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Specialty billing

Family & Primary Care medical billing

Primary care runs on volume, so a small coding habit repeated across hundreds of visits is what quietly erodes collections.

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What we handle for family & primary care practices

High-volume E/M visits, preventive care and chronic care management billed cleanly.

E/M levels that match the note

Visit levels selected from what the documentation actually supports, rather than defaulting to a familiar code.

Preventive and problem visits

Annual wellness and preventive services billed alongside problem-oriented care, with the modifiers that keep both payable.

Chronic care management

Care management and remote monitoring time tracked against each program's monthly requirements.

Immunizations

Vaccine products and their administration coded as the separate charges they are.

Common pitfalls

Where family & primary care claims go wrong

These are the errors we look for first when reviewing a practice in this specialty. If any sound familiar, a billing review will tell you what they are costing.

  • A preventive visit and a problem visit on the same day, billed without modifier 25.
  • Medicare annual wellness visits treated as routine physicals, which are not a covered benefit.
  • Visit levels downcoded out of caution, giving away revenue the note already supports.

Not sure where your revenue is leaking?

Book a free review. We will look at your recent claims, denial patterns and A/R aging, and tell you what we find — whether or not you work with us.