Specialized Primary Care Billing Services
Expert medical billing solutions designed specifically for primary care practices. Our specialized team understands the unique coding and compliance requirements for office visits, preventive care, and chronic disease management.
Comprehensive Billing Solutions for Primary Care Practices
E/M Code Optimization
Expert handling of Evaluation and Management codes to ensure accurate reimbursement for office visits, consultations, and preventive care services.
Chronic Care Management
Maximize reimbursement for chronic care management services through proper documentation and coding strategies.
Quick Claim Processing
Expedite your revenue cycle with efficient claim processing, reducing days in A/R and improving cash flow for your primary care practice.
Preventive Care Billing
Specialized knowledge of preventive service codes, screening requirements, and coverage regulations to maximize appropriate reimbursement.
Primary Care Billing Challenges We Solve
Complex E/M Documentation
Primary care involves detailed documentation requirements for different levels of E/M services. Our specialists understand the nuances of medical decision-making complexity and time-based coding.
Insurance Verification
We manage the complex task of verifying patient eligibility and benefits across multiple insurance plans, ensuring clean claims and reducing denials.
High Patient Volume
Primary care practices often see numerous patients daily. Our team ensures each encounter is properly documented and billed to maximize legitimate reimbursement.
Preventive vs. Problem-Oriented Visits
We help navigate the complex distinction between preventive and problem-oriented visits, ensuring proper documentation and coding when both services are provided.
Benefits of Specialized Primary Care Billing
Increased Collections by 15-20%
Our specialized team ensures accurate coding and billing for all primary care services, resulting in fewer denials and increased reimbursement rates.
Reduced Administrative Burden
Our comprehensive billing services free your staff from time-consuming insurance follow-up and claim processing, allowing them to focus on patient care.
Enhanced Patient Satisfaction
By streamlining the billing process, we help improve the patient experience with clearer financial communication and fewer billing errors.
Comprehensive Performance Analytics
Access detailed financial reports through our secure portal, giving you full visibility into your practice's performance metrics and revenue trends.
Our Primary Care Billing Process
Practice Assessment
We analyze your current billing workflows, pain points, and revenue cycle to identify opportunities for improvement.
Customized Implementation
Our team integrates with your EHR system and establishes tailored processes for your specific primary care practice needs.
Coding & Claim Submission
Expert coders handle procedure documentation, proper CPT/ICD-10 assignment, and submit clean claims within 24-48 hours of service.
Payment Posting & Reconciliation
We accurately post all payments, address denials immediately, and reconcile accounts for maximum collection.
Ongoing Performance Monitoring
Regular analysis of key metrics, denial patterns, and revenue trends with actionable recommendations for continuous improvement.
Frequently Asked Questions
How do you handle billing for both preventive care and problem-oriented visits on the same day?
We implement proper coding strategies for same-day preventive and problem-oriented services, including appropriate modifier usage and documentation guidance to support both services when medically necessary.
Can you help with chronic care management and transitional care management billing?
Yes, we specialize in optimizing reimbursement for CCM and TCM services. We help implement compliant documentation workflows, time tracking systems, and proper code assignment to maximize appropriate payment for these valuable care management services.
How does your service reduce claim denials for primary care practices?
We implement a proactive approach, including insurance verification before appointments, procedure-specific documentation templates, and regular analysis of denial patterns to implement preventative measures tailored to common primary care-specific challenges.
What reporting will I receive about my practice's performance?
You'll receive monthly comprehensive reports including key metrics such as collection rates, days in A/R, visit volumes by type, denial analysis, and provider productivity comparisons - all accessible through our secure online portal.
Ready to Optimize Your Primary Care Billing?
Schedule a free consultation with our primary care billing specialists and discover how we can help increase your collections while reducing administrative burden.
Primary Care Billing Resources
Complete Primary Care Billing Guide
Learn about the unique challenges and best practices for primary care billing.
Maximizing Preventive Care Reimbursement
Strategies to optimize coding and documentation for preventive services.
E/M Coding Guidelines for Primary Care
Navigate the complexities of Evaluation and Management coding for office visits.