Geriatric Medicine EHR and AI Medical Billing Software

Older patients bring long medication lists, several specialists and care that moves between home, clinic and facility. XEHR keeps one record that follows them.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Annual review; two falls this year.

R29.6 Repeated falls

ReviewSign note

Diagnosis carried to the claimR29.6

THE HARD PARTS

What makes geriatric medicine billing hard

Medication lists nobody has reconciled

Ten or more medicines from several prescribers is common. Each visit needs a reconciled list, and interactions must be caught.

Assessments that are required and billable

Cognitive, fall-risk and advance care planning conversations are part of good geriatric care, and documentation decides whether they are paid.

Visits in many places

Clinic, home and facility visits are billed differently, and each needs the correct location on the claim.

WHERE THE WORK HAPPENS

How geriatric medicine care is delivered and billed

Geriatric care moves with the patient: office visits, home visits, assisted living, skilled nursing facilities and hospice. Almost all of it is billed to Medicare or a Medicare Advantage plan on the professional claim, with place of service changing by setting. Much of the value is in the time between visits, which is billed as care management, advance care planning and cognitive assessment.

What payers check on geriatric medicine claims

Home and facility visits must carry the place of service where the patient actually was; office codes for home visits are denied.
Advance care planning is billed by time spent, and the note must show the time and that the discussion was voluntary.
Cognitive assessment and care planning for dementia require specific documented elements, including a care plan shared with the caregiver.
Chronic care management requires consent and at least 20 minutes of care team time in the month.
Medication reviews for high-risk drugs are part of quality measures that Medicare Advantage plans report.

Common geriatric medicine diagnoses ICD-10-CM

F03.90	Unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety
R54	Age-related physical debility
R26.81	Unsteadiness on feet
Z91.81	History of falling
M81.0	Age-related osteoporosis without current pathological fracture
Z74.09	Other reduced mobility

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A geriatric medicine visit, start to payment

1
See them where they live

Visits are scheduled in the office, at home or in a facility, and each one carries the right place of service from the start.
2
Assess and document

Falls risk, cognition, medications and goals of care are documented in structured sections the next provider can read quickly.
3
Plan with the family

Advance care planning and caregiver conversations are recorded with their time, so the work done is the work billed.
4
Bill the month

Visits go out as they happen; care management time is totalled at month end and billed when the requirements are met.

How XEHR helps

From the geriatric medicine visit to the payment

Medication review in the chartActive medications, allergies and interaction checks sit in one list the provider updates at each visit.
Templates for the assessmentsStructured templates capture cognitive screening, fall risk and care planning so the work is documented and billable.
Location chosen per visitEach claim carries the place where care actually happened.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for geriatric medicine

AI medical billing for geriatric medicine practices

XEHR is an agentic EHR: AI agents do the administrative work around every geriatric medicine visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Home and facility visits must carry the place of service where the patient actually was; office codes for home visits are denied.
Advance care planning is billed by time spent, and the note must show the time and that the discussion was voluntary.
Cognitive assessment and care planning for dementia require specific documented elements, including a care plan shared with the caregiver.
Chronic care management requires consent and at least 20 minutes of care team time in the month.

Around the visit

Agents run on their own

Coverage checked before each geriatric medicine visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a geriatric medicine EHR

Ask every vendor, including us. The answers show whether a system was built for geriatric medicine work or only adapted to it.

Ask us on a demo

Can visits at home, assisted living and nursing facilities each carry the right place of service?
How is advance care planning time recorded so the conversation can be billed?
Are falls risk, cognition and medication reviews structured so the next provider can read them quickly?
Is care management time totalled through the month automatically?
Can caregivers receive plans and messages with the patient’s consent recorded?

QUESTIONS

Geriatric Medicine practices ask us

Does XEHR support Medicare annual wellness visits?

Yes, with templates for the required elements and separate documentation for any problem addressed the same day.

Can XEHR document home and facility visits?

Yes. The visit location is chosen per visit and carried onto the claim.

Does XEHR support home and nursing facility visits?

Yes. Each visit carries the place of service where it happened, and the note travels with the patient between settings.

Can XEHR record advance care planning time?

Yes. The conversation, the people present and the time spent are documented so the service can be billed.

Does XEHR support Medicare Advantage plans?

Yes. Coverage is checked for Medicare Advantage as for any plan, and claims follow the plan’s rules.

Can XEHR record who makes decisions for the patient?

Yes. Decision makers and their authority are recorded on the patient record.

How much does XEHR cost for a geriatric medicine practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a geriatric medicine practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

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See XEHR set up for geriatric medicine

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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