Primary care physician with patient

Primary Care Billing That Supports Your Patient Relationships

Between complex chronic care management rules, ever-changing preventive service guidelines, and the daily juggle of acute and wellness visits, primary care billing requires both breadth and depth. We help family physicians and internists navigate these challenges—so you can focus on what matters most: your patients.

Last year, we helped a 6-provider primary care practice increase chronic care management revenue by 42% while reducing E/M coding errors by 67%. But beyond the numbers, we give you back the time and peace of mind to practice medicine the way you intended.

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Preventive Care That Pays Off

We ensure accurate billing for all wellness services while navigating key distinctions:

Medicare Wellness

  • Initial AWV (G0402)
  • Subsequent AWV (G0438-G0439)

Commercial Physicals

  • New patient (99381-99387)
  • Established patient (99391-99397)

Documentation Tip: For Medicare AWVs, we ensure your notes include:

✓ Health risk assessment ✓ Personalized prevention plan ✓ Advance care planning discussion ✓ Depression screening

Chronic Care Management Done Right

We help unlock the full potential of your chronic care services:

CCM Services

  • 99490 (20 mins/month)
  • 99439 (Additional 20 mins)

RPM Services

  • 99453 (Setup)
  • 99457 (20 mins/month)

Requirements

  • Patient consent
  • Comprehensive care plan

Pro Tip: We provide templates for CCM consent forms and time tracking logs to ensure compliance.

E/M Coding Confidence

We navigate the 2021 E/M guidelines to ensure proper level selection:

Level Selection

MDM or Time-based

New Patients

99202-99205

Established

99211-99215

Our E/M Documentation Review:

  1. Verify problem points (Complexity)
  2. Review data reviewed/analyzed
  3. Assess risk of complications
  4. Confirm time documentation (if used)

Vaccines & Labs Revenue Capture

We ensure complete billing for ancillary services:

Vaccines

  • Flu (90686 + 90471)
  • COVID-19 (MRNA codes)

Labs

  • Venipuncture (36415)
  • Strep tests (87880)

Our Ancillary Service Process:

✓ Verify vaccine administration documentation ✓ Confirm lab medical necessity ✓ Track ABN requirements ✓ Reconcile orders with billing

"Their team helped us implement chronic care management billing, adding $18,000 in monthly revenue we were previously missing. They also reduced our E/M coding errors by 75% through better documentation training. Now we can focus on patient care knowing our billing is handled by experts."

Dr. Lisa Thompson

Family Health Associates

Ready to Strengthen Your Primary Care Revenue?

Get a free analysis of your last 60 days of claims. We'll identify your top opportunities to:

  • Optimize preventive care billing
  • Implement chronic care management
  • Improve E/M coding accuracy
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