Estimate it
How much could your caseload’s coordination time support?
Programs you’d run:
Honest math: estimates use national non-facility Medicare CY2026 rates and base codes only (no add-on stacking). Medicaid rates are set by each state and are not modeled here, so a Medicaid-heavy caseload will differ. Commercial rates vary and are not estimated. Rates are national and unadjusted — your MAC locality moves them in both directions. Patients typically owe ~20% coinsurance. Nothing here is billable until the program’s time threshold, consent, enrollment and attribution rules are met and the payer accepts the claim. Always verify codes and rates with each payer — this is an estimate, not billing advice.
Which 2026 programs pay for care coordination?
How does Mallowa turn that time into billing candidates?
Log coordination work as it happens; Mallowa rolls it up against the 2026 thresholds, applies the consent and enrollment rules, and produces a branded superbill worksheet with your fee schedule’s dollars — print or CSV — for you to review before it goes anywhere. Mallowa does not submit claims and is not a clearinghouse: your billing workflow submits the claim, and each payer decides coverage and payment.