Geriatric Medicine billing and accounts receivable

Geriatrics carries chronic care management, annual wellness visits, advance care planning and transitional care — services with real revenue and unusually specific documentation and timing rules.

Where the money leaks in geriatric medicine

These are the recurring denial reasons in this specialty. They are not exotic. They are the ordinary ones that go unworked because the person who could fix them is at the front desk answering a phone.

• Chronic care management billed without the documented time or the required consent
• Annual wellness visit billed as a preventive physical, which is a different and often uncovered service
• Transitional care management billed outside the contact and visit timing windows
• Advance care planning time not documented, so the add-on is denied
• Place of service wrong for nursing facility or assisted living encounters

What a seat does about it

One trained person works your queue from the difficult end, from our office in Rawalpindi, Pakistan, logged into your own system on your hours. Every call is logged with the payer reference number and the outcome, so an appeal can quote what was said rather than start again. Denials are categorised, which is how the same reason stops coming back next month. On Friday you get it in writing. Some payer contracts and some state Medicaid programs restrict or require disclosure of offshore access — check yours before placing a restricted queue on this seat (more on /security/).

The roles that matter most in this specialty are AR calling and denials at $1,700, prior authorization at $1,900, and medical coding at $2,500, on request.

Questions