Physician Billing
Charge entry through payment posting for independent physicians and group practices.
About Physician BillingPrimary Care billing and coding
Primary care runs on many low-dollar claims, so small error rates add up quickly. We keep the volume moving and pay close attention to the rules specific to preventive and ongoing care.
Billing challenges in primary care
Preventive and problem visits on one day
Billing both requires clear documentation and the right modifier, or one of them may be denied.
Medicare wellness visits
Annual wellness visits (G0438, G0439) differ from a routine physical, and patients are often unsure what is covered.
Care-management services
Chronic care (99490) and transitional care (99495, 99496) have consent, time and timing requirements that need tracking.
Vaccines
Product and administration codes must match, and requirements can differ by payer and program.
Codes we commonly review
These are examples, not a full list. Coverage and coding rules vary by payer, so each claim is checked against the current rules and your documentation.
- 99202–99215 office visits
- 99381–99397 preventive medicine
- G0438 / G0439 annual wellness
- 99490 chronic care management
- 99495 / 99496 transitional care
Services that often help
Medical Coding
Accurate CPT, ICD-10-CM and HCPCS coding, with audits that show where to improve.
About Medical CodingCoverage Discovery
Find active coverage on self-pay accounts and catch eligibility issues before the visit.
About Coverage DiscoveryGet a second look at your primary care billing
Share a few details about your practice. We will review them and call you within one business day.