Unlocking Medicare Revenue for Social Care: Billing for Sustainability

 

Webinar title and speaker images and bios.

 

The work of addressing social needs has long been invisible to the healthcare billing system—but that changed in 2024. Now many social-care providers are leaving significant revenue on the table because of an overlooked opportunity: Medicare G-codes, specifically for Community Health Integration (CHI), Principal Illness Navigation (PIN), and PIN Peer Support (PIN-PS) services.

Reimbursement for these three services for dual and near-dual populations offer a path to sustainability for the essential work of community health workers (CHWs), care navigators, and peer support specialists. Yet community-based organizations that partner with health care often don’t realize they can use G-codes to bill for these services—or don’t have the knowledge and infrastructure to do so. Bridging these gaps can help providers connect CHI, PIN, and PIN-PS work to current policy priorities and sustain services to improve health and equity.

It’s time to shift social care from invisible to billable. Join us on this webinar to learn how to make the case and lay the groundwork to use G-codes to support CHI, PIN, and PIN-PS sustainability.

Watch Webinar

Speakers: 

  • Glasha Marcon, Vice President of Learning and Innovation, HealthBegins (host)
  • Sherri Ohly, Envision Director of Development and Operations, University of Wisconsin-Madison
  • Timothy McNeill, Founder and CEO, Freedmen’s Health Consulting and Freedmen’s Medicine
  • Devin Worster, Assistant Professor of Medicine, Weill Cornell Medicine

 

Webinar goals: 

By the end of the webinar, attendees will be able to:

  • Define CHI, PIN, and PIN-PS services, populations eligible to receive services, and the roles that deliver them.
  • Identify specific G-codes and their relevance to dual or near-dual populations.
  • Describe how CHI, PIN, and PIN-PS reimbursement supports the sustainability of services by CHWs, Care Navigators, and/or Peer Support Specialists.

 

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