Turning Patient Navigation Into Measurable Clinical and Financial Value

G0023 / G0024 results from a multi-site PIN billing program.

Request A Demo
>$ 200 K

Collections generated

2 + Years

Program in operation

G 23 /24

PIN codes supported

Monthly 83

Billing Cycles

EXECUTIVE STATEMENT

In 2024, CMS created reimbursable PIN codes. Clinical-i helps clinics make that work operational.

Clinical-i captures navigation activity, validates eligibility and documentation, prepares monthly billing support, and tracks conversion from activity to collections.

Clinical-i turns invisible navigation work into a measurable operating model — from patient activity and time capture to billing support and collections tracking.

If eligible navigation work is not documented and submitted, revenue stays hidden.

the case study

From invisible work to measurable impact.

Problem Statment

Navigation is real work, but much of it is invisible to the revenue cycle.
  • Calls, education, coordination, followup are constant.
  • Time/documentation hard to capture consistently
  • Eligible navigation work is missed at month end.

Consequences

When navigation is not captured at the point of work, clinics pay for it without seeing its full value.
  • Billable navigation services are missed or delayed.
  • Leadership cannot see navigator workload or capacity.
  • Documentation gaps create avoidable billing friction.

One Continuous Execution Loop

Our Solution

Clinical-i turns navigator activity into an auditable monthly operating model.
  • Capture activity, time, and outcome as work happens.
  • Track consent, eligibility, and documentation gaps.
  • Connect billing and collections back to the same activity.
Results + Measurability

Financial results are visible, and the operating model is measurable end to end.

>$ 200 K

Collected

Eligible 83

Patients tracked

Nav Time 83

Minutes documented

BILL → $ 83

Conversion tracked

Measured as patient → activity → time → billing → collection, with trends by provider, navigator, and month.

Parallels across urology

One PIN execution model, across urology navigation.

PIN supports urology cancers, BPH and OAB. Our execution model does not change.

What stays constant

Eligibility, consent, time capture, documentation, billing, and collection tracking.

What changes by condition

Navigation reason, care pathway, cadence, interventions, and required support.

Conclusion

PIN demonstrates that Clinical-i can convert invisible navigation work into auditable financial value.

Clinical

Navigation work is visible and patient support is documented.

Operations

Workload is measurable by month, provider, and navigator.

Financial

Eligible work can be converted into billing and tracked to collections.

let's connect

Ready to Close the Loop?

Let’s build a care system where every test, follow-up, and communication is tracked — for better care and stronger risk management.

Request A Demo