General Practice Medical Billing Services You Can Trust for Every Claim

Managing a general practice today is complex. From preventive care to chronic care management, family medicine providers face increasing administrative burdens, coding complexities, and billing errors that can quietly erode revenue and patient trust.

Our general practice medical billing services streamline every step of your revenue cycle so you can focus on patient care while we optimize collections.

98%

Clean-claim rate

<24h

Claim submission

15–30%

Revenue lift

35%

Fewer denials

General Practice Billing Solutions

We provide full-spectrum primary care revenue cycle management (RCM) tailored for family medicine, outpatient primary care, and general physician practices.

Family Medicine Billing & Coding

Accurate handling of preventive visits, chronic care, telehealth, and annual wellness exams.

Claim Submission & Scrubbing

AI-assisted claim scrubbing ensures first-pass clean claims ≥97%, reducing denials and improving collections.

Eligibility & Benefits Verification

Automated verification prevents claim rejections and ensures accurate patient billing.

Payment Posting & Reconciliation

Automated, transparent posting reduces A/R days to 20–30.

Denial Management & Appeals

Predictive analytics track common denials, such as bundling errors, missing modifiers, and time-based errors.

Telehealth & Virtual Care Billing

Accurate coding for CPT 99212–99215, G2010, G2012, and audio-only visits under CY 2025 telehealth flexibilities.

Compliance & Audit Readiness

Aligned with HIPAA, HITECH, MACRA, MIPS, and payer-specific LCDs.

Reporting & Analytics

Real-time dashboards monitor MIPS/QPP performance, HCC coding, preventive care compliance, and value-based care metrics.

Don’t let another rejected claim slow your cash flow.

Critical Challenges Facing Physicians And How RCM Solves Them

Physicians’ challenges extend beyond revenue. Our primary care revenue cycle management (RCM) solutions tackle operational, financial, and compliance pressures.

Financial Instability

Challenge:	Value-based payment models (MIPS/QPP) and payer rule changes often leave primary care providers underpaid, even when delivering quality care.
Solution:	Code-level validation before claim creation LCD/NCD-based medical necessity checks for HCC screening & chronic hepatitis Modifier accuracy for bilateral, repeat, and ultrasound-guided procedures (e.g., 76942) Real-time scrubbers for bundling/CCI edits

Accountability Without Control

Challenge:	Outsourcing billing doesn’t mean losing oversight. Our primary care billing outsourcing solutions ensure complete transparency, weekly reporting, and dedicated account management.
Solution:	Transparent weekly performance reports Real-time denial, A/R, and collection dashboards One dedicated account manager Daily claim status updates Full audit trails for every action taken

Operational Disruption

Challenge:	Complex EHR documentation, telehealth workflows, and regulatory reporting overwhelm staff.
Solution:	Our EHR-integrated general practice billing solutions simplify operations: Automating charge capture and claim scrubbing Integrating HL7/FHIR and 600+ EHR/EMR platforms Using RPA bots for real-time claim status updates

Reimbursement Volatility

Challenge:	Policy & Reimbursement Volatility
Solution:	We keep your hepatology practice compliant with: CMS CY 2025 Physician Fee Schedule No Surprises Act GFE compliance Multi-payer rules for Medicare, Medicaid, BCBS, Aetna, UHC, Humana, Cigna

High-Risk CPT Codes & Denial Patterns

Even minor errors can lead to lost revenue. Common CPT challenges for general practitioners include:

Category	CPT Codes	Common Issues
E/M Visits	99202–99215	Level-of-service errors
Preventive Exams	99381–99397	Documentation overlap
Chronic Care Management	99490–99491	Time tracking errors
Transitional Care	99495–99496	Missed follow-up
Annual Wellness Visits	G0438–G0439	Modifier misuse
Telehealth	99212–99215, G2010	POS & coverage confusion

Frequent Denials:

CO-16

Missing info

CO-29

Filing expired

CO-97

Bundled

CO-109

Not covered

PR-204

Plan exclusion

We resolve these through AI claim scrubbing and human auditing, ensuring claims pass clean the first time.

Our Process: Transparency That Builds Trust

Comprehensive Audit:

Identify lost revenue, coding gaps, and workflow inefficiencies.

Execution by Experts:

500+ certified U.S. coders handle claims with AI-assisted tools.

Customized RCM Strategy:

Align billing processes with your practice workflow and patient care model.

Real-Time Monitoring:

Dashboards show denials, collections, and performance metrics weekly.

Continuous Improvement:

Workflow optimization, updated coding guidelines, and regulatory compliance updates.

Dedicated Account Manager:

You’ll have a single point of contact ensuring smooth communication.

Our Goal

Reduce overhead by 50% and see up to 20% revenue uplift, all handled by our certified billing experts.

Frequently Asked Questions (FAQs)

What are the best practices for primary care billing and coding?

Accurate documentation, correct CPT/ICD-10 usage, and proper modifier application make all the difference. Getting these right helps prevent denials and keeps your revenue cycle healthy.

How does outsourcing medical billing help general practitioners?

It frees you and your staff from billing stress. Our team handles coding, claim submissions, and follow-ups so you can spend more time with patients and less on paperwork.

How can I improve revenue cycle performance for my family medicine practice?

Focus on automation, clean claims, and consistent follow-up. We help practices achieve a 95%+ clean claim rate and faster reimbursements with real-time reporting.

How do you handle coding for chronic care management?

Our certified coders follow CMS guidelines for CCM codes (99490–99489) and document time-based care accurately, ensuring you’re paid for the care you deliver.

What should I know about Medicare annual wellness visit billing for 2025?

Use G0438 for a patient’s first visit and G0439 for subsequent ones. We ensure your documentation supports compliance, so every visit is reimbursed.

Can your billing services work with my EHR system?

Absolutely. We smoothly integrate with 600+ EHR/EMR platforms, including Epic, Allscripts, and eClinicalWorks, with no system switch required.

How can I reduce claim denials in my primary care practice?

We prevent denials before they happen with eligibility checks, AI-powered claim scrubbing, and precise modifier use for preventive and problem-oriented visits.

93%+ Collection Ratio Is Just One Step Away!

Your patients deserve your full attention, and your practice deserves every dollar it earns. With our expert general practice medical billing services, 95%+ clean claims, and AI-driven automation, you can minimize denials, increase reimbursements, and reclaim hours of your time.