What we handle for family medicine practices
Billers are assigned by specialty, so the person working your claims already knows your codes and your payers.
Annual wellness and preventive visits
Medicare AWV and commercial preventive visits billed to the correct code and frequency.
Chronic care management
CCM, principal care management and remote monitoring billed for qualifying patients.
Preventive screenings
Covered screenings billed with the correct diagnosis so patient cost sharing is waived where required.
In-office procedures
Minor procedures, injections and point-of-care testing billed alongside visits with correct modifiers.
Where family medicine claims usually go wrong
These are the four issues we see most often when we take over a family medicine practice.
Wellness visits billed as problem visits
Medicare AWV and a problem visit are different services. Billing one as the other loses money or triggers patient cost share incorrectly.
Chronic care management left unbilled
CCM is payable monthly for qualifying patients and most family practices never bill a single unit of it.
Preventive diagnosis coding
A screening billed with a diagnostic code makes the patient pay a deductible they should not owe, and generates complaints.
Modifier 25 on same-day services
Overused it triggers audits, underused it loses legitimate revenue.
How we work
Eligibility, every day
Every next-day scheduled patient is verified for active coverage before the visit.
Charges validated
Codes and documentation are checked after the note is signed, before the claim is submitted.
Denials appealed
Every denial is reviewed, corrected and resubmitted. Nothing is written off by default.
Monthly reporting
Paid claims and AR aging reports so you can see exactly where your money is.
Family Medicine billing questions
Something not covered here? Call (833) 305-5528.
Do you bill Medicare annual wellness visits?
Yes, including the initial and subsequent AWV codes and the required elements.
Can you set up chronic care management billing?
Yes, including the time and consent documentation the programme requires.
Do you handle in-office labs?
Yes, within your CLIA certificate scope.