How it works
Your practice keeps the medicine and the billing. We take on the work around the hour: filling the groups, running the sessions and preparing the paperwork.
Who does what
Everything patients see goes out in your practice's name.
| Task | Your practice | Kinfold Health |
|---|---|---|
| Find eligible patients | Gives records access under a BAA | Pulls the list and checks each patient's coverage |
| Review the list | Clinician removes anyone unsuited to a group (about 10 minutes) | Prepares it |
| Invitations | Approves the letter, text and phone script | Sends them in your name and answers questions |
| Cost and consent | Approves the consent and confidentiality form | Tells each patient what they'll owe and collects signed forms |
| Scheduling and video | Picks a recurring day and time | Sends reminders, runs the video room and tests each patient's setup |
| The session | Clinician leads and does each patient's individual check-in | Dietitian facilitator runs the agenda and the group discussion |
| Notes | Clinician reviews and signs within 3 business days | Drafts each patient's note within 24 hours |
| Claims | Your biller submits | Prepares a claim worksheet for each patient |
| Follow-up | Sees anyone flagged for a one-on-one visit | Calls no-shows within 2 business days and flags concerns |
| Reporting | Reviews it | Monthly attendance, retention and claims report |
Inside a session
Each session is built around what Medicare requires: group education, counseling and peer support, plus an individual assessment and plan for every patient.
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Check-in
The facilitator welcomes the group and logs who is there and when the session starts.
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Topic of the month
A short, practical lesson from the dietitian, such as protein and muscle on a GLP-1, handling nausea, or eating out.
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Group discussion
Patients compare notes on what's working, and the clinician answers questions everyone can learn from.
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Individual check-ins
The clinician reviews each patient's progress, medication and side effects, and sets that patient's plan. Anything private moves to a breakout room.
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Wrap-up
Each patient leaves with a goal for the month. The facilitator logs the end time for the notes and claims.
Five weeks from yes to your first group
About two and a half hours of your staff's time before the first session: a 45-minute kickoff, 30 minutes of approvals, a 10-minute list review, a 30-minute clinician training, a 15-minute guide for your biller and a 20-minute dry run.
- Week 0
Sign the services agreement and BAA. Name a lead clinician, a backup, a point person and your biller.
- Week 1
Kickoff call. Pick the condition, the day and time. Approve invitations, the consent form and the escalation plan.
- Week 2
We build and check the patient list. Your clinician reviews it and completes the training.
- Week 3
We invite patients, starting with those who pay $0, and aim for 10 enrolled plus a waitlist.
- Week 4
Dry run on the real video platform. Reminders go out; your clinician gets a one-page brief per patient.
- Week 5
First session, notes drafted within 24 hours, claim worksheets to your biller, and a 15-minute debrief.
Which conditions
Medicare doesn't publish a fixed list. CMS describes group visits as suited to conditions that can improve with lifestyle change.
Starting now
Weight management for Medicare patients on GLP-1 medicines.
Next
Type 2 diabetes.
Later
High blood pressure, tobacco use, and behavioral health groups with a clear lifestyle focus, such as metabolic health for patients on antipsychotic medicines.
Questions practices ask
Do we need a room for this?
No. Groups run by video, and Medicare lets patients join from home through December 31, 2027. We're building for in-person and hybrid groups too, in case those rules change after 2027.
How much of our clinician's time does it take?
About an hour and a half per session: the hour itself and roughly 30 minutes to review and sign the notes we draft. Before the first session, there's a 30-minute training and a 20-minute dry run.
Who can lead a group?
A physician, nurse practitioner or physician assistant who is enrolled in Medicare and bills under your practice. Our facilitator supports the session under your clinician's direction.
Does it work with our records system?
Yes. We build a note template with you inside your system: one note per patient, with attendance, minutes, individual assessment and plan. Your clinician signs as usual.
What will patients pay?
The usual Part B rules apply: after the deductible, 20% coinsurance, about $25 a session in Northern NJ. Many patients pay $0, such as those whose Medigap plan covers coinsurance, many who have both Medicare and Medicaid, and, from April 2027, patients in ACOs approved to waive cost sharing. We tell every patient what they'll owe before they enroll. See the code guide for details.
What about Medicare Advantage patients?
Each Medicare Advantage plan sets its own coverage and copays for the new codes, and most haven't said yet. We start with Original Medicare patients and check each plan as it publishes its rules.
What if a patient is in crisis during a session?
Before the first session, you approve an escalation plan and name who is on call during each session. The facilitator follows it, and the clinician is present throughout.
How do you get paid?
A flat fee per session or per month, set in advance. It never depends on what your practice bills or collects, and your practice keeps clinical control and does the billing. We'll walk through pricing on a call.
See whether it fits your practice
In 20 minutes we'll look at your Medicare patients, who would lead, and what a monthly group would bring in.