If your organization supports vulnerable community members—helping them navigate healthcare, coordinate appointments, access medications, arrange transportation, or manage complex medical needs—you're already doing work that Medicare now reimburses.
As of January 2024, Medicare introduced new billing codes that pay for exactly the kind of non-clinical support services that community-based organizations like yours have been providing out of mission, grants, or goodwill for years.
The challenge? Most nonprofits don't have the infrastructure—physician supervision, compliance systems, billing expertise—to access this funding.
That's where SageAlly comes in.
What This Means for Your Organization
The care you're already providing is now reimbursable by Medicare.
This creates an opportunity for sustainable funding that doesn't depend on grants or donations—allowing you to maintain and expand the programs your community relies on.
Medicare Programs That Match Your Mission
These aren't experimental. They're active Medicare codes, introduced in 2024, designed to reimburse community health workers, patient navigators, and care coordinators for supporting patients with chronic illness, social barriers, and complex healthcare needs.
Community Health Integration (CHI)
Support for patients with complex social needs and multiple chronic conditions
Principal Illness Navigation (PIN)
Intensive support for patients with serious, high-risk conditions
Chronic Care Management (CCM)
Ongoing care coordination for patients with multiple chronic conditions
Remote Patient Monitoring (RPM)
Technology-enabled monitoring and support between office visits
What Qualifies? (Probably What You're Already Doing)
If your staff or volunteers are doing any of these activities with Medicare-eligible patients, that work can now be reimbursed—if it's documented and supervised correctly.
Care Coordination
Following up after hospital discharge, scheduling specialist appointments, coordinating between doctors
Medication Support
Helping patients refill prescriptions, find cost savings programs, organize pill management
Social Determinants of Health
Arranging transportation to appointments, connecting patients with food or housing resources, completing insurance paperwork
Patient Advocacy
Calling doctors' offices on behalf of patients, clarifying treatment instructions, facilitating second opinions
Regular Check-ins
Phone calls to monitor health status, medication adherence, and upcoming care needs
Family Coordination
Keeping family members informed while respecting patient privacy
How SageAlly Makes This Possible
We arrange physician supervision
Medicare requires these programs to operate under a physician's clinical oversight. We have partnerships in multiple states and will identify and manage supervising providers where needed—or work with physicians your organization already knows.
We handle compliance and training
Your existing staff can do this work with proper training. We provide compliance guidance, documentation protocols, and ongoing support to ensure everything meets Medicare requirements.
We manage billing and technology
We take care of claims submission, EMR integration, and revenue cycle management. Your team focuses on patients; we handle the backend.
We offer flexible partnership structures
For organizations just starting, we recommend partnering with an existing medical practice. As you scale, a standalone structure may make sense. We'll help you evaluate what works best for your organization's size and goals.
Why This Matters
For years, community organizations have relied on grants, donations, and volunteer goodwill to provide vital support services. Those funding sources are unpredictable and often insufficient to meet growing community needs.
Medicare reimbursement changes that equation. It creates a sustainable revenue stream tied directly to the care you provide—allowing you to hire staff, expand capacity, and plan for the long term without waiting for the next grant cycle.
This isn't about replacing your mission with a business model. It's about ensuring your mission can continue—and grow.
Who We Are
SageAlly is led by Board-Certified Patient Advocates with specialized expertise in Medicare billing for patient navigation. We've built the systems, relationships, and compliance infrastructure that make these programs work—so you don't have to.
We're not a corporate vendor. We're a partner. We understand that your first priority is the people you serve, and our job is to make sure you can keep doing that work—sustainably.