Geriatric Billing Experts

Geriatric Billing Services That Prioritize Accuracy & Care

From chronic care management and wellness visits to long-term care coding and transitional care, we specialize in geriatric billing that aligns with compliance and maximizes reimbursement. Let us handle the complexities while you focus on improving your elderly patients’ quality of life.

Trusted by leading geriatric care groups
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Geriatric Billing Graph Geriatric Billing Service
About Us

Geriatric Billing That Adapts to Complex Care Models

At RCM firms, we bring specialized experience in geriatric billing, including chronic care management (CCM), transitional care management (TCM), annual wellness visits, and complex evaluation and management (E/M) coding.

We understand the nuances of caring for aging populations and help providers navigate reimbursement while staying compliant with Medicare and commercial payer policies.

Core Values That Drive Us

  • Proficiency in TCM & CCM Billing
  • Accurate Medicare Coding & Documentation
  • Reduced Denials for High-Risk Patients
  • Audit-Ready Claim Submission
  • EMR Integration & Custom Workflow Support
Geriatric Billing Trust

Mission Statement

Our mission is to ensure geriatric providers get reimbursed fully and quickly—without getting lost in outdated rules or unnecessary denials. We simplify complex billing so you can deliver better care to your senior patients.

Why Choose Us for Geriatric Billing Services

Geriatric billing requires a deep understanding of Medicare rules, chronic conditions, and preventive services. We reduce revenue leakage by ensuring compliant coding, correct documentation, and prompt follow-ups for unpaid claims. With us, your practice gains billing stability and peace of mind.

Chronic Care Billing

We bill chronic care services (99490–99491) with precision and timely follow-ups.

Preventive Visit Coding

Ensure correct use of AWV (G0438/G0439), depression screening, and more.

Transitional Care Management

Capture post-discharge TCM services accurately and improve patient transitions.

HIPAA & CMS Compliant

Robust audit trails, secure PHI handling, and regulatory compliance are guaranteed.

Pricing

Affordable Geriatric Billing Plans

Our pricing is built to support geriatric care providers, whether you're managing a private clinic or serving in long-term care settings. We offer transparent billing rates without hidden costs—designed to optimize reimbursements for chronic and elderly care.

Small Practices

For practices billing under $20,000/month.

5% of collections
How it works

Simplified Geriatric Billing Workflow

Our process is tailored to providers managing elderly populations in outpatient clinics, assisted living, or home-based care. We ensure a smooth onboarding and a billing process that adapts to your existing systems, care plans, and compliance needs.

Step 1 Arch Line
1

Initial Needs Assessment

We review your service types (AWVs, TCM, CCM), denial trends, and Medicare billing practices to build a tailored plan.

Step 2 Arch Line
2

Credentialing & Setup

We handle EHR integration, Medicare credentialing, and setup workflows to support preventive and chronic services.

Step 3 Arch Line
3

Ongoing Billing & Coding

We process visit documentation, code all preventive and chronic services, and ensure timely claim submissions.

4

Reporting & Collections

We track AR aging, follow up with payers, and provide monthly reports to help you understand billing performance.

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Geriatric Claim Accuracy

0 Days

Avg. Reimbursement Turnaround

0%+

Revenue Boost from Chronic Care Billing

Our Services

Geriatric Billing Services That Maximize Medicare Reimbursements

Billing for geriatric care requires specialized understanding of chronic condition management, annual wellness visits, cognitive assessments, and transitional care. We handle everything—from CPT accuracy and modifier use to Medicare compliance—ensuring your claims are approved the first time.

Geriatric CPT Coding

We ensure accurate coding for AWVs, CCM, TCM, ACP, cognitive assessments, and E/M visits—reducing denials and boosting revenue integrity.

Modifier & Compliance Review

We apply proper modifiers (e.g., 25, 59, 33) and verify medical necessity based on Medicare guidelines—minimizing risk of denials or audits.

24-Hour Claim Submission

We review and submit all geriatric claims within 24 hours—ensuring fast processing and quicker Medicare reimbursements.

Denial Management & Appeals

We resolve rejections for medical necessity, missing documentation, duplicate charges, and non-covered geriatric services—filing appeals when needed.

Patient Statements & Support

We generate clear statements, explain coverage limits, and help elderly patients or caregivers understand EOBs and payment options with compassion.

Geriatric Financial Reporting

Receive customized reports tracking chronic care coding trends, denied claims by payer, payment aging, and Medicare reimbursements by service type.

FAQ

Frequently Asked Questions

Explore answers to common questions about our geriatric billing services, Medicare compliance, chronic care coding, and patient communication practices.

We handle comprehensive billing for geriatric practices including chronic care management (CCM), annual wellness visits (AWV), cognitive assessments, transitional care, CPT/ICD coding, claim submission, denial management, and Medicare reporting.

Yes. Our certified coders are well-versed in Medicare guidelines and familiar with geriatric CPT codes such as 99490, G0439, 99483, and others used for senior care and chronic disease management.

We follow strict CMS guidelines, conduct internal audits, and apply correct modifiers and diagnosis links. We also ensure proper documentation is in place for services like CCM, ACP, and AWVs.

Absolutely. We manage billing for E/M services in skilled nursing facilities, assisted living centers, and home visits under Medicare Part B—ensuring accurate place-of-service coding and claim tracking.

We promptly analyze and resubmit denied claims, whether it’s due to missing documentation, incorrect codes, or eligibility issues. Our team files appeals with supporting notes when necessary.

Yes. We manage credentialing and re-credentialing with Medicare, Medicaid, and private insurers. Our team handles CAQH setup, NPI updates, and ongoing payer enrollment for geriatricians and NPs.

We integrate with leading EHRs like Athenahealth, eClinicalWorks, Kareo, and Practice Fusion—allowing seamless charge entry, eligibility checks, and reporting specific to geriatric workflows.
Contact

Connect with Our Geriatric Billing Team

Whether you’re managing chronic care patients, providing home visits, or navigating Medicare compliance, our billing experts are here to help. Reach out to streamline your practice's financial performance and focus more on senior care.

Emailinfo@rcmfirms.com
Address
123 Main Street Apt 4B Springfield,
IL 62701 United States
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