Billing for family medicine is not general billing with a different code set. Evaluation and management levels, chronic care management, and annual wellness visits that each have their own requirements.
The broadest payer mix of any specialty, which makes a single internal billing rule the most dangerous simplification available.
At a glance
What drives the coding
Evaluation and management levels, chronic care management, and annual wellness visits that each have their own requirements.
What drives the payer behavior
The broadest payer mix of any specialty, which makes a single internal billing rule the most dangerous simplification available.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where family medicine claims actually fail
- Wellness visit billed with a problem visit unsupported
- Chronic care management time not documented
- E/M level unsupported by the note
How we work it
We code from what your record documents and query you when it does not support a code, which in family medicine is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current family medicine denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Family Medicine — Frequently Asked Questions
Do you have coders who know family medicine?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — evaluation and management levels, chronic care management, and annual wellness visits that each have their own requirements.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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