Place-of-service mismatches
Claims denied because the place of service does not match the code family used. We map every encounter to the right setting before billing.
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Geriatrics medical billing services
Geriatric care is complex, time-intensive and spread across clinics, homes, assisted living and nursing facilities, each with its own place-of-service rules. Billing geriatrics well means capturing time-based and care-management services and getting facility visits paid under the right code set.
What makes geriatrics billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether geriatrics claims pay the first time.
- Nursing facility visits (99304–99316) and domiciliary or home visits (99341–99350) have their own E/M families and documentation requirements that differ from office visits.
- Advance care planning (99497–99498), cognitive assessment (99483) and care-management codes are central to geriatric revenue and often missed.
- Medicare's rules on who may bill a facility visit, and how often, vary by facility type and by whether the visit was medically necessary or a routine required visit.
- Multiple chronic conditions mean HCC coding accuracy has an outsized effect on Medicare Advantage revenue.
Denials we see most in geriatrics
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Facility visit frequency
Routine nursing facility visits denied as exceeding allowed frequency. We separate medically necessary visits from required visits and document accordingly.
Cognitive assessment documentation
99483 denied for missing required elements. We provide the element checklist and audit the note before submission.
How Core MB bills for geriatrics
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new geriatrics providers runs in the same system, tracked live in your client portal.
- Setting-aware billing across office, home, assisted living and nursing facilities.
- Monthly capture of advance care planning, cognitive assessment and care-management services.
- HCC coding review so risk-adjusted contracts reflect the patient population you actually care for.
Everything in the service
The full revenue cycle as standard for geriatrics practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Geriatrics billing questions
Can you bill nursing facility and home visits correctly?
Yes. Each setting has its own E/M code family and rules on frequency and who can bill. We assign the right family and place of service for every encounter.
Which geriatric services are most commonly unbilled?
Advance care planning, cognitive assessment and care-management services. They are documented in the record far more often than they appear on claims.
Do you support Medicare Advantage risk adjustment?
Yes. Geriatric panels carry many chronic conditions, and specific, documented diagnosis coding directly affects what those contracts pay.
How do we get started with Core MB for geriatrics billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new geriatrics providers can start at the same time.
Find out what your geriatrics billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.