Senior Care & Geriatrics Module

Elevate Geriatric Care with AI-Powered Wellness

Maximize Annual Wellness Visit revenue, reduce fall risks, screen for cognitive decline, and manage polypharmacy with intelligent automation built for geriatric medicine.

94%
AWV Completion
annual wellness visit capture rate
40%
Fall Risk Reduction
with AI-powered assessments
98%
Screening Compliance
cognitive & functional screenings
3X
Care Transitions
smoother SNF-to-home handoffs
Core Capabilities

Complete Chronic Care Management Platform

From patient identification to compliant billing, our platform automates every step of the chronic care management workflow.

CCM Billing Automation

Automated time tracking for CPT 99490/99491 with minute-by-minute documentation, threshold alerts, and Medicare compliance validation.

99490compliant billing workflow

Remote Patient Monitoring

Integrate with RPM devices for blood pressure, glucose, weight, and oxygen saturation. Automated alerts for out-of-range readings.

24/7continuous patient monitoring

Care Plan Management

Comprehensive care plans for multi-condition patients with medication reconciliation, self-management goals, and interdisciplinary coordination.

Multicondition care coordination

AWV & Transitional Care

Annual Wellness Visit integration with transitional care management (TCM) for hospital-to-home coordination and preventive screening schedules.

TCMintegrated care transitions
Workflow

Annual Wellness Visit Workflow

Automated end-to-end AWV workflow from patient identification through follow-up coordination ensures maximum compliance and revenue capture.

1

AWV Scheduling

AI identifies eligible patients and automates outreach

2

Comprehensive Assessment

Guided screenings for fall risk, cognition, and function

3

Care Plan Update

Auto-generated personalized prevention care plan

4

Follow-up Coordination

Automated referrals, caregiver communication, and tracking

AI-Powered

Intelligent Geriatric Care

AI agents that understand geriatric medicine, automate clinical workflows, and surface actionable insights for better patient outcomes.

AI-Powered AWV Documentation

Intelligent documentation assistant that auto-populates AWV templates, generates personalized prevention plans, and ensures all Medicare-required elements are captured.

Auto-populated templates
Prevention plan generation
Medicare compliance checks
Visit summary creation

Automated Fall Risk Scoring

Machine learning models that analyze gait patterns, medication lists, and clinical history to generate comprehensive fall risk profiles with intervention recommendations.

Multi-factor risk scoring
Intervention suggestions
Home safety assessments
Caregiver alerts

Cognitive Decline Trending

Longitudinal AI analysis of cognitive screening results that detects subtle decline patterns, triggers early interventions, and coordinates specialist referrals.

Longitudinal tracking
Pattern detection
Early warning alerts
Referral automation
Differentiators

Why Choose Our Senior Care Solution

Purpose-built for geriatric practices with Medicare compliance, quality reporting, and care coordination at its core.

Medicare AWV Compliance

100% compliant AWV documentation with all CMS-required elements.

Advance Care Planning

Integrated ACP discussions with billing code capture (99497/99498).

Functional Assessments

ADL/IADL tracking with automated functional status documentation.

MIPS Quality Reporting

Automated quality measure capture for geriatric-specific MIPS measures.

SNF Transition Support

Seamless care transitions between SNF, home health, and outpatient.

Caregiver Portal

Dedicated portal for family caregivers with care plan access and updates.

ROI Impact

Transform Geriatric Care Revenue

  • Capture $250+ per AWV with 94% completion rates
  • Reduce hospital readmissions by 35% with care transitions
  • Improve MIPS quality scores by 25+ points
  • Save $30K+ annually in fall-related injury prevention
  • Ensure 100% Medicare AWV billing compliance
$250+
Revenue per AWV captured with automated scheduling and documentation
35%
Reduction in hospital readmissions through proactive care transitions
94%
AWV completion rate vs. industry average of 50-60%

Enterprise-Grade Compliance

HIPAA Compliant
Medicare AWV Certified
MIPS Quality Ready
CMS Annual Wellness
SOC 2 Type II
HITRUST CSF

Ready to Transform Senior Care?

See how our AI-powered geriatric care platform can maximize AWV revenue, reduce falls, and improve patient outcomes. Schedule a personalized demo today.

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