Increase Revenue While Improving Patient Care

Partner with SageAlly to deliver Medicare-reimbursed Community Health Integration (CHI) and Principal Illness Navigation (PIN) services to your patients.

Healthier Patient Outcomes

Patients receive dedicated support addressing social barriers and coordinating care

Access New Medicare Revenue Streams

Bill for CHI/PIN services without adding burden to your staff

Reduced Administrative Burden

Free your clinical team to focus on medical care while we handle coordination

New Medicare Reimbursement Opportunity

Since January 2024, Medicare reimburses physicians for Community Health Integration (CHI) and Principal Illness Navigation (PIN) services. These programs allow you to support patients with social determinants of health and care coordination needs using trained non-clinical personnel.

Medicare explicitly allows physicians to contract with third-party organizations like SageAlly to provide these services under your supervision. We handle the operational details, compliance, billing support, and documentation while you maintain clinical oversight and earn additional revenue.

Three Ways to Partner With SageAlly

Contracted Services Partnership

Contract with SageAlly to provide Medicare-reimbursed patient navigation and care coordination services to your patients. We provide the trained staff and handle all administrative requirements while you maintain clinical supervision.

How It Works:

  • SageAlly provides trained Patient Navigators and Care Managers
  • Services are delivered under your clinical supervision
  • We handle billing, compliance, documentation, and technology
  • Your practice bills Medicare directly for these services
  • You maintain complete clinical oversight

What We Provide to Your Patients:

Schedule specialist appointments and coordinate referrals
Make provider phone calls to ask questions and clarify instructions
Organize medication delivery and prescription refills
Complete insurance forms and prior authorization requests
Coordinate medical transportation to appointments
Research prescription savings and patient assistance programs
Facilitate hospital discharge planning and follow-up care
Regular check-in calls to monitor health status
Coordinate communication between providers and family members
Connect patients with community resources and support programs

Ideal For: Practices looking to access new Medicare reimbursement opportunities while improving patient outcomes without hiring additional staff

What Patient Navigation & Care Coordination Includes

Our trained Patient Navigators and Care Managers help your patients with the time-intensive coordination tasks that often fall on clinical staff:

Make provider phone calls on patient's behalf
Schedule specialist appointments and find in-network providers
Organize medication delivery and synchronization
Complete medical paperwork and insurance forms
Coordinate medical transportation including wheelchair-accessible options
Research prescription savings and assistance programs
Facilitate hospital discharge planning and equipment delivery
Book second opinions for complex diagnoses
Conduct regular health status check-in calls
Coordinate communication between medical providers
Keep family members informed while respecting privacy
Connect patients with local resources and senior services

Is This Right for Your Practice?

Our partnership models work for practices of all sizes. The only requirement is enrollment with Medicare to bill for CHI and PIN services.

We work with:

  • Primary care physicians and groups
  • Specialists treating complex chronic conditions
  • Federally Qualified Health Centers (FQHCs)
  • Telehealth providers
  • Multi-state practice groups

Led by Medicare Billing Experts

SageAlly is led by Joseph Shemano, a Board-Certified Patient Advocate (BCPA) with specialized certification in Medicare billing for patient navigation and extensive CHI & PIN program experience. We ensure full compliance with Medicare requirements while maximizing reimbursement opportunities for your practice.

Ready to Explore a Partnership?

Let's discuss which partnership model works best for your practice. We'll answer your questions and explore how we can work together to improve patient outcomes while increasing your revenue.

Start the Conversation