Primary Care Billing Specialists

Primary Care Medical Billing

High-volume, high-accuracy billing for family medicine, internal medicine, and general practice.

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94%
Clean Claim Rate
40d
Avg AR Days
30d
Credentialing

Primary care practices see the highest patient volumes in medicine — which means billing errors, undercoding, and missed charges are compounded across hundreds of claims every week. We optimize E/M coding, capture missed revenue from AWVs and CCM, and keep your AR clean.

Common Challenges

Where Primary Care practices lose revenue

E/M undercoding

Most primary care practices systematically undercode office visits — defaulting to 99213 when 99214 or 99215 is warranted. Across a busy practice, this costs tens of thousands of dollars per year in earned-but-unbilled revenue.

Annual Wellness Visit vs. office visit confusion

Billing AWV codes incorrectly, or missing the opportunity to bill both an AWV and a separately identifiable E/M on the same day, is one of the most common missed revenue sources for primary care practices with a Medicare population.

Chronic Care Management (CCM) unbilled

Most primary care practices qualify to bill CCM for patients with two or more chronic conditions but don't have the billing infrastructure to capture it. That's $62–70 per qualifying patient per month in unrealized revenue.

What's Included

Everything your Primary Care practice needs.

We handle the full revenue cycle for primary care practices — from eligibility verification and coding through claims submission, AR follow-up, and denial recovery. One team. Full transparency.

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E/M level optimization based on MDM and time documentation
Annual Wellness Visit (AWV) billing — G0438/G0439 with separate E/M when appropriate
Chronic Care Management (CCM) program billing — 99490 and add-ons
Preventive vs. diagnostic coding and modifier 33 compliance
In-house lab billing within CLIA scope
Prior authorization for referrals, imaging, and DME
Medicare Annual Wellness Visit compliance and documentation review

Ready to fix your Primary Care billing?

Get a free revenue cycle assessment — we'll show you exactly where the gaps are and what it would take to fix them.

Get a Free Assessment