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Comprehensive Billing Solutions for Family Medicine

Family practice billing involves complex coding rules that change annually, requiring expertise in:

  • Preventive vs. problem-oriented visits

  • Chronic care management (CCM)

  • Telehealth and remote patient monitoring

  • Medicare annual wellness visits

We specialize in family practice billing, helping you:
✔ Increase reimbursements by 15-30%
✔ Reduce claim denials by 40-60%
✔ Stay compliant with changing CMS guidelines

We Handle Billing for All Family Practice Services

✅ Evaluation & Management (E/M) Services

  • Office Visits (99202-99215) – New 2023 documentation guidelines

  • Annual Wellness Visits (G0438, G0439)

  • Preventive Visits (99381-99397)

✅ Chronic Care Management

  • CCM (99490, 99439, 99491)

  • Principal Care Management (99424-99427)

  • Behavioral Health Integration (99484)

✅ Procedural Services

  • Vaccine Administration (90471-90474)

  • Minor Procedures (11719-11721 for nail care, 10060-10061 for I&D)

  • ECGs (93000-93010)

✅ Telehealth & Remote Services

  • Virtual Check-Ins (G2012)

  • Remote Patient Monitoring (99453-99457)

  • eVisits (99421-99423)

Top Family Practice Billing Challenges We Solve

1. E/M Coding Errors

🚩 Problem: Under-coding 99214 as 99213 or missing complexity requirements
💡 Our Solution:

  • Apply 2023 E/M guidelines correctly

  • Ensure proper documentation of MDM complexity

  • Capture all billable services during visits

2. Chronic Care Management Underutilization

🚩 Problem: Missing monthly CCM reimbursements (42−140/patient)
💡 Our Solution:

  • Set up CCM documentation systems

  • Track qualifying time automatically

  • Bill incident-to services properly

3. Preventive vs. Problem Visit Confusion

🚩 Problem: Improperly billing physicals with problem visits
💡 Our Solution:

  • Correctly use modifier 25

  • Document separate diagnoses

  • Maximize wellness visit reimbursements

4. Telehealth Compliance Issues

🚩 Problem: Denials for virtual visits
💡 Our Solution:

  • Proper POS code 02 and modifier 95 usage

  • State-specific telehealth requirements

  • Documentation of technology used

Why Choose Our Family Practice Billing Service?

🔹 Primary Care Specialists – We focus exclusively on family medicine
🔹 Revenue Recovery – Find and fix underpayments
🔹 Denial Prevention – 97% clean claim rate
🔹 Compliance Protection – Stay audit-ready
🔹 Transparent Pricing – No hidden fees

Technology Features:

  • Automated eligibility checks

  • Real-time claim tracking

  • Custom performance dashboards