primary care billing services
Billing for primary care and internal medicine
Family medicine and internal medicine are mostly office visits, a short list of procedures, and a long relationship with the same patients. The billing has to keep up with that without a billing department in the back.
The work in a primary care month
Established and new patient visits, Medicare annual wellness visits, immunizations, and the labs you draw in the office. Chronic problems — diabetes, hypertension, hypothyroidism — show up on almost every note. The diagnosis list has to match what was addressed, and the visit level has to match the note, not last year’s habit.
Preventive visits and problem visits on the same day are a common denial. We code them only when the note separates the two and the payer’s rules allow it. If the note does not, we ask before we file.
Payers small-town practices actually have
Medicare, one or two Medicare Advantage plans, a state Medicaid plan, and a commercial payer that covers the local employer. That mix is manageable if eligibility is checked and if Medicare wellness visits are not billed as ordinary office visits.
We report clean-claim rate, denial rate, days in accounts receivable, and collections. The people reading the report are the physician and the office manager, so it stays on one page.
What we will not pretend
We will not promise a collection rate before we see your charges, payments and denial rate. That is what the free billing health check is for. Bring totals. Do not bring patient names.
See what your billing is leaving behind
Share monthly totals. We will tell you where the gaps are. No patient information.