Medicare now pays for the navigation your patients already need.
Since 2024, Medicare reimburses oncology practices for patient navigation delivered by trained, non-clinical navigators under your general supervision. OncoChat delivers the navigation, documents every minute, and prepares the claims support. Your practice bills.
G0023Principal Illness Navigation services; 60 minutes per calendar month$87.18 / mo
G0024Each additional 30 minutes per calendar month+$54.44
G0136Standardized physical activity and nutrition assessment; 5–15 minutes, up to every 6 months$20.04
Illustrative July 2026 national non-facility standard non-QP allowed amounts under the Medicare Physician Fee Schedule. Actual payment varies by locality, QP status, and future quarterly updates. Verify the current PFS and your Medicare Administrative Contractor. G0136 is a separate, complementary assessment code billed on its own — not part of the PIN service bundle.
Your patients. Your NPI. Our navigators and infrastructure.
PIN services are furnished by certified or trained auxiliary personnel incident to your professional services, under general supervision — you direct the work; you don't need to be present while it's delivered.
1
Initiating visit
You see the patient for an E/M visit addressing their cancer, establish medical necessity for navigation, and document consent. We prepare the visit packet in advance.
2
We navigate
Our US-based, oncology-trained navigators deliver monthly navigation — care coordination, appointment prep, symptom triage escalation, and resource access — supported by our platform.
3
Every minute documented
Per-patient time logs, activity notes, and consent records are maintained to audit standard and exportable to your record system monthly.
4
You bill
Your practice submits G0023/G0024 under your NPI with our claims-support package. Navigation becomes a documented, reimbursed service line instead of unpaid phone time.
ANNUALIZED CLAIMS VALUE — ILLUSTRATIVE$67,977.60
What a navigation service line looks like for your practice.
Move the sliders. Figures use July 2026 national non-facility standard non-QP rates and assume every enrolled patient meets the monthly time threshold with documented medical necessity.
INPUTS
540 patients200
60 min90 min → 1 addl unit180 min
G0023 covers the first 60 minutes each calendar month. Each additional documented 30 minutes adds one G0024 unit.
MONTHLY CLAIMS LEDGER
G0023 × 40$3,487.20
G0024 × 40 × 1$2,177.60
Monthly claims value$5,664.80
Annualized$67,977.60
Gross Medicare-allowed amounts before patient cost-sharing (approximately 20% coinsurance is the patient's responsibility), sequestration, locality adjustment, QP status, and OncoChat's service fee. Not a revenue guarantee. One practitioner may bill PIN per patient per month for a given condition.
We carry the operational weight. You keep clinical direction.
OncoChat provides
US-based navigators trained to Medicare competency expectations for oncology navigation
Patient engagement platform patients actually use between visits
Per-minute time tracking and monthly threshold monitoring
Consent capture and annual renewal workflow
Initiating-visit packets and monthly claims-support exports
Escalation of clinical red flags to your team — navigators never practice medicine
Your practice provides
The initiating E/M visit establishing medical necessity, performed by the billing practitioner
General supervision of navigation services
Clinical judgment — treatment decisions stay entirely with you
Claim submission under your NPI
A monthly review touchpoint with your assigned navigator
FOR PATIENTS & CAREGIVERS — THE ONCOCHAT YOU KNOW
Your navigation support may be covered. Ask your care team.
If you or the person you care for has traditional Medicare and an active cancer diagnosis, Medicare can pay your doctor's practice for professional patient navigation — the kind of month-to-month support OncoChat provides. Your oncologist has to enroll you during a visit, so the conversation starts with them.
“Hi — I use a patient navigation service called OncoChat and learned that Medicare now reimburses practices for patient navigation under the Principal Illness Navigation codes (G0023/G0024). Their navigators work under your supervision and they handle the time tracking and documentation. Could we talk about enrolling me at my next visit? Details for practices: oncochat.com/providers”
What it costs you: Medicare Part B cost-sharing applies — typically about 20% coinsurance per month unless you have supplemental coverage. Your care team must get your consent before starting, and you can stop at any time. OncoChat's core app remains available to every patient regardless of enrollment.
The fine print, up front.
Navigation billing is a compliance-first discipline. These are the boundaries of the program as Medicare defines them.
ELIGIBILITY
Patient must have a serious, high-risk condition expected to last 3+ months (cancer is a qualifying example) that requires development, monitoring, or revision of a disease-specific care plan.
COVERAGE
Rates shown apply to traditional fee-for-service Medicare. Medicare Advantage and commercial-plan coverage must be verified before billing.
INITIATING VISIT
Required before services begin and performed by the same billing practitioner who will furnish and bill the subsequent PIN services.
CONSENT
Verbal or written patient consent, documented in the record before or when services begin and renewed annually. Cost-sharing should be explained to the patient.
TIME THRESHOLDS
Minimum 60 documented minutes of navigation per calendar month before G0023 may be billed; G0024 for each additional 30 minutes. Partial time below the threshold is not billable.
EXCLUSIVITY
One practitioner may bill PIN for a given patient and condition per calendar month. PIN time cannot overlap with time billed under other care-management codes.
SETTING & STAFFING
The estimates use non-facility rates. OncoChat navigation is furnished in the United States by trained personnel under general supervision and the applicable incident-to requirements.
WHAT THIS ISN'T
Nothing on this page is legal, billing, or medical advice. Your practice remains responsible for claim accuracy. We recommend review by your compliance counsel before enrollment — and we'll walk through our documentation standard with them.
We're onboarding a small number of community oncology practices.
Pilot practices get white-glove onboarding, a dedicated navigator, and direct input into the program's design. If your patients are already asking about OncoChat, they've done the introduction for us.