Family Practices
Clean Claim Rate
Revenue Recovered
Claim Submission
Family practice billing covers the broadest range of CPT codes in medicine. On any given day, a family physician might see a newborn for a well-child visit, manage diabetes in a middle-aged patient, perform a skin biopsy, and treat an acute ankle sprain. Each of these encounters follows different coding and billing rules.
We handle family practice billing with workflows that accommodate this diversity. From pediatric preventive codes to geriatric chronic care management, from minor office procedures to transitional care management, our team captures revenue across every service your practice provides.
Every Family Practice billing team deals with payer delays, coding nuance, and collection leakage. We tighten those weak points before they turn into write-offs.
Family physicians use a wider range of CPT codes than any other specialty. E/M visits, preventive care, minor procedures, behavioral health screening, and chronic disease management all occur under one roof with different coding rules.
When a wellness exam identifies a new medical problem, both the preventive code and the E/M code can be billed with modifier 25. But documentation must clearly separate the two components, or payers deny the secondary charge.
Skin biopsies, lesion destruction, joint injections, and wound care performed in the family practice office are frequently not billed because staff do not recognize them as separately billable procedures.
Family practices serve patients from birth through geriatrics, spanning Medicaid (pediatric), commercial (working adults), and Medicare (elderly). Each payer segment has different rules, fee schedules, and prior authorization requirements.
Support spans the full revenue cycle, from front-end verification to denial recovery and reporting.
Comprehensive E/M coding across all visit types
Preventive care and wellness visit billing (all age groups)
Minor procedure charge capture (biopsies, injections, wound care)
Chronic care management (CCM) and transitional care (TCM) billing
Multi-payer claim routing (Medicaid, commercial, Medicare)
MIPS quality reporting and value-based payment compliance
We support independent practices, multisite groups, and growing provider organizations with flexible workflows.
Independent physician groups
Multi-location practices
Private equity backed platforms
Hospital-owned outpatient groups
Family practice billing covers the broadest range of CPT codes in medicine. On any given day, a family physician might see a newborn for a well-child visit, manage diabetes in a middle-aged patient, perform a skin biopsy, and treat an acute ankle sprain. Each of these encounters follows different coding and billing rules.
We handle family practice billing with workflows that accommodate this diversity. From pediatric preventive codes to geriatric chronic care management, from minor office procedures to transitional care management, our team captures revenue across every service your practice provides.
Answers to the questions practice owners and managers ask most often before switching billing partners.
We use visit-type-specific coding workflows. Preventive visits, acute visits, chronic disease management, and procedures each follow distinct coding protocols. Our coders are trained to recognize when a visit involves multiple components (preventive + problem, E/M + procedure) and apply the correct codes and modifiers.
The most commonly missed revenue comes from unbilled minor office procedures ($30,000 to $80,000 annually), uncaptured CCM and TCM services ($50,000 to $150,000), and systematic E/M downcoding ($20,000 to $60,000). We audit for all three during the first 60 days of engagement.
Yes. Depression screening (96127), alcohol and substance abuse screening (99408-99409), and developmental screening (96110) are billable services that family practices frequently perform but do not bill. We ensure these screening codes are captured when documentation supports them.
Medicare Annual Wellness Visits (G0438 for initial, G0439 for subsequent) require specific documentation including health risk assessment, cognitive screening, and personalized prevention plan. We ensure the visit documentation meets all requirements and that the AWV is not confused with a standard E/M preventive visit.
Yes. We bill for CLIA-waived tests performed in-office (glucose, HbA1c, rapid strep, urinalysis) and coordinate billing for reference lab sends. We verify your CLIA certificate covers the tests being performed and billed.
We maintain payer-specific coding rules and fee schedules for each payer in your practice's mix. Medicaid pediatric claims, commercial adult claims, and Medicare geriatric claims each follow distinct submission and follow-up protocols. We track performance by payer segment so you can identify which populations drive the most revenue and which require more attention.
The difference is operational discipline. We focus on clean submissions, fast follow-up, and transparency.
Get a revenue review and a clear action plan tailored to your practice, payers, and claim mix.