From wellness visits to chronic care management, primary care billing has its own complexity. We understand the codes, the payer rules, and the strategies to optimize your reimbursements.
From annual wellness visits to chronic care management, primary care billing requires specialized knowledge. Here's what you're dealing with.
AWV coding requires precise documentation. Incorrect billing leads to audits and lost revenue on these high-value encounters.
CCM, TCM, and Principal Care Management codes have strict requirements. Proper billing can add significant revenue.
Medical decision-making vs. time-based coding — selecting the right E/M level is critical for appropriate reimbursement.
Telehealth rules continue to evolve. Staying current on modifiers, place of service, and eligible services is essential.
Differentiating between preventive visits and problem-oriented visits requires careful documentation and coding.
Quality metrics, HCC coding, and risk adjustment documentation impact your value-based contracts.
We understand the unique billing requirements of primary care — from wellness visits to chronic care management. Our team optimizes every encounter.
We ensure proper AWV coding and documentation, capturing all eligible services and health risk assessments.
We help you properly bill CCM, TCM, and PCM services to capture additional revenue from care coordination.
We ensure proper E/M level selection based on medical decision-making or time, maximizing legitimate reimbursement.
We help you navigate telehealth billing rules and ensure proper coding for virtual visits.
Average Annual Recovery
First-Pass Rate
More AWV Revenue
CCM Revenue Increase
"We were leaving significant money on the table with our annual wellness visits and chronic care management. DoctorBilling.ai helped us capture an additional $89,000 in the first year. Their expertise in primary care billing is unmatched."
— MD, Solo Primary Care Practice
Common questions about primary care billing and how we help practices.
Book a free primary care revenue audit. We'll review your current billing operations and show you exactly where you're leaving money on the table. No commitment, no obligation.