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Landing: explain navigation billing; superbill drops the midpoint option - #5

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ralyodio merged 2 commits into
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landing-navigation
Oct 6, 2026
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ralyodio merged 2 commits into
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landing-navigation

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@ralyodio ralyodio commented Oct 6, 2026 •

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Two changes.

1. Landing page: a plain-language Get paid for coordination section. Since 2024 Medicare pays practices for navigation work (about $75–$100 a month per patient for the first hour, varies by locality), and tleehealth counts the minutes and hands the biller a superbill.

  • The three steps, program cards with their codes, a superbill mock, and a note that the practice submits the claims.
  • Nav link Get paid, an Advocate seat chip, tleehealth superbill --csv in the terminal sample, and an updated meta description.
  • Checked in Chromium at 1360px and 390px: no errors and no horizontal overflow.

2. Removed the superbill's midpoint option. The CPT midpoint rule (counting G0023 at 31 minutes) does not apply. CMS, CY2024 PFS final rule, 88 FR 78941: "if a patient requires less than 60 minutes per month for PIN services, then their needs may be best suited to other types of care management services." CMS also declined shorter increments for CHI (88 FR 78925), and the CY2025 and CY2026 rules kept the 60 minutes. The ACS PIN payment FAQ agrees: "a minimum of 60 minutes."

  • Removed: ?rule=midpoint, the UI select, the CLI --rule flag and the MCP rule argument. Units now always need their full time, and the code comment cites the rule so the option isn't re-added.
  • Tests now assert that 31 minutes of PIN bills nothing and 76 bills no add-on. 67 pass on a fresh Postgres.
  • CLI and MCP bumped to 0.3.1.

🤖 Generated with Claude Code

ralyodio and others added 2 commits October 6, 2026 15:12
A 'Get paid for coordination' section in plain language: what Medicare pays for,
the three steps (log time, the month adds up, hand your biller a superbill), the
three programs with their codes, and a superbill preview. Nav link, an Advocate
seat chip, and the superbill command in the terminal sample.

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
CMS, CY2024 PFS final rule (88 FR 78941): 'if a patient requires less than 60
minutes per month for PIN services, then their needs may be best suited to other
types of care management services.' CMS also declined shorter CHI increments
(88 FR 78925), and the CY2025/2026 rules kept the 60 minutes. Billing G0023 at 31
minutes would claim time not spent, so the ?rule=midpoint option, the UI select,
the CLI --rule flag and the MCP rule argument are removed. CLI and MCP 0.3.1.

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
@ralyodio ralyodio changed the title Landing: explain navigation billing Landing: explain navigation billing; superbill drops the midpoint option Oct 6, 2026
@ralyodio
ralyodio merged commit 1e32c95 into master Oct 6, 2026
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