Add your company in 30 seconds Add Company
  1. Home
  2. Services
  3. Geriatrics
Geriatrics billing

Geriatric Medical Billing Services

Geriatric care is Medicare-heavy and full of care-management codes most practices under-bill. Specialist billers capture annual wellness visits, chronic care management and facility visits.

  • Annual wellness visits and advance care planning billed correctly
  • Chronic and principal care management time tracking
  • Nursing facility and home visits with correct place of service

Get a free geriatrics billing audit

We'll review your denials and A/R and match you with specialists. No obligation.

HIPAA-aware. We never share your details.

97%
Clean-claim rate target
$40k+
Typical yearly CCM revenue per provider
< 30
Days in A/R goal
Overview

Why geriatric practices need specialized billing

Older patients usually have multiple chronic conditions and see several clinicians. Medicare pays for the coordination work this requires through care-management services, chronic care management, principal care management, transitional care and advance care planning, but only when consent, time and care plans are documented correctly.

Geriatric practices also bill annual wellness visits with their own requirements, cognitive assessments, visits in nursing facilities and assisted living, and home visits. Each has specific codes, place-of-service rules and frequency limits that Medicare enforces strictly.

Because most patients have Medicare plus a supplemental or Medicare Advantage plan, coordination of benefits and secondary claims are critical. A geriatric billing partner tracks care-management minutes each month, verifies eligibility for preventive services and makes sure secondary claims go out automatically.

Why it's hard

Common geriatrics billing challenges

01

Unbilled care-management time

Practices provide coordination work every day but miss CCM/PCM billing without monthly time tracking.

02

Annual wellness visit rules

AWVs differ from physicals and have frequency limits; mixing them up leads to denials and patient bills.

03

Facility place-of-service accuracy

Nursing facility, assisted living and home visits each require different code families and POS values.

04

Medicare Advantage authorizations

MA plans often require referrals or authorizations that traditional Medicare does not.

05

Secondary and supplemental claims

Crossover claims fail silently when coordination of benefits is not maintained.

06

Cognitive and ACP documentation

Cognitive assessment and advance care planning require specific elements to be billable.

What's included

What a geriatrics billing partner should handle

  • Medicare and Medicare Advantage eligibility checks
  • AWV, IPPE and preventive service coding
  • CCM, PCM and TCM time tracking and billing
  • Advance care planning and cognitive assessment billing
  • Nursing facility and home visit coding
  • Crossover and secondary claim follow-up
  • Hospice and home health certification billing support
  • Denial management and appeals
  • Patient and family billing support
  • Monthly care-management revenue reports
Coding focus

Key codes in geriatrics billing

Code(s)What it covers
G0438 / G0439Medicare annual wellness visit, initial and subsequent.
99490 / 99439Chronic care management, first 20 minutes and each additional 20 minutes per month.
99487 / 99489Complex chronic care management, first 60 minutes and each additional 30 minutes.
99495 / 99496Transitional care management after discharge, moderate / high complexity.
99497 / 99498Advance care planning, first 30 minutes and each additional 30 minutes.
99483Cognitive assessment and care plan services.
99304–99310Initial and subsequent nursing facility care.

Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.

Consent and care plans first

Care-management services require documented patient consent, a comprehensive care plan shared with the patient, and time logs for each month. Billing partners should verify these before claims go out to protect you in Medicare audits.

How it works

Find the right billing partner in four steps

1

Share your goals

Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.

2

Get a free audit

We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.

3

Compare vetted companies

Shortlist billers with proven geriatrics experience, transparent pricing and verified client reviews.

4

Onboard with confidence

Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.

Compare

Top-rated medical billing companies

Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their geriatrics experience.

See all companies
5.0 5 reviews

Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...

Atlanta, Georgia
Founded 2015
Claims ProcessingDenial ManagementCredentialing (Payer & License)
No reviews yet

GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: •  Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. •  Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. •  Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. •  Financial Solutions - Data-driven insights and financial reporting to optimize practice...

Las Vegas, Nevada
Founded 2003
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...

Corona, California
Founded 1994
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

Chandler, Arizona
Founded 2007
Claims ProcessingDenial ManagementRevenue Cycle Management
Pricing

How much does geriatrics billing cost?

Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.

Percentage of collections
4% - 7%

Most common. You pay only on money collected.

Per claim
$4 - $10

Predictable for high-volume, low-complexity claims.

Hourly / FTE
$12 - $35/hr

Dedicated billers working inside your systems.

Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.

FAQ

Geriatrics billing FAQs

CCM pays practices for non-face-to-face care coordination for patients with two or more chronic conditions, using codes such as 99490 when at least 20 minutes are provided in a calendar month.

No. The AWV focuses on a personalized prevention plan and health risk assessment. Routine physicals are not covered by Medicare.

Medicare now allows TCM and CCM in the same period when time is not counted twice and requirements for each are met.

Yes, using nursing facility codes with the correct place of service, plus assisted living and home visit codes.

By keeping coordination-of-benefits information current and following up on any crossover claims that do not process automatically.

Usually about 4% to 7% of collections.

Related billing services

Stop leaving geriatrics practices revenue on the table

Get a free audit and compare specialist billing companies, no obligation.

Get my free audit