What we handle for geriatrics practices
Billers are assigned by specialty, so the person working your claims already knows your codes and your payers.
Annual wellness visits
Medicare AWV including the initial preventive examination and subsequent visits.
Chronic care and complex care management
Monthly management billed for qualifying patients with documented time.
Advance care planning
Billed with the correct code and documented discussion.
Transitional and facility care
Transitional care management after discharge, and nursing facility visits billed correctly.
Where geriatrics claims usually go wrong
These are the four issues we see most often when we take over a geriatrics practice.
Transitional care management missed
TCM is payable after a discharge if contact happens within set timeframes. Missing the window loses the whole payment.
Advance care planning never billed
These conversations happen constantly in geriatrics and are separately payable with documentation.
Nursing facility visit levels
Facility visit codes differ from office codes. Using office codes denies.
Chronic care management time
Monthly management requires documented minutes and patient consent.
How we work
Eligibility, every day
Every next-day scheduled patient is verified for active coverage before the visit.
Charges validated
Codes and documentation are checked after the note is signed, before the claim is submitted.
Denials appealed
Every denial is reviewed, corrected and resubmitted. Nothing is written off by default.
Monthly reporting
Paid claims and AR aging reports so you can see exactly where your money is.
Geriatrics billing questions
Something not covered here? Call (833) 305-5528.
Do you bill transitional care management?
Yes, including tracking the contact and visit windows after discharge.
Can you bill nursing facility visits?
Yes, with the correct facility code family.
Do you handle advance care planning codes?
Yes, with the documentation requirements.