Help the patient find their way
Support the needs identified in the illness-specific plan.
Principal Illness Navigation · PINA steady guide through serious illness.
MySeema helps patients navigate appointments, records and practical needs around a serious illness. Your treating team directs care while our navigators help the next steps happen.
Patients get personal follow-through
A coordination team you don’t have to recruit
Revenue potential from eligible services
More support, without a new coordination department
We take the follow-through off your team’s list.
Coordinate across appointments
Help with records, referrals and practical arrangements.
Keep the next step moving
Follow up, document progress and route clinical questions.
MySeema carries the coordination.Your clinicians retain clinical decisions, oversight and the required clinical services. Your organization bills eligible services.
See a patient’s path through the service
- A patient faces several appointments for a serious illness.
- MySeema helps coordinate records and practical arrangements.
- The treating team sees completed steps and remaining needs.
Illustrative workflow, not an actual patient record or an outcome claim.
Anwar KaziCEO, IntraCare
ACO partnership experience · IntraCare
“Partnering with MySeema allows us to expand critical programs like remote monitoring and care navigation in a way that supports both patient health and our broader population health strategy.”
From MySeema’s broader care-management partnership.
Read about the partnership →PIN codes, at a glance.
Serious-illness support
Illness navigation
- G0023
- First 60 minutes / month
- G0024
- Each additional 30 minutes
Qualifying disease-specific navigation and documented follow-through.
Estimate this base service →Behavioral-health needs
Peer-support pathway
- G0140
- First 60 minutes / month
- G0146
- Each additional 30 minutes
The qualifying peer-support personnel, condition and service requirements.
PIN supports a qualifying serious, high-risk illness. Initiating-visit, consent, personnel and supervision requirements apply. General navigation and behavioral-health peer support are distinct pathways.
See the revenue opportunity.
Choose a service and patient count. Adjust the assumptions if needed.
Requirements for the selected estimate
Codes modeled: None selected
One-off services and add-on codes are excluded unless they appear in the selected scenario.
The details, when you need them.
Which patients fit PIN?
- One serious, high-risk illness is expected to last at least three months.
- The illness places the patient at significant risk of hospitalization, nursing-home placement, acute decline, or death.
- The patient needs substantial disease-specific navigation around the treatment plan, services, and barriers to care.
What must be in place before launch?
- Eligible initiating visit and disease-specific treatment plan
- Documented serious, high-risk illness and navigation need
- Qualified or trained navigation personnel and partner supervision
- Patient and family communication, consent, escalation, and documentation workflow
- Review of overlapping navigation and care-management services
Conditional on a qualifying serious illness, trained personnel, and partner supervision
Billing details, patient costs and service boundaries
- First 60 completed minutes per calendar month, then a separate 30-minute add-on.
- Require an initiating visit, consent initially and annually, qualified personnel and documented condition-specific work.
- One practitioner cannot bill multiple PIN services for different conditions for that patient in one month.
- PIN and peer-support PIN cannot coexist for the same condition. A patient may receive PIN from different practitioners for different conditions; this estimate models one practitioner and one condition.
- Distinct necessary CHI or other care-management work may coexist without duplicated minutes/effort.
Patient cost sharing and protections depend on coverage and the service. Explain them before consent. Do not use this illustration to charge a Qualified Medicare Beneficiary protected amounts. RHC/FQHC payment rules and Medicare Advantage contracts differ from the national PFS benchmark.
Sources and review notes
Reviewed October 6, 2026. Estimates use the October 2026 CMS rate release.
Put a care team around your patients.
We’ll show you the coordination MySeema can take on, how it fits your practice and what the financial model could look like.