For practices
Covered care your Medicare patients aren't getting, and what it's worth.
Enter your panel size and Medicare share to see your practice's gross and net opportunity across care management, wellness visits, behavioral health, and preventive services.
Practice Opportunity Calculator
Eligibility is computed from your Medicare patients only — APCM, the annual wellness visit, and most of the preventive bundle are Medicare benefits. Rates are national averages blended across code levels; they vary by locality. Drag a slider or type a percentage to use your own numbers.
| Service | Currently Bill | Possible Future | Eligible | Revenue Gained |
|---|---|---|---|---|
| Total Delivered Now | $0 | |||
| Total Opportunity | $0 | |||
| Projected Annual Increase (gross) | $0 | |||
| Net of added staff | $0 | |||
The net subtracts only the care navigators you would add. It does not subtract clinician time or Truer's fee, which is a flat monthly fee per enrolled patient. We take no share of what you collect.
Build your plan
Skip anything you wouldn't take on. Skipping APCM, care navigators, or behavioral health takes it out of the numbers above; the other three change only the timeline below.
| Initiative | What happens | In your plan? |
|---|
What delivers these numbers
Practice dashboard
The roster, consents, care plans, and daily worklists your care navigators work from.
Clinician Copilot
A side panel beside your web-based EHR that shows what is due for the patient on screen. In daily use in our own practice. About the Copilot →
How we're paid
A flat monthly fee per enrolled patient. We never bill a payer and take no share of what you collect.
Get your practice report
Email me this report
Sent as soon as you submit: your numbers by service line, the staffing they take, and the net. Two short papers on where practice revenue leaks and a free five-year plan workbook come attached.
No mailing list. We won't email you again unless you ask us to.
Report sent
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Your report is on its way to and should arrive within a few minutes. If it doesn't, check your spam folder.
Optional: tell us about your practice
It helps us read your numbers. If you'd like to talk or have a question, a person replies within two business days.
Two Possible Futures
Your practice has a choice. The numbers below come from your calculator inputs.
Without Action
Your practice delivers 0% of the covered services above to the Medicare patients who qualify.
- Care gaps tracked inconsistently
- Patients receive a small fraction of the care coordination that would help them
- Care Navigator hiring feels risky — no quantified staffing plan
- The visit-to-payment gap stays invisible — no report you own shows the visit that never became a claim
With Truer
Frequently Asked Questions
How does Truer World get paid?
A flat monthly fee per enrolled patient for the software and support. We never bill a payer, never provide a billable service, and take no share of what you collect. Enrollment decisions are yours, made by a named clinician with documented consent.
Is APCM the new CCM?
No — it sits alongside it. Medicare added Advanced Primary Care Management (G0556–G0558) in January 2025; Chronic Care Management is still billable. APCM has no time threshold: a flat monthly payment per enrolled patient, roughly $15, $50, or $110 depending on the patient's level (national averages; your locality differs), in exchange for a defined set of service elements. CCM pays per 20-minute increment and requires time tracking.
You cannot bill APCM and CCM for the same patient in the same month. Most practices that switch do so because a large share of CCM-rostered patients never reach the 20-minute threshold in a given month and go unbilled; under APCM the same patients are billable with documented consent and the service elements delivered. The calculator uses a blended rate across the three APCM levels.
Why does the calculator only count Medicare patients?
Because APCM, the annual wellness visit, and most of the preventive bundle are Medicare benefits. Some Medicare Advantage and commercial plans cover parts of them; some don't. Counting your whole panel would overstate the number by roughly the inverse of your Medicare share, so we don't. If your commercial payers cover care management, set the Medicare share higher to include those patients.
Is this net of what it costs to deliver?
The "Net of added staff" line subtracts the care navigators the enrollment target implies, at about one per 500 enrolled patients and the salary you enter. It does not subtract clinician time, your existing staff, or our fees. Treat it as an order of magnitude to plan around, not a forecast.
I already have an RPM company. How does this fit?
It doesn't replace them. Your RPM vendor handles devices and monitoring. The practice dashboard identifies which additional services — APCM, behavioral health, wellness visits, preventive services — the same patients qualify for, and gives your care team one list to work from. Note that some RPM and care-management codes can't be billed together in the same month; the dashboard flags those.