Revenue-Focused Medical Billing Solutions for Geriatric Practices
Geriatric Billing Service
As the elderly population continues to grow, geriatric care has become an essential component of healthcare. However, billing for geriatric services is complex due to chronic condition management, multiple comorbidities, frequent follow-ups, and coordination of care with various specialists. Geriatric practices require medical billing services that are accurate, compliant, and tailored to their unique patient base.
Our geriatric billing services ensure that your practice minimizes denials, improves collections, and stays compliant with evolving payer requirements.
Why Geriatric Billing Needs Special Attention
Geriatric patients often present with multiple health conditions that require a combination of services, such as evaluations, mental health support, diagnostics, and long-term care planning. Medicare plays a significant role in geriatric billing, and staying aligned with CMS regulations is crucial.
Challenges in Geriatric Billing:
Billing for chronic care management (CCM)
Medicare Advantage complexities
Time-based codes for prolonged services
Dual eligibility (Medicare + Medicaid)
Frequent changes in CMS policy and coding
Common CPT and ICD-10 Codes in Geriatric Billing
| Code | Description |
|---|---|
| 99490 | Chronic care management, 20 minutes |
| 99487 | Complex CCM, 60 minutes |
| 99327 | Domiciliary or rest home visit for E/M, established patient |
| G0438 | Medicare Annual Wellness Visit (AWV), initial |
| Z00.01 | Encounter for general adult medical exam with abnormal findings |
| I10 | Essential (primary) hypertension |
| F03.90 | Unspecified dementia without behavioral disturbance |
These codes are used frequently and must be billed with proper documentation and, where necessary, modifiers for maximum reimbursement.
Our Geriatric Billing Services Include:
| Service | Benefits to Your Practice |
|---|---|
| Medicare billing and compliance | Avoid penalties and ensure full payment from CMS |
| Time-based E/M coding support | Accurately bill prolonged visits |
| Chronic care and TCM billing | Tap into recurring revenue opportunities |
| Claims scrubbing and auditing | Reduce denials with cleaner claims |
| Eligibility and benefits verification | Prevent rejected claims due to inactive coverage |
| Monthly financial reporting | Monitor cash flow and claim trends |
Benefits of Outsourcing Geriatric Billing
✅ Higher Reimbursements – We maximize your collections by reducing undercoding and lost claims.
✅ Fewer Denials – With our pre-submission audits, your practice sees fewer rejected claims.
✅ Medicare Expertise – Our team understands the intricacies of CMS and state-based Medicare plans.
✅ Focus on Elder Care – Let your providers focus on patient care while we handle the billing backend.
✅ Scalable Services – Our services adapt to your practice’s size and patient load.
Specialized Billing for Key Geriatric Services
| Service Type | Billing Need | Solution We Provide |
|---|---|---|
| Dementia and Alzheimer’s Management | Complex coding and time-based billing | Detailed coding, modifier usage |
| Chronic Disease Monitoring | Multiple diagnoses and frequent visits | Bundled billing and CCM code management |
| Home and Long-Term Facility Visits | Location-specific E/M codes | Domiciliary billing and accurate place of service |
| Fall Risk and Mobility Evaluations | Detailed documentation required | Compliance with documentation guidelines |
How We Optimize Your Revenue Cycle
Our billing team ensures that each service you provide is captured accurately and submitted timely. From patient eligibility checks to denial management and revenue reporting, we take a holistic approach to optimize your entire revenue cycle.
We specialize in working with:
Geriatric clinics
Internal medicine practices with elderly patient base
Assisted living and nursing home providers
Home health service providers
MyMedicalBillingService.com is a trusted medical billing company managing everything from coding to claims and payment follow-ups. We specialize in resolving billing challenges for practices of all sizes and specialties, letting you focus on exceptional patient care while we handle the complexities of your revenue cycle.
