Medical Billing And Revenue Cycle Management Solutions For Geriatric Facilities
At StafGo Health, we provide various comprehensive services of medical billing and RCM solutions, keeping in mind the sensitivity of geriatric practices. Geriatric care includes the medical care of old people; hence, it involves managing chronic conditions, preventive services, cognitive assessments, and long-term care planning. Our team deeply understands the advances of billing for an elderly patient population and provides services according to their special needs.

Advanced CPT & Modifier Expertise For Your Geriatric Practice
A keen level of precision is required when dealing with the geriatric CPT codes, as geriatric billing often involves coordinating Medicare benefits, managing multiple chronic conditions, including the CPT codes 99214–99215 for high-level evaluation and management (E/M) office visits, 99495–99496 for transitional care management, 99490 and 99439 for chronic care management services, and 99483 for cognitive assessment and care planning, which is essential for patients with dementia and related conditions, preventive services like annual wellness billed under G0438 (initial) and G0439 (subsequent). Our expert coding team at StafGo Health ensures the highest level of efficiency and precision while working with these codes.
Why Outsource Medical Billing And RCM To Stafgo Health For Your Geriatric Practice?
Geriatric practices face unique challenges due to the different and complicated needs of old people, frequent chronic condition management, and coordination with multiple payers. At StafGo Health, we understand the complexity of the geriatric billing process and offer customized revenue cycle management (RCM) solutions that ensure the profitability of your practice. Outsourcing to a knowledgeable medical billing and revenue cycle management partner can reduce your compliance issues as well.
There are numerous billing and RCM challenges that Geriatric practices encounter due to aging and ever-changing payer requirements and highly complex clinical environments.
- Complex Payer Mix - Geriatric practices have to deal with many payers like Medicare, Medicaid, and various supplemental or secondary insurances. Hence, the billing and payer coordination become challenging for them.
- High Volume of Chronic Care Services - Detailed and accurate documents are required to manage billing for chronic care management (CCM), transitional care management (TCM), and preventive services, and maintaining these error-free documents is a time-consuming process.
- Frequent Patient Visits - Elderly people visit the doctor more frequently because of age and several age-related illnesses. Hence, it requires more frequent appointments, increasing the volume of claims and the risk of missed charges or duplicate billing.
- Time-Sensitive Prior Authorizations - Geriatric patients often require specialized services or long-term care, and all of them require time-consuming prior authorizations that can delay patient care and dissatisfy them.
- Non-Face-to-Face Services Billing - Billing for several services like care coordination, telehealth, and home visits has different rules than traditional claim submission and often leads to confusion or denials if not submitted correctly.
- Patient Communication and Collections - In geriatrics, Patient Communication also becomes a problem sometimes, as Seniors or their caregivers may struggle with understanding medical bills, leading to delays in payments and higher patient balances.
- Underutilization of Preventive Service Codes - Sometimes, geriatric practices underutilize the preventive service codes, and they miss out on revenue by failing to correctly code for preventive care services like annual wellness visits, leading to lost reimbursement opportunities.
- Medicare Expertise - Our team is well-versed in the functioning of Medicare and other supplemental insurance billing, making sure your practice complies with complex and evolving guidelines specific to senior care.
- Accurate Coding - Our certified coders are specialized in using CPT codes for Chronic Care Management (99490), Annual Wellness Visits (G0438/G0439), and Transitional Care Management (99495/99496), which in turn assures the proper documentation and maximum reimbursement.
- Eligibility and Benefits Verification - Our team completes all the aspects of verification in advance, including Medicare Advantage and secondary insurance, to avoid claim denials and coverage-related issues.
- Care Coordination Support - Our team manages to track and bill for time-sensitive and non-face-to-face services, which are usually missed in internal billing processes.
- Denial Management - Our team works deliberately to identify the root cause of claim delays, rejection, and also tries to resolve them quickly through detailed appeals and resubmissions, reducing revenue loss.
- Patient-Friendly Billing - At StafGo Health, we provide easy-to-understand patient statements that help senior citizens manage their out-of-pocket expenses.
- Custom Reporting and Dashboards - We also provide real-time reporting tools to keep your practice informed about financial performance so that you can make informed decisions and identify areas of revenue improvement.
Why Choose Stafgo Health For Your Practice Needs
Years of RCM Expertise
Charge Lag Days
Clean Claim Ratio
First Pass Resolution Rate
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