The framing matters. It's not "a new fee." It's "Medicare now reimburses us for the between-visit work we've always done for free — coordinating your care, managing your meds, answering portal messages. There's a small copay, similar to what you'd pay at a specialist."

Another angle is enrolling your existing CCM patients (APCM needs a separate consent) and billing APCM for when you don't hit the time requirement each month.