Internal Medicine Billing
Expert billing for complex diagnostic testing, chronic conditions, and multi-specialty clinics.
Internal medicine involves chronic condition management and sophisticated in-office diagnostic procedures. We ensure your complex E/M code selection and testing services are fully reimbursed.
Internal medicine practices regularly deal with patients presenting with multiple comorbid conditions, requiring sophisticated, high-complexity clinical decision-making. Documenting and billing these encounters is highly scrutinized by Medicare and private payers.
Our team evaluates your clinical notes to ensure they meet the 2021/2023 AMA E/M guidelines based on Medical Decision Making (MDM) or time. We make sure you are not under-coding out of fear of audits, capturing the true complexity of your clinical work.
We are experts in billing for diagnostic services, complex labs, and preventive care programs. We keep your AR low and your compliance high by conducting continuous internal documentation audits.
What you get
- E/M Leveling Support
- Guidance on clinical documentation to support high-level E/M coding (99214, 99215) with complete compliance.
- Diagnostic Coding Experts
- Accurate billing for EKGs, spirometry, ultrasounds, and diagnostic labs performed right in your office.
- Comorbidity Specifying
- Ensure chronic diseases are documented to support appropriate medical decision-making levels.
How it works
- 1
MDM Audit
We audit patient charts to align documented comorbidities with appropriate ICD-10 codes.
- 2
Diagnostic Coding QA
In-office diagnostic procedures (EKGs, PFTs, ultrasounds) are reviewed to verify separate technical and professional components.
- 3
Electronic Scrubbing
Claims are pushed through clearinghouse systems with rigorous CCI edits applied.
- 4
Aging AR Management
Our specialists track underpaid claims and file clinical appeals with supporting patient charts.
Common questions
How do you support E/M documentation guidelines?
We provide your providers with clear, brief guidelines on charting requirements for history, exam, and Medical Decision Making.
Do you support billing for remote patient monitoring (RPM)?
Yes, we are highly experienced in billing RPM codes (99453, 99454, 99457) and tracking clinician time logs.
How do you handle Medicare audit requests (ADRs)?
We manage the entire ADR response process, retrieving medical records and submitting organized packets within the strict timelines.
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.