Family Practice & Primary Care
High-volume claims, preventative wellness codes, and multi-procedure visits managed effortlessly.
Primary care is the backbone of healthcare, but its billing is incredibly complex due to the sheer volume of patients, varying procedure codes, vaccinations, and diverse health plans.
Family Practice clinics run on high patient volume and narrow margins. Billing departments must process hundreds of claims daily, ranging from simple office visits to complex joint injections, vaccinations, and preventive screen panels.
Our team is highly proficient in the unique modifiers and combinations that define primary care. We ensure that when a patient presents for a physical and an acute issue, Modifier 25 is applied correctly, securing full reimbursement for both services.
We help practices capitalize on value-based care and population health initiatives, setting up billing structures for Chronic Care Management (CCM), Transitional Care Management (TCM), and Annual Wellness Visits (AWV).
What you get
- Wellness & Preventative Codes
- Maximize revenue with AWV (Annual Wellness Visits), vaccines, and screen codes without patient copays.
- Chronic Care Management (CCM)
- Navigate the complex guidelines of billing CCM (99490) to create a steady monthly revenue stream.
- Multi-Procedure Optimization
- Apply appropriate modifiers (such as Modifier 25) to ensure you get paid for both the E/M visit and the procedure.
How it works
- 1
Encounter Audit
We check daily schedules against submitted encounter logs to ensure zero lost charges.
- 2
Preventative & Vaccine QA
We cross-reference E/M levels and separate vaccine administration codes from product codes.
- 3
High-Speed Claim Submission
High-volume claims are batched, scrubbed, and submitted electronically within 24 hours of clinical signature.
- 4
Patient Ledger Sync
Patient copays, deductibles, and secondary insurances are updated with lightning speed.
Common questions
How do you handle billing for multiple procedures on the same day?
We apply appropriate modifiers (such as 25, 59) and sequence CPT codes from highest to lowest value to maximize payer payments.
Can you help us bill for Chronic Care Management?
Absolutely. We guide your staff on time tracking, documentation requirements, and submission of the 99490 series.
Do you manage vaccine registry billing?
Yes, we handle pediatric and adult vaccine billing, including VFC (Vaccines for Children) modifiers.
See what your practice is leaving on the table.
Send us a recent aging report and denial summary. We will show you where the money is stuck and what it would take to collect it.