Specialty billing
Family Practice Medical Billing Across Every Age Group
Preventive and problem visits, chronic care management and the modifier discipline primary care depends on.
The challenge
What makes family practice billing different
Family practice bills a wider range of services than almost any other specialty, and it does so at a lower value per encounter. A single morning can include a Medicare annual wellness visit, a pediatric immunisation, a chronic disease follow-up and an acute injury. Each carries different documentation requirements and a different set of ways to lose the claim.
The biggest recoverable opportunity in most family practices is not a missing service line. It is systematic under-leveling: providers defaulting to a mid-level E/M code on visits where the documented medical decision making clearly supports more.
Why us
Why primary care practices work with us
Specialty billing is not a marketing label for us. Coders and A/R staff are assigned by specialty, so the person on your account reads notes like yours every day.
Get a free assessment- E/M leveling reviewed against current guidelines rather than long-standing habit
- Preventive and problem visits on the same day billed correctly instead of avoided
- Chronic care and remote monitoring revenue captured where it is already being delivered
- Annual wellness visits distinguished cleanly from routine physicals
Scope of work
What we handle for family practices
The work below is specific to this specialty, not a generic billing checklist with the name swapped out.
Annual wellness visits
Medicare AWV coded distinctly from a commercial preventive physical, with the required elements verified.
E/M leveling review
Visit levels assessed against documented medical decision making or total time under current rules.
Same-day preventive and problem
Both services captured with correct modifier use when a separate problem is addressed.
Chronic care management
CCM, principal care and remote monitoring programs billed against documented time and consent.
Immunisations across all ages
Vaccine products and administration coded together for pediatric through geriatric patients.
Transitional care management
Post-discharge management captured within the contact and visit timeframes it requires.
The Right Way difference
What we watch on primary care claims
These are the details that separate a paid claim from an appealed one in family practice. They are checked on every claim, not sampled.
- 01 Whether documented medical decision making supports a higher level than the provider habitually selects
- 02 The distinction between a Medicare annual wellness visit and a commercial preventive physical
- 03 Consent, care plan and documented time requirements for chronic care management programs
- 04 Modifier use when a preventive visit and a problem visit occur in the same encounter
- 05 Transitional care management contact timing, which is easy to miss and unrecoverable once passed
0+
Years running revenue cycles for physician practices
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Providers billed for across every specialty we serve
0%
First-pass clean claim rate
0 days
Median days in accounts receivable
Questions
Family Practice billing questions
What practices in this specialty ask us most often before making a change.
Ask us something elseA baseline audit answers it directly. We sample recent encounters, level them independently against the documentation, and show you the distribution alongside specialty benchmarks. It is usually the fastest revenue finding in primary care.
For most primary care panels with a meaningful chronic disease population, yes, provided the time tracking and consent are handled systematically. Where practices lose money on it is doing the clinical work without the documentation to bill it.
Yes, and the distinction matters. Medicare wellness visits, commercial preventive physicals and problem-oriented visits each have separate rules, and treating them interchangeably is a common source of denials.
How it works
Getting started takes about a month
The same four steps whichever specialty you are in. No system migration and no gap in your cash flow.
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01
Revenue assessment
We audit a sample of your claims, denials and aged A/R and show you what we found. Free, and yours to keep either way.
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02
Scope and agreement
A written scope covering exactly which services we run, what it costs and what we are accountable for.
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03
Access and onboarding
We set up inside your existing EHR and clearinghouse. Two to four weeks, run in parallel with your current process.
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04
Live and reporting
We take over submission and follow-up, and you get monthly reporting you can actually act on.
Free consultation
Let us look at your family practice claims
Send us a sample and we will tell you specifically what is being coded, denied or under-paid — and what it is worth to fix. Free, and yours to keep.