Patients download the CareGoals app, have the conversation at home with Sage AI, and your practice reviews, signs, and bills. Clinically valid. Legally documented. Reimbursable.
The barriers aren't clinical. They're operational. ACP conversations take time physicians don't have, generate documentation that's hard to standardize, and the resulting wishes often can't be found when they matter most.
A meaningful ACP conversation takes 30-60 minutes. Most primary care visits are 16 minutes. The math doesn't work inside the clinic walls.
Handwritten forms, PDFs in filing cabinets, notes buried in EHR free text. When the ambulance arrives, nobody can find them.
99497/99498 are some of the most under-billed codes in medicine. Practices leave millions on the table because the workflow doesn't exist.
Even when an advance directive exists, it's rarely available at the point of care. 70% of directives never make it into the medical record.
Your patients have the conversation at home. You review and bill. CareGoals handles everything in between.
Your staff recommends CareGoals to eligible patients. They download the iPhone app and begin at home -- around the kitchen table, on their own time.
Sage AI leads a voice-first, empathetic conversation. Goals of care, treatment preferences, surrogate decision-makers, specific clinical scenarios. Not a form -- a real conversation.
AI-generated documentation arrives in your review queue. 3-5 minutes to review, annotate, and attest. Billable under 99497/99498 with full documentation. Incident-to billing supported.
Care wishes are stored on the patient's ComfortCard -- accessible via QR code, Apple Wallet, or fridge magnet. Always findable when it matters most.
CareGoals is an iPhone app that turns advance care planning into something families actually want to do. Sage AI guides a voice-first conversation -- unhurried, empathetic, clinically structured -- that captures wishes, stories, and care preferences in a format physicians can review and sign.
"Every family has a story worth preserving. CareGoals doesn't just capture directives -- it captures the person behind them."-- The emotional heart of co-op.care
CareGoals turns every eligible patient into a billable ACP encounter. The app does the heavy lift. Your physicians review and attest.
| Code | Description | Reimbursement | CareGoals Workflow |
|---|---|---|---|
| 99497 | ACP first 30 minutes, face-to-face | $86.24 | Sage AI conversation + physician attestation |
| 99498 | ACP each additional 30 minutes | $74.88 | Extended conversation, complex scenarios |
| G0438 | Annual Wellness Visit (initial) | $175+ | ACP layered onto AWV increases per-visit revenue |
| G0439 | Annual Wellness Visit (subsequent) | $125+ | Annual ACP refresh during subsequent AWV |
in new annual revenue. A practice with 2,000 Medicare patients. 40% complete ACP via CareGoals = 800 encounters at $86 each. Your physician spends 3-5 minutes per review. The app does the rest.
Every CareGoals conversation produces a living document stored on ComfortCard -- a digital care wallet your patients carry everywhere. When it matters most, their wishes are always findable.
CareGoals pays for itself with the first few ACP encounters. No long-term contracts. Cancel anytime.
Download CareGoals. Sit with your loved one. Let Sage guide the conversation that matters most. No forms, no legalese, no rush. Just a conversation about what you value, what you want, and who speaks for you when you can't.
Get CareGoals on your iPhone. Create your profile in 30 seconds.
Sage guides you through goals, values, and care preferences. Voice-first. At your pace.
Your wishes live on ComfortCard -- always with you, always findable, shareable with family.
Your care goals evolve across a lifetime. CareGoals grows with you -- from your first conversation to long-term milestones. Revisit, update, and deepen your plan at every stage.