Principal Illness Navigation Software for Patients Living with Serious Illness
Structured navigation workflows, serious illness documentation, and billing support for G0019 and G0022.
What Medicare's PIN Program Covers
The Principal Illness Navigation program covers care management services delivered by a principal illness navigator — typically a nurse, social worker, or other qualified health professional — under the supervision of a billing provider. Services include:
- Assessment of patient needs related to the serious illness diagnosis
- Care plan development aligned with patient values and goals
- Coordination between the primary care team, specialists, and other providers
- Navigation of the health care system on the patient's behalf
- Connection to community resources and support services
- Caregiver support and education
- Advance care planning conversations and documentation
G0019 covers the first 60 minutes of monthly PIN services. G0022 covers additional 30-minute increments beyond 60 minutes per month.
How Accelerate Supports PIN
Serious Illness Enrollment and Diagnosis Documentation
PIN enrollment captures the qualifying serious illness diagnosis, diagnosis date, relevant clinical history, and clinical rationale — establishing the foundation for program billing and care planning.
Navigation Care Plan
Every PIN patient receives a navigation care plan reflecting their goals, preferences, and needs: patient-identified goals, advance care planning status, care coordination needs, community support needs, and caregiver status. Plans are versioned — every update logged.
Navigation Activity Documentation
Every navigation activity documented with time, activity type, and outcome — care coordination calls, patient education, advance care planning conversations, community resource referrals, and caregiver support sessions.
Monthly Care Minute Tracking
Accelerate tracks monthly navigation minutes per PIN patient, flagging when the 60-minute threshold for G0019 has been met and when additional time for G0022 may be billable.
Have patients with cancer, heart failure, or serious illness falling through coordination gaps?
PIN gives you a structured, reimbursable way to provide the navigation they need. Accelerate builds the documentation infrastructure around your navigation team.
Frequently Asked Questions
What billing codes does Accelerate support for Principal Illness Navigation?
Accelerate supports documentation and care minute tracking for G0019 (first 60 minutes of monthly PIN services) and G0022 (additional 30-minute add-on increments).
What qualifies a patient for PIN enrollment?
PIN is for patients with serious illness diagnoses as defined by CMS — typically cancer, heart failure, COPD, end-stage renal disease, dementia, and other complex serious conditions. Your clinical team makes enrollment determinations.
Who can deliver PIN services and document in Accelerate?
Accelerate supports PIN documentation by qualified navigators including RNs, social workers (LCSW/MSW), certified patient navigators, and certified peer specialists — all under supervising provider oversight.
Does Accelerate include advance care planning documentation for PIN patients?
Yes. Accelerate includes ACP documentation workflows — recording goals-of-care conversations, advance directive completion status, and POLST/MOLST documentation — linked to the patient's PIN care record.
Can PIN be combined with other care management programs in Accelerate?
Yes. Accelerate manages PIN alongside AWV, CCM, RPM, and CHI in a unified patient record. Each program's documentation and billing requirements are tracked independently.
Disclaimer: Accelerate is a clinical workflow and documentation platform. It does not provide medical advice, coding advice, or legal compliance guidance. Reimbursement results vary by practice, payer, and patient population. Practices are responsible for ensuring their billing and coding decisions comply with applicable Medicare program requirements, CMS guidance, and payer policies. Nothing on this website constitutes a guarantee of payment or reimbursement.