Family Medicine Billing
Comprehensive solutions tailored for primary care providers.
About Family Medicine Billing
Family medicine practices see a wide range of services — preventive visits, chronic disease management, acute care, and minor procedures — each with its own coding rules and payer requirements. A billing team that handles only high-volume specialty claims will miss the nuances that cost primary care practices money.
We specialize in the coding and documentation requirements unique to family medicine, including E/M leveling, preventive visit coding, and in-office procedure billing.
What's Included
- E/M level coding (2021 guidelines)
- Preventive visit billing
- Chronic care management (CCM) coding
- Annual wellness visit coding
- In-office procedure billing
- Vaccine administration billing
- G-code and quality measure reporting
- FQHC and RHC billing
- Coordination of care coding
- Split/shared visit billing
How We Do It
- Review encounter documentation for E/M level support under 2021 MDM guidelines.
- Identify all billable services including preventive care and procedures performed same-day.
- Code chronic disease management and CCM services accurately.
- Submit claims with correct preventive vs. diagnostic visit modifiers to prevent patient balance surprises.
- Follow up on E/M level downcodes and appeal with documentation.
- Report E/M distribution trends monthly to identify documentation improvement opportunities.
Common Questions
Do you code using the 2021 E/M guidelines?
Yes. All E/M coding is performed under the current AMA 2021 guidelines based on medical decision making or total time.
Can you bill for chronic care management (CCM) services?
Yes. We handle CCM billing for qualifying Medicare patients, including time documentation and care plan requirements.
Related Services
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