest. We sign BAAs with every practice. PHI is never used for training.
Plans start at $40 per provider per month and scale based on automation volume. No per-message fees and not based on patient count.
97% of US adults text, so the vast majority of your panel is reachable. For patients who don't, this isn't the right channel to meet their needs, and that's okay. FRQ Tech is designed to close the loop for the patients it can reach, so your staff can focus their time on the ones who need a different approach.
Make APCM consistency automatic — not aspirational
30-minute demo. See how FRQ helps you deliver consistent care management — without adding to your staff's workload.
Live in 48 hours. Try for 4 weeks.
Disclaimer: This page provides a general overview of Medicare's APCM program and how FRQ may support certain workflows. APCM billing and compliance depend on each organization's operations, documentation, and clinical practices. Practices should confirm requirements with CMS guidance and/or billing experts before submitting claims. FRQ does not determine APCM eligibility or guarantee reimbursement.