Technical RCM Advocacy for Geriatric Medicine

Mastering the Complexity of Senior Care Revenue

Geriatric medicine operates at the intersection of high-acuity care, chronic disease management, and Medicare complexity. Generic billing models fail to capture the time-based services, ICD-10 specificity, and payer coordination required for sustainable senior-care revenue. Webill Health provides the technical guardrails to ensure every minute of clinical care is fully realized.

The Geriatric Forensic Leakage Map

Revenue loss in geriatric medicine often hides within Medicare documentation gray zones. We identify and eliminate these critical failure points.

CCM & PCM Documentation Gaps (99490 / 99424)

Time-based coordination services require strict tracking that many practices fail to log consistently.

Unlogged CCM time can silently cost over $150K annually.

HCC Recapture & RAF Score Degradation

Annual recapture of chronic status codes is often missed, making patients appear less complex on paper.

Lower RAF scores reduce capitated payments and shared savings.

Secondary & Tertiary Payer Breakdown

Medicare + Medigap coordination failures leave claims stuck in pending status or misassigned to patient balance.

Aging A/R often reflects COB failure—not patient nonpayment.

The Webill Defense for Geriatric Medicine

CCM & PCM lifecycle oversight with real-time time-tracking alerts.
Forensic CDI audits to protect HCC accuracy and RAF integrity.
Automated Medicare-to-Medigap crossover logic.
AWV eligibility management for G0438 and G0439 encounters.

98.1%

Clean Claim Rate for Medicare & Medigap

15%

Average Revenue Lift via CCM/PCM Optimization

48 Hrs

Guaranteed Claim Submission Timeline

Audit Your Geriatric Revenue

Are low RAF scores or uncaptured coordination time suppressing your Medicare revenue? Request a forensic audit and reclaim your practice’s financial integrity.

Request Your Geriatric Revenue Audit