Home and residence visits
Visits in a patient's home or assisted living use the home or residence E/M codes. Starting January 1, 2026, Medicare allows the G2211 add-on with those codes, not only with office visits.
Geriatric billing follows patients beyond the office
Older patients are seen in the clinic, at home, in assisted living, and in nursing facilities. Many visits involve caregivers, cognitive concerns, and planning conversations that Medicare pays as separate services with their own documentation rules. Bring your service mix and Taiga will tell you straight whether it fits.
Book a demoServices that need more than a visit code
Annual Wellness Visits and care management are covered on the primary care page. These are the pieces that set a geriatric practice apart.
Cognitive assessment and care planning
CPT 99483 covers a detailed cognitive assessment and a written care plan. An independent historian such as a spouse or caregiver must be present, and the service can be billed on the same day as an Annual Wellness Visit with modifier 25.
Advance care planning
CPT 99497 and 99498 are time-based. The record must show the visit was voluntary, who was present, and the minutes spent. A discussion of 15 minutes or less is billed as another E/M service instead.
Who handles what
Time-based and caregiver-dependent services need documentation that billing can actually use.
The practice keeps
Clinical notes, time statements, caregiver attendance, and advance directive records. Your physicians approve every code Taiga drafts before submission.
Taiga takes on
Code drafts from notes across care settings, eligibility checks, claim scrubbing, submission, follow-up on every denial and appeal, and patient statements.
Settle up front
Home and facility visits are often documented somewhere other than clinic notes. Agree how those notes reach Taiga, and who tracks repeat advance care planning visits.
Questions for a geriatric practice
Bring de-identified examples from each care setting you cover. Leave patient details out of the booking form.
Where do you see patients?
Office, private home, assisted living, nursing facility, or telehealth, with rough volume for each.
Do you bill 99483 or advance care planning today?
Share how time and the independent historian are documented, and how often these lines come back denied.
How much is Medicare Advantage?
Name the plans and any authorization or documentation rules that slow payment.
For independent geriatric practices
A fit call makes sense for a geriatrician or house-call practice that wants coding drafts and denial follow-through on Medicare-heavy claims, including small balances that are easy to drop.
Scope before promises
Geriatric medicine is not among Taiga's named specialties. Nursing facility billing arrangements, hospice coordination, and similar edge cases are reviewed claim type by claim type.
Questions about geriatric medicine billing
Can 99483 be billed on the same day as an Annual Wellness Visit?
Yes, under Medicare. Add modifier 25 when both happen in the same visit, and document the independent historian who was present.
Can we bill advance care planning for a short conversation?
Not with 99497. Medicare says a discussion of 15 minutes or less should be billed as another E/M service, such as an office visit.
Does G2211 apply to home visits?
Starting January 1, 2026, Medicare allows G2211 with the home or residence E/M visit codes as well as office and outpatient visits.
Will Taiga follow up on small Medicare balances?
Yes. Taiga works every denial and appeal, including small-dollar ones, and handles patient statements and follow-up.
Bring your care settings to the call
List where your clinicians see patients and which time-based services you bill. Taiga will tell you straight whether it fits.
System guides show possible billing handoffs, not proven specialty compatibility.