Is your clinic getting reimbursed for addressing patient’s non-clinical barriers?
Streamlined billing for work your clinic is already doing
Patient Discovery combines care coordination, patient engagement, and revenue cycle management into a single solution to streamline patient support workflows. Our compliant approach not only unlocks reimbursements utilizing 2024 CMS codes, but also empowers care teams to deliver holistic, patient-centered care.
Track and bill without leaving the patient record
Integrated directly into your EMR system, Patient Discovery:
Engages patients to proactively identify SDoH needs before appointments, initiating the SDoH assessment and reducing the burden of discovery on care teams
Operationalizes & centralizes the identification, documentation, and billing of SDoH interventions, ensuring full CMS compliance
Enables seamless care coordination by providing a unified platform for clinical and non-clinical staff to manage patient needs
Optimizes reimbursement opportunities for SDoH, PIN, and CHI services
Improves patient outcomes and experiences by facilitating the ongoing delivery of patient-centered care
CMS now reimburses for Principal Illness Navigation (PIN) services
Assisting serious high-risk patients with services like coordinating care, addressing social needs, navigating the complexities of the healthcare system, and providing education are now reimbursable for clinical and non-clinical staff alike.
CMS understands that treating the whole patient requires investment in people and technology resources. Code changes in 2024 reinforce their commitment to practices by expanding reimbursement to investments in standardized SDoH risk assessment tools and services delivered by the broader care team, including non-clinical staff.
For Providers
SDoH risk assessment via standardized tool
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Prioritizes the need
to identify social needs
that may influence care or treatment decisions.
5 min. minimum reviewing, discussing, documenting needs, every 6 months (Medicare)
G0136: $18.67
5 min. minimum reviewing, discussing, documenting needs, quarterly (Commercial)
G9919/G9920: $33.89*
For Care Navigators
PIN services
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Focuses on ensuring access for patients as they navigate the healthcare system, including patients without social needs. Works in parallel to Community Health Integration (CHI) and reimburses for non-clinical staff activities like care coordination, health education, patient advocacy, and referrals.
60 min. per month
G0023: $79.25
Add’tl 30 min. per month G0023+G0024: $49.45
Addressing patient needs improves care and increases reimbursement opportunities
Patient Discovery engages patients to share their non-clinical challenges that affect can their treatment and adherence. Our platform provides a practical approach to SDoH, PIN & CHI services.
Ready to learn more?