Vector
Vector handles the operational complexity of Advanced Primary Care Management — enrollment, consent, AI outreach, billing readiness, and audit defense — so your care team can focus on patients.
Self-serve onboarding. Your practice can be live in minutes.
New Medicare Revenue
Advanced Primary Care Management (APCM) created three new monthly billing codes effective January 2025. Every Medicare FFS patient in a primary care practice is potentially eligible — not just those with multiple chronic conditions.
Most practices haven't started. The ones that move first capture the revenue and build the operational muscle. Vector makes that move simple.
| Code | Patient Criteria | Rate/Mo |
|---|---|---|
| G0556 | 0–1 chronic conditions | ~$16 |
| G0557 | 2+ chronic conditions | ~$54 |
| G0558 | QMB + 2+ chronic conditions | ~$117 |
CMS CY2026 rates. No minimum monthly minutes required — attestation-based.
How It Works
Import your patient roster. Vector identifies Medicare FFS eligibility, assigns APCM tiers, captures consent with CMS-required disclosures, and tracks the enrollment pipeline.
AI sends condition-specific outreach each month. Patient responses are triaged — green, yellow, or red — and care plans are generated from clinical context. Your team reviews and approves.
The billing readiness engine validates every patient against compliance criteria. Export clean claim batches and generate audit-ready documentation with one click.
Capabilities
Eligibility checking, chronic condition counting, and automatic APCM tier assignment across your entire patient roster.
Written and verbal consent capture with all four CMS-required disclosures. Full enrollment pipeline with status tracking.
AI generates structured care plans with ICD-10 codes, goals, and interventions from patient clinical context. Reviewed and approved by providers.
Condition-specific SMS screening each month. Patient responses triaged by AI into green/yellow/red with automatic escalation workflows.
Seven-check compliance validation per patient. Traffic-light status shows exactly who is ready to bill and why others aren't.
Immutable audit trail on every compliance-sensitive action. Generate per-patient documentation packets for CMS audits.