The things that come up most — answered plainly.

These codes carry a standard 20% Part B coinsurance after the annual deductible — in real dollars, roughly $11/month on APCM Level 2, about $12 on CCM. In practice most patients pay nothing: Medigap and supplemental plans cover the coinsurance, and QMB / dual-eligible patients owe $0. Our team handles consent and the cost-sharing conversation at enrollment, so it never falls to your front desk.

A dedicated, behavioral-health-trained care team — real, named people who work from your care plan and route anything clinical back to you, supervised by licensed clinicians and backed by a psychiatric consultant for behavioral cases. Not a rotating call center. They introduce themselves as your practice's care team, and lower-acuity monitoring is handled by trained care coordinators under that same supervision.

You remain the physician of record and direct the care under general supervision — the standard these codes are built on. You sign the care plans; our clinical staff sit under a licensed clinical entity that carries them. Just as important, the care protocols and your dashboard are configured to how you practice — you set the escalation thresholds, decide what's routed to you versus handled by the team, and set your treatment-plan defaults. You're directing your protocol, with our team executing it.

Every requirement these codes carry — time, consent, care plans, eligibility — is documented and audit-ready at any time, and that burden sits with us, not your front desk. APCM removes the biggest risk entirely, since it has no minute thresholds to track.

By design, very little — the whole model is built to keep the time-consuming parts off your plate. What's asked of you: provide general supervision, sign off on care plans, and take the occasional clinical escalation. Of your staff: give us access to the panel and a way to reach you. We run alongside your office — there's no second system for your team to manage, and no care manager for you to hire.

Your practice pays two flat fees, both set in advance — never a percentage of what you collect: a $10/patient/month platform fee to Nexus, and a clinical fee to the care team that scales with the level of care ($0–$100/patient/month). You keep everything Medicare pays above those. There's no upfront cost, first reimbursements arrive within about a billing cycle of enrollment, and if a claim is ever denied you owe nothing that month.

We do the heavy lifting — you assign your Medicare panel, and we identify eligible patients, run the outreach, and handle consent, so enrollment is never a job for your staff. And anyone you enroll right there in the office is a head start — the more patients who join, the more it works for everyone.

We sign a BAA and are built HIPAA-compliant from the ground up. We run alongside your EHR — no rip-and-replace and no IT project for your office. Data stays secured on our platform, and you get the reports, care plans, and dashboard views you need.

Mild-to-moderate depression and anxiety are the most common behavioral-health presentations in primary care — and the most undertreated. Today most patients are prescribed SSRIs with little screening, dose-titration follow-up, or outcome tracking, simply because the infrastructure isn't there. CoCM is that infrastructure: measurement-based (PHQ-9, GAD-7), a psychiatric consultant guiding adjustments, and real follow-up between visits.

On the chronic-care side (CCM and APCM), a monthly touch means medications actually get refilled, rising blood pressure or blood sugar gets caught between visits instead of in the ER, and care gaps close. APCM extends that proactive contact to your whole panel — even the healthier patients you'd otherwise only see once something's gone wrong.

Six months to try it — either of us can end it at any time, no penalty. If Medicare denies a claim, you owe nothing that month. As a founding practice, you'd also have a direct line to me, your setup fee waived, and a dashboard built around the way you already work.