Geriatrics Billing Services
Outsource Trusted Geriatrics RCM Services to Increase Revenue and Get Paid Faster
Older adults often require ongoing care, chronic disease management, and frequent follow-up services, making billing more complex than many other specialties.
Our geriatric revenue cycle management experts at wecare help ensure claims are submitted accurately, denials are minimized, and reimbursements are collected on time.
Geriatrics Billing is Challenging
Geriatrics Billing Is Not Like Any Other Specialty to Simply Submit Bills
Care for elderly patients is difficult, but billing for elderly patients is not just more complex; it involves a different set of rules at almost every step.
Here is what makes it uniquely demanding:
Medicare Is the Primary Payer
Most geriatric patients are on Medicare, which enforces strict billing standards and pays the lowest negotiated rates as compared to other commercial payers.
Multiple Chronic Conditions Per Visit
A single patient visit may include managing diabetes, heart failure, dementia, and other conditions at the same time. Providers must code each procedure correctly; otherwise, the claim will be denied.
Care Across Many Settings
Geriatric patients move between clinics for continuous care, homes, SNFs, ALFs, rehab facilities, and hospice centers. Each setting has its own billing rules(POS), place-of-service codes, and documentation requirements.
Chronic Care Looks Like Duplicate Billing
When the same health conditions appear on geriatric claims month after month regularly, payers can flag them as duplicate bills, it’s not. Correct, detailed coding at each visit is the only solution for that.
Medicare Coverage Varies by Plan
Patients may have Original Medicare, Medicare Advantage (Part C), Medigap supplements, or Part D each with different rules, prior authorization requirements, and covered services.
Revenue Codes Are Easily Missed
TCM, CCM, Annual Wellness Visits, Advance Care Planning, and Cognitive Assessments are all separately billable, and frequently skipped entirely by practices without geriatrics billing expertise.
What We Do
WeCare Provides Senior Patients Care Centers with Expert Geriatrics Billing Services
We handle every part of the geriatrics billing process, from checking coverage before the visit to collecting payment after the claim is paid.
Patient Eligibility Verification
We verify patient insurance coverage, their plan type, and benefits before each visit. It will prevent claim rejections and help your front desk focus more on patient services.
Accurate ICD-10 & CPT Coding
Our medical coders are trained specifically in geriatrics coding. We apply the right codes for E/M visits, CCM, AWV, TCM, cognitive assessments, and advanced care planning.
Clean Claim Submission
We review and scrub every geriatric claim for errors before it leaves your practice. We check for missing data, invalid code combinations, and payer-specific rules.
Denial Management
We manage denied claims by reviewing, correcting, and resubmitting with appeals within the payer’s assigned time frame. We also track denial patterns to fix root causes and prevent future losses.
AR Follow-Up
Our team regularly monitors aging accounts, follows up with insurance companies, and works to resolve payment delays so your practice receives the reimbursement it deserves.
Medicare & Medicare Advantage Billing
We handle both original Medicare (Part A & B) and Medicare Advantage (Part C) plans, including the different prior authorization and coverage rules each plan applies.
Secondary Insurance Billing
When patients have both Medicare and a secondary plan, such as Medicaid or a Medigap supplement, we coordinate billing between both payers so nothing gets missed.
Transitional Care Management (TCM)
After a hospital or SNF discharge a patient, TCM codes (99495/99496) allow billing for care coordination during the first 30 days of care. Many senior care practices miss this revenue; we make sure you capture it.
Chronic Care Management (CCM)
For patients with two or more chronic conditions, CCM can be billed monthly. We help set up and bill CCM correctly, a frequently overlooked revenue stream that adds up quickly.
Annual Wellness Visit (AWV) Billing
Medicare covers Annual Wellness Visits (G0438/G0439) separately from regular E/M visits. We ensure to bill them correctly and not accidentally bundled with other services.
Advance Care Planning Billing
Discussions about care goals and end-of-life decisions (99497/99498) are separately billable. We code and bill these conversations so you are compensated for this important time with patients.
Provider Credentialing
We assist with enrolling your providers with Medicare, Medicaid, and commercial payers so you can start seeing patients and billing without unnecessary delays.
Benefits of Outsourcing Geriatrics Billing
6 Reasons Why Outsource WeCare for
Geriatrics Medical Billing Services
Managing billing for a geriatric practice comes with unique challenges, from Medicare requirements to complex patient care services. You need a billing partner that understands these challenges and helps keep your revenue cycle running smoothly.
We Know the Geriatrics Billing
Geriatrics billing is not something you can learn from a textbook. Our team has hands-on experience with the coding complexities, Medicare rules, and multi-setting billing challenges that define this specialty.
We Reduce Denials Before They Happen
Our pre-submission review of the geriatrics claims catches errors before the claim goes out, not after it comes back and disturbs your practice revenue cycle. We also manage denials by submitting appeals.
We Work in Your EHR/EMR
You don’t need to change your billing system after partnering with us. We integrate with your existing EHR system and adapt your practice billing workflow. It will help the billing process run without interruption.
We Are HIPAA Compliant
Patient data security is mandatory and not optional. Our processes meet all HIPAA privacy and security requirements. We assure you that your practice data and patient health information (PHI) are highly protected.
We Give You Clear Reporting
After partnering with us for geriatrics billing and revenue cycle management, you get regular, easy-to-read reports on collections, denials, outstanding AR, and billing performance. This will allow you to know where your practice stands to make decisions.
We Become Your Billing Partner
After outsourcing your billng tasks to wecare, we are not just a billing vendor; we become your partner for billing tasks. Our goal is a long-term relationship built on results. When your practice grows, we grow with you.
Geriatric Billing Process
Our Geriatrics Billing Process Works Step-by-Step to Solve Your Billing Problems
Behind every successful claim is a process that starts long before the bill is submitted. At WeCare Medical Billing Solution LLC, we manage each part of the billing cycle with care to help geriatric practices reduce billing issues and improve reimbursement.
Here’s how our geriatrics medical billing and revenue cycle management process works.
Patient Information Review
We verify insurance coverage and collect billing information before services are provided.
Coding and Claim Preparation
We review claims for accuracy and compliance before submission to increase the first pass rate.
Claim Submission
We submit clean claims in 24 hours electronically to reduce geriatric claim processing delays.
Payment Monitoring
We monitor every claim status and address any payment issues related to payers or patients.
Denial Resolution and Follow-Up
Our team works on denied and unpaid claims until they are resolved.
Performance Reporting
We send you regular reports showing collections, denials, aging accounts, and reimbursements.
Bill We Offer
We offer a billing solution for Every Service
Performed in Your Geriatric Practice.
Geriatric care is not limited to office visits only. It includes services that require detailed documentation and specific billing guidelines. We provide accurate geriatrics claim management services for multiple procedures performed on elderly patients.
Billing for Annual Wellness Visits (AWV)
- Health assessment yearly
- Preventive care planning
Billing for Chronic Care Management (CCM)
- Ongoing chronic conditions
- Patient monitoring monthly
Billing for Transitional Care Management (TCM)
- follow-up after discharge
- Care transition support
Billing for Preventive Services
- Routine health screenings
- Disease prevention focus
Billing for Medication Management
- Medication review services
- Treatment plan updates
Billing for Cognitive Assessment Services
- Memory evaluation
- Cognitive health review
Billing for Depression Screening
- Mental health assessment
- Early risk detection
Billing for Fall Risk Assessments
- Fall prevention planning
- Safety risk evaluation
Billing for Care Coordination Services
- Multi-provider communication
- Coordinated patient care
Billing for Advance Care Planning
- Future care discussions
- Patient care preferences
Your Geriatric Billing Deserves Specialized Expertise
From Medicare compliance to faster reimbursements, we help geriatric practices maximize collections with confidence.
Who We Work With
WeCare Provides Billing Support to All the
Geriatric Providers Across the States
We work with geriatric care providers across all practice types and care settings. Whether you care for patients in a private clinic, long-term care facility, assisted living community, or hospital environment, our billing solutions can be tailored to fit your workflow.
- Independent geriatric practices
- Hospital-based geriatric departments
- Skilled nursing facilities (SNFs)
- Assisted living facilities (ALFs)
- Home health physician groups
- Hospice medical directors
- Multi-specialty groups with geriatric panels
- Concierge geriatric practices
- Rehabilitation facilities
- Long-term care facilities
Our results show that WeCare is the Best Option for
Geriatrics Billing in the USA
Frequently Asked Questions
Questions? We’ve got you covered
Original Medicare (Parts A and B) is billed directly to Medicare. Medicare Advantage plans (Part C) are run by private insurers and may have different rules about covered services, prior authorization, referrals, and fee schedules.
No. CCM applies to patients with two or more chronic conditions expected to last at least 12 months or until the end of life, and that place the patient at significant risk. To bill CCM, your practice needs a documented care plan, written patient consent, and at least twenty minutes of clinical staff time per calendar month outside of face-to-face visits.
Yes. We correctly identify which services for hospice patients are bundled under the hospice benefit and which remain separately billable.
Yes. We help geriatric providers get credentialed and enrolled with payers to start providing care and billing soon.
Geriatric patients often have multiple chronic conditions, complex treatment plans, and extensive documentation requirements. These factors increase the chances of coding and billing errors.
Yes. A claim may be paid but still reimbursed at a lower amount if diagnoses are not linked correctly or the documentation does not fully support the services provided.
Yes. Incorrect billing can lead to unexpected patient balances, delayed claim processing, and confusion about financial responsibility that may make patients lose trust in your practice.
Yes. Many geriatric practices find that outsourcing billing reduces administrative workload and helps them grow their revenue.
Regular monthly reviews can help identify trends, track denial rates, monitor collections, and address revenue issues before they become larger problems.
Strengthen Your Practice Revenue Cycle
with Expert Billing Support
Our team helps keep your claims moving faster and your revenue flowing with no interruption. Discover how specialized billing support can benefit your geriatric practice.
No setup fees. No risk. Just results.