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Elevate your primary care practice with expert billing solutions designed for the diverse services you provide, from routine check-ups and preventive care to chronic disease management. Focus on comprehensive patient care while we manage your primary care medical billing, including accurate primary care coding (utilizing CPT, ICD-10, and HCPCS codes) and efficient primary care claims management.
Primary care practices are the frontline of healthcare, involving a broad spectrum of services—from annual physicals and immunizations to acute care visits and managing multiple chronic conditions. Our specialized approach ensures accurate coding, minimizes claim denials (a common issue, often cited in job descriptions for medical billers), and keeps your primary care practice billing efficient and your revenue cycle management robust.
Managing high volumes of E/M visits, preventive services, and chronic care codes can overwhelm standard billing systems.
Recruiting billing staff well-versed in E/M level selection and preventive CPT codes is critical for primary care RCM success.
Incorrect E/M code selection can lead to significant revenue leakage and increased audit risk.
Co-pays and deductibles for routine visits must be tracked accurately to maintain positive cash flow.
Patients with high-deductible plans require precise benefit verification to minimize claim denials.
Denials for insufficient documentation or modifier errors demand prompt, specialized follow-up.
Make sure your practice remains compliant with specialized primary care coding requirements (CPT, ICD-10). Our audits meticulously review coding for various services, identifying discrepancies and ensuring accurate reimbursement while adhering to HIPAA.
Improve your primary care billing process with our targeted claims submission and scrubbing services, utilizing clearinghouses for efficient transmission. We identify errors before claims leave your system, reducing denials and guaranteeing ensuring every service is billed correctly.
Simplify charge entry for multifaceted oncology services, from infusion therapies to diagnostic imaging. Our processes capture every detail, making certain each charge is correctly recorded and billed on time to optimize your revenue cycle management.
Efficiently post payments (including Electronic Remittance Advice – ERA and Explanation of Benefits – EOB) for all primary care services. Our streamlined process reconciles payments quickly, enhancing your overall revenue cycle management.
Utilize our specialized process for managing and appealing denied primary care claims, addressing Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs). We review claim denials, address coding errors, and promptly resubmit claims to secure every dollar owed.
Optimize your collections with proactive accounts receivable management and follow-up on aging AR. Our systems reduce outstanding balances and ensure patient accounts are managed efficiently, supporting your practice’s cash flow.
Net Collection Rate
of A/R Less than 30 days
Clean Claims on First Submission
Increase in Practice Collection
or Less Initial Denial Rate
Deliver valuable insights and training to help your staff better manage claims, post payments and. develop standard operating procedures.
Provide fully customized consulting services to medical providers that include medical billing, coding, credentialing, and practice management analytical that help profitability.
Get expert support to navigate the complex process involved in enrolment and credentialing, all at an affordable cost.
Entrust us with your billing complexities so you can devote your energy to patient wellness. Our expert RCM services promise a smooth revenue cycle and maximized reimbursements.