Start at diagnosis
Patients are referred to navigation after the initiating visit.
Behavioral & socialPIN
A serious diagnosis brings appointments, tests and decisions all at once. PIN pays for trained navigators to help patients and caregivers understand the path, coordinate across specialists and reach support services. We operate the navigation workflow alongside your clinical team.
Who qualifies
Eligibility is confirmed against your own population before a pilot group is approached.
- 01
A serious, high-risk condition expected to last at least three months
- 02
The condition puts the patient at significant risk of hospitalization, decline or death
- 03
An initiating visit by the billing practitioner
- 04
Consent documented before services begin
What your patients experience
- One person who helps them find their way
- Appointments that happen in the right order
- Caregivers who know what's next
- Help reaching support services
How we run it
Your clinicians keep every clinical decision. We run the operations around them.
Map the journey
Upcoming appointments, tests and decisions are laid out with the patient.
Coordinate across teams
Navigators chase referrals, records and scheduling between specialists.
Support the family
Caregivers are included and connected to support services when wanted.
Document
Time and activities are logged for practitioner review.
Stays with your clinicians
Diagnosis, treatment planning and goals-of-care conversations remain with clinicians.
What your practice receives
- Navigation task queues
- Specialist and test coordination
- Caregiver contact records
- Time logs for navigators
Billing reference
Listed as published for calendar year 2026 under the Medicare Physician Fee Schedule. Requirements, documentation rules and payer policies change — confirm current CMS and payer guidance with your billing team. Carevory does not guarantee reimbursement. PIN billing codes
| Code | What it covers |
|---|---|
| G0023 | First 60 minutes per calendar month |
| G0024 | Each additional 30 minutes |
| G0140 / G0146 | PIN peer support for serious behavioral-health conditions |
Carevory does not guarantee reimbursement. Confirm current CMS and payer guidance with your billing team before you bill.
Often combined with
The same minutes are never counted toward two programs — time is logged against one at a time.
FAQ
What practices ask before launching PIN.
They overlap but differ: navigation focuses on guiding the patient through a complex illness and its services, while care management centres on the care plan.
Trained auxiliary personnel, including community health workers and patient navigators, working under the billing practitioner's supervision.
Your clinicians, or qualified clinical staff working under your supervision and protocols where contracted. Carevory runs the operations around them: eligibility, enrollment, outreach, scheduling, queues, documentation and reporting.
No. Payer rules, documentation and clinical decisions determine payment. We help you meet program requirements and give you clean records for billing review.
Start with one workflow
Tell us about your patient population, systems and staffing. We'll scope a pilot group, the workflow and the reporting you'd see each month.
Business inquiries only. Please don't include patient information.