Gentem Helps Physicians Create New Reimbursement Category

Gentem is on a mission to help practices and health tech companies thrive by simplifying the reimbursement process and elevating the patient financial experience. By accelarating and symplifying reimbursements, through intelligent automation data, our solution has played a key role in helping physicians improve their revenue cycle management and prevent claim denials.

The National Health Coaching Coalition, consisting of multiple physicians and administrator panels such as the Mayo Clinic, Cleveland Clinic, Spectrum Health, and other major institutions utilizing health coaches in population health, has collectively requested review by the American Medical Association’s Current Procedural Terminology Advisory Committee. The review is to further define a new taxonomy in healthcare that will improve reimbursements for a new category. 

The CPT Editorial Panel is responsible for maintaining the CPT code set and was tasked to analyze previously determined temporary health coaching CPT codes. The panel’s 17 members are authorized by the AMA Board of Trustees to revise the health coaching codes for transition from Category 3 CPT Codes to Category 1 CPT Codes. This converts health coaching from an emerging technology to required for performance of specific clinical services.  

This transition would allow a structured reimbursement, standardization, and definition of certified health coaches in the United States. This is important for primary care and other point-of-entry practitioners because it will dramatically improve multivariate reimbursement strategies while significantly improving patient outcomes.

“Gentem is helping doctors pioneer a new and different way to remain independent through data-driven strategies and intelligent automation”

Lost Revenue Calculator for Medical Billing

Find out how much revenue your practice may be missing with this free calculator.

How Is Gentem Helping Private Practices and Health Coaches?

Through intelligent automation, Gentem Health’s platform analyzed the CPT reimbursement data for past and possible future cost savings for payers. This allowed the coalition to present a model that can potentially prevent hospitalizations, combat chronic diseases, and improve patient communication. 

The initiative helps further usher healthcare from an old analog model into a more data-driven and digital world where providers are empowered by data and can be reimbursed by payers for delivering outstanding care.

“Partnering with visionary providers like Dr. Ruan is a key part to pioneering a new vision for private practice ownership, one where the physicians can finally influence the healthcare system” shared Fisayo Ositelu, MD, CEO of Gentem Health.

Elevate the Patient Financial Experience

Build stronger patient relationships while increasing upfront collections. See how Gentem’s customizable templates help you personalize estimates, statements and messaging for your patient population.

A Dedicated RCM Solution For Your Different Specialties

Gentem helps specialized practices enhance income by an average of 20% by fusing cutting-edge technology and RCM know-how. We are experts in speciality medical billing and coding and know how to maximize your individual revenue cycle.

Here are some of the specialty medical practices we are experts on:

In addition, with Gentem’s PM and EHR integration services, you may save time, cut down on mistakes, and improve your current billing procedure. Numerous systems are compatible with our solution.

Gentem is continuing to partner with medical practices and bringing the power of their platform to optimize internal teams and uncover hidden revenue.

WATCH: Revenue Cycle Tips for Staying Independent

Many physicians are leaving private practice due to rising costs, lower reimbursement rates and staffing shortages. But staying independent is possible with a healthy revenue cycle.

Learn how to run a successful private practice with tips from this 20-minute webinar session.

eBook Cover for 5-Must Know Metrics To Build A Thriving Medical Practice

5 Must-Know Metrics To Build A Thriving Medical Practice

With this free guide, you’ll learn the key metrics that inform your practice’s financial performance and how best to optimize them to support practice growth.

Subscribe To Our Newsletter

Related Articles

Eliminate your medical billing headaches today.