Skip to content Credex Healthcare provides full-service geriatrics billing services that take the administrative burden off board-certified geriatricians, elderly care APRNs, and therapists. From the first eligibility check through CPT code submission and insurance follow-up, our geriatrics billing specialists manage every stage of the revenue cycle so your front desk and clinical staff can stay focused on specialized elderly care rather than chasing payments.
Whether you see patients at a solo practice, a multi-provider assistive living facility, or a hospital-affiliated geriatric rehabilitation center, our team keeps your billing turnaround time for geriatric clinics short and your denial rate low.
First-pass claim approval rate
Average geriatrics billing turnaround time
Affiliated insurance networks with Credex Healthcare
Authorization & enrollment support
Credex Healthcare runs a dedicated geriatrics insurance billing process that verifies each claim against payer-specific guidelines before submission. Our geriatrics billing specialists confirm that CPT codes are correct, cross-check active authorizations, review supporting documentation, and submit clean claims. This cuts down the delays that cost geriatric practices revenue each month. Payer rule updates are tracked continuously, so your billing stays compliant as carrier requirements shift.
Our geriatrics billing services in the USA cover the following:
We prepare and submit claims with the correct CPT codes, modifiers, and supporting documentation to ensure first-pass acceptance. Our team monitors claim status in real time and initiates follow-up before denial deadlines are missed.
We initiate and track prior authorizations for geriatric services proactively, renew them before expiry, and keep a central log, so no session is ever billed outside an approved window.
Our denial management team identifies the root cause of every rejected claim, corrects documentation errors, and resubmits with appeals when appropriate. We track denial trends to prevent recurrence across your entire billing portfolio.
Our certified coders audit encounter notes for correct use of CPT codes 99304, 99305, 99306, and 99497, along with applicable modifiers, protecting you from payer audits and take-backs.
We credential and enroll your attending geriatricians and other support service providers with commercial insurers, Medicaid managed care organizations, and employee benefit plans, shortening the time from onboarding to billable status.
Our end-to-end RCM covers eligibility verification, charge entry, payment posting, and monthly reporting, giving practice owners clear visibility into collections performance at every stage.
Credex Healthcare is a specialized geriatrics billing firm in the USA. They keep up with the latest information on state-by-state insurance coverage laws for geriatrics, commercial payer credentialing processes, and Medicare’s criteria for annual wellness check-ups and advanced care for geriatrics payment. We can help group practices obtain the same level of attention for credentialing in several states that we do for single-location clinics.
We manage insurance billing for geriatrics across major commercial carriers, including Aetna, Cigna, UnitedHealthcare, Anthem, and Humana, as well as Medicare for approved diagnoses and state Medicaid programs.
Our claims management process cuts average days in accounts receivable, speeds up reimbursements, and keeps denial rates below the industry average through proactive eligibility checks and real-time claim tracking.
We understand the supervision and scope-of-practice billing standards that apply to board-certified geriatricians and geriatric nurses, including telehealth modifier requirements and documentation standards for each payer.
For geriatrics group practices operating across multiple clinics or states, we coordinate provider rosters, group NPI billing, and site-specific payer enrollments under a single managed workflow.
Every geriatric claim needs the correct CPT codes, encounter documentation, and payer-specific authorization before it is submitted. Credex Healthcare makes sure all federal and state requirements are met before a single claim goes out the door.
We confirm that every rendering provider holds a valid state geriatrics license, carries an active NPI, and has the correct taxonomy code applied to each claim to prevent immediate rejections.
We audit the use of geriatrics CPT codes for skilled nursing facility care (99304, 99305, and 99306), as well as code 99497 (advanced care management), verifying complexity and encounter types, modifiers, and matching encounter notes for every line item.
Prior Authorization Tracking
We get, keep track of, and renew prior authorizations for geriatrics services from all active payers. We also keep a central authorization log so that no session is ever billed outside of an approved treatment period.
Diagnosis & Documentation Review
We review ICD-10 diagnosis codes and ensure each patient's treatment plan meets the medical necessity criteria required by that specific payer, including Medicare's wellness and preventive care guidelines.
Payer-Specific Billing Rules
Every carrier applies its own geriatrics billing policies. We keep payer guides updated for every insurer in your panel and apply the correct rules to each claim at submission.
Accounts Receivable Follow-Up
We process aged AR reports every week, go after unpaid claims before they reach the deadline for timely filing, and take disputes to peer-to-peer review or formal appeal when clinical documentation backs up the original claim.
Geriatrics providers need reliable billing support to protect and grow practice revenue. As a full-service geriatrics billing company in the USA, Credex Healthcare covers every stage of the geriatrics insurance billing process, so nothing falls through the cracks. Our billing services make sure that your applications are accepted by payers without unnecessary delays or denials.
We handle end-to-end geriatrics insurance claims management from charge entry and coding to electronic submission across all major commercial payers and government programs.
Our geriatrics billing specialists apply CPT codes 99304, 99305, 99306, and 99497 with the right modifiers consistently, cutting denials caused by documentation and coding errors.
Prior Authorization Management
We initiate, track, and renew prior authorizations for geriatrics services, so your licensed and board-certified practitioners keep seeing patients without claim interruptions.
Our denial management for geriatrics identifies root causes, prepares clinical appeals, and resubmits claims, recovering revenue that would otherwise be written off.
We credential your clinicians and allied medical professionals with insurance networks and manage ongoing recredentialing, so billing never stalls due to provider application management gaps.
Real-time dashboards give practice owners visibility into A/R aging, collection rates, denial trends, and billing turnaround time for geriatrics providers.
Years of Geriatrics Billing Expertise
Geriatrician Credentialing Success
Claim Compliance Rate Across All Payers
Support Available for All Your Needs
Customized Geriatrics Billing Solutions
MD
Anne
“Before Credex, we were losing about 20% of our revenue to denials and late submissions. Three months in, that number is down to almost nothing. Their team knows geriatrics billing codes better than anyone we have worked with. Claims go out fast, payment comes back faster, and I am not on the phone with insurers anymore.”
Practice Manager
Axel
“What sold me was how specific they were. Most billing companies treat geriatrics like general outpatient therapy. The Credex team knows the difference between 99304 and 99307 and when each modifier applies. Our first-pass approval rate jumped in the first month. That kind of accuracy matters a lot when you are running a busy multi-provider clinic.”
MD
Keiko
“I was skeptical after a bad experience with a previous billing vendor. Credex won me over by being honest during the onboarding call about what our current process was missing. They fixed the credentialing gaps first, then tackled the old denied claims. Six months later our AR is cleaner than it has ever been. Genuinely cannot recommend them enough.”
Clinic Administrator
Matilde
“Running a cash-and-insurance hybrid geriatrics practice is complicated. Credex handles the insurance side without any drama. Authorizations come through on time, claims are submitted correctly, and any denials are dealt with the same week. My monthly collections are up, and my admin costs are down. This is exactly what I needed.”
Operations Director
Glenn
“We have four locations and 11 providers. Coordinating credentialing and billing across all of them was a nightmare before Credex. They mapped out every payer relationship, filled the enrollment gaps, and now everything runs from one workflow. The reporting alone is worth the cost since we finally have real numbers instead of guesswork.”
Practice Assessment
We audit your current billing workflow, AR aging, denial history, and payer mix. This gives us a full picture of where revenue is leaking and what needs to be addressed first.
Credentialing & Payer Enrollment
We verify that every geriatrician and support medical staff in your practice are credentialed with all relevant payers. Any enrollment gaps are filled before billing begins.
Authorization Management Setup
We monitor your active prior authorizations, match them against your patient schedule, and build a proactive renewal calendar, so no session is ever billed without payer approval.
Clean Claim Submission
Our geriatrics billing specialists review encounter documentation, confirm correct CPT codes and modifiers, and submit claims electronically to all commercial payers, Medicare, and Medicaid.
Denial Management & Follow-Up
We track every claim through the adjudication cycle. Denials are addressed within 48 hours, root causes are identified, the appeal is prepared, and resubmission is executed.
Reporting & Ongoing Optimization
You receive regular reports on geriatrics providers' collection rates, rejection trends, account balances that are past due, and the time it takes to bill them. We use this information to improve your income performance.
What sets Credex Healthcare apart from other geriatrics billing companies in the USA is our depth of specialization in elderly and advanced care billing, as well as our accountability to the practices we serve. Our billers and coders apply hands-on knowledge of geriatrics insurance billing process requirements, current CPT coding rules, and payer-specific authorization workflows to protect your revenue and keep your practice compliant.
Our team is trained specifically in the skilled nursing facility billing process. We do not treat geriatrics as a subcategory of general healthcare billing. The coding rules, authorization workflows, and documentation standards for geriatrics are distinct, and we understand them in detail.
If you work with a geriatrics billing expert, that person knows your business, your payers, and the history of your authorizations.
You always know where your revenue is. Our reporting dashboard gives practice owners live visibility into claim status, denial rates, A/R aging, and collection performance, with black boxes.
Our RCM process consistently meets all HIPAA requirements. Strict security measures and full compliance documents are used to handle patient data and EHRs.
At Credex Healthcare, we know how to get your geriatrics reimbursement quickly, without any delays or denials. Let us enhance your geriatrics practice revenue and growth with our industry experience and expertise in geriatrics billing.
Our skilled team provides effective RCM, focused outcomes, and excellent client service. Our regular medical billing operations are managed by a team of experts who have the expertise and abilities that customers expect from a professional organization. You will receive full payments for your geriatrics services through our clean claim submission, identifying stuck payments and resolving them, and promptly handling denied claims.
Geriatrics treatment billing services handle all the practice’s income, from filing and submitting claims to handling denials and following up with insurance companies. Without specialized geriatrics billing help, practices run the risk of being denied claims often, not being reimbursed on time, and not following the billing standards. A specialized geriatrics billing business like Credex Healthcare ensures your bills are submitted the first time properly.
Yes. Medicare covers geriatric services, but the level of coverage varies a lot depending on the provider, state, and specific plan. Most of the time, treatment must be deemed medically necessary for conditions like dementia. Credex Healthcare offers specialized geriatrics billing services that help with these complicated tasks.
When billing for geriatrics, CPT codes 99304-99306 are mostly used. These codes are based on the complexity of the cases documented during initial visits to skilled nursing facilities, with the first code the lowest and the last the highest. Meanwhile, CPT code 99497 is used for advanced care planning.
Electronic claims for geriatrics billing usually take 30 to 45 days to be paid, but without help from a billing expert, it can take 60 to 90 days. The timeline depends largely on submitting clean claims to the insurance company. Electronic submissions are usually processed much faster than paper forms.
The billing industry is rapidly evolving. By the year 2025, the system and tools used
Billing companies ensure compliance with HIPAA and other regulations by being legitimate and reliable. Every
At Credex Healthcare, we know how frustrating it is when claims are denied. That is
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