Our Specialties
Primary-Care Billing Services
Specialized billing solutions for family practice, internal medicine, and pediatric clinics to optimize revenue, reduce denials, and streamline billing for primary care services.
Specialized billing solutions for family practice, internal medicine, and pediatric clinics to optimize revenue, reduce denials, and streamline billing for primary care services.
| Code | Description |
|---|---|
| 99213 | Office visit, established patient, low to moderate complexity |
| 99214 | Office visit, established patient, moderate complexity |
| 99396 | Preventive visit, established patient, 40-64 years |
| 99487 | Complex chronic care management, 60+ minutes |
| 99495 | Transitional care management, moderate complexity |
Our comprehensive approach ensures maximum revenue and minimal administrative burden for your Primary Care practice.
We verify primary-Care-specific insurance benefits and coverage for Primary-Care procedures, tests, and devices before services are rendered, including:
Our primary-Care coding specialists ensure accurate code assignment for all Primary-Care services:
We achieve a 98% clean claim rate for primary-Care services through our thorough process:
Our specialized approach to Primary-Care claim denials includes:
Our primary-Care-specific reporting and analytics help optimize your practice:
Get answers to common questions about our primary care medical billing services, coding challenges, and revenue optimization strategies.
Our approach to chronic care management billing includes verifying proper enrollment documentation, tracking time spent with each patient, ensuring the minimum 20 minutes of clinical staff time is documented, and confirming appropriate use of CCM codes (99490, 99487, 99489). We also assist with implementing compliant workflow systems to track CCM services efficiently.
We ensure accurate differentiation between preventive services and problem-oriented visits, properly apply modifiers when both services are provided on the same day, and help implement documentation templates that satisfy the specific requirements for wellness visits. Our team stays current with preventive service coverage policies across all major insurers.
Our telehealth billing specialists ensure proper application of telehealth modifiers, verify coverage based on patient location, document technology used, confirm appropriate consent procedures, and stay current with evolving telehealth policies. We also help implement workflows to document the required elements for full reimbursement of virtual visits.
We stay at the forefront of all E/M coding updates, including the significant 2021 guideline changes. Our team provides ongoing education to physicians and clinical staff, reviews documentation to ensure it meets current requirements, and conducts regular audits to identify opportunities for improvement. We help practices adapt to the medical decision-making approach while ensuring compliant and optimal coding.
Contact us today for a free consultation and learn how our specialized primary care billing services can benefit your practice.
I can help with primary-Care billing questions, insurance information, or scheduling assistance.