The operational stuff, written down.
Three tracks, one per service line: what after-hours coverage costs, how Medicare pays for managing chronic patients, and who may perform a wellness visit. Sourced to CMS and the CFR, and honest about the limits.
Everything here is written from primary sources: CMS booklets, the Code of Federal Regulations, and the fee schedule, rather than from other vendors' summaries of them. Where a figure is a national average that your locality will change, it says so.
Free tools, no signup
AWV revenue gap calculator
Enter your Medicare panel and what you billed last year, and see the wellness visit revenue you are not collecting. Runs in your browser.
Read →Annual wellness visit worksheet
A charting worksheet built to the elements at 42 CFR 410.15, which generates a structured note. Nothing you type leaves the page.
Read →Compare vendors
IntellaTriage, ChartSpan, Signallamp, ThoroughCare and more: what each is built for, and when to pick them over us.
Read →After-hours triage
The true cost of after-hours on-call
Direct pay is the smallest of four buckets. The whole calculation, including the line item that usually decides it.
Read →Nurse triage vs answering service
They fill the same slot and do different work. The one question that exposes which you're being sold.
Read →After-hours access and hospice CAHPS
Which measures it moves, which it doesn't, and the operational proxies to track meanwhile.
Read →HHVBP and ED use
The CY2025 within-stay potentially preventable hospitalization measure, and the pathway triage interrupts.
Read →After-hours coverage for critical access hospitals
What the conditions of participation require, what they leave uncovered, and the staffing arithmetic.
Read →Care management
G0511 is gone: what health centers bill now
The bundled code is retired. The replacement codes, the coinsurance, the cost report, and the supervision rule that makes remote nursing possible.
Read →APCM billing at an FQHC or RHC
G0556, G0557, G0558: what changed, who can bill, and where 24/7 access fits.
Read →Care management outsourcing for small practices
Why small practices stall on CCM and APCM, what good looks like at small scale, and the honest build-or-buy.
Read →Annual wellness visits
Who can perform an annual wellness visit?
Who may perform it against who may bill it, what direct supervision actually requires, and whether a nurse can do it by phone.
Read →How to increase AWV completion rates
Six structural fixes, why the visit loses to sick visits, and how to do the arithmetic before starting a program.
Read →Nurse licensure compact states
Licensure follows the patient, not the nurse. What the compact does, what it does not, and the question to ask a vendor.
Read →By setting
After-hours triage for hospice and home health
Why on-call rotations break, and what changes when a nurse takes first call.
Read →FQHC, RHC and CAH coverage
The segment with the same obligation as everyone else and the least room to staff it.
Read →All three service lines
After-hours triage, Medicare care management, and annual wellness visits, and how they fit together.
Read →Something we should write about?
If there is a question your team keeps answering from scratch, tell us. The useful pieces here started as somebody's question.