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Primary Care billing

Primary care billing that captures every visit's full value

High visit volume means small errors add up quickly. We make sure E/M levels, preventive services, chronic care management, and quality measures are all captured and paid.

Primary care physician talking with a patient

The problem

Where primary care practices lose money

  • E/M level accuracy under 2021+ guidelines
  • Preventive + problem-oriented same-day visits
  • CCM, RPM, and TCM program billing
  • Value-based and quality reporting

How we handle it

What we put in place

E/M optimization

Coding audits make sure levels match documentation, with no under- or over-coding.

Care management billing

CCM, PCM, RPM, and TCM programs billed correctly every month.

Preventive capture

Annual wellness visits and screenings captured and coded correctly.

Quality reporting

MIPS and HEDIS gap support.

Workflow

How a primary care claim moves through our team

  1. 01Eligibility
  2. 02Visit coding
  3. 03Scrub & submit
  4. 04Follow-up
  5. 05Posting
  6. 06KPI reporting

Client example

Family medicine group, 9 providers

The situation. Annual wellness visits and chronic care management were being missed or under-coded.

What we did. Coders flagged eligible AWV and CCM services and fixed preventive-plus-problem visit coding.

annual revenue
+$310K
first-pass
96%
days in AR
27

Client details anonymized. Results vary by practice.

Find out what your billing is really costing you

Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.

We sign a BAA before any patient data changes hands.