Family Medicine Billing

Why Family Medicine Billing Services Require Expert Management


Family​‍​‌‍​‍‌​‍​‌‍​‍‌ medicine is a practice that looks after patients of any age and offers services ranging from preventive exams to the management of chronic diseases. Billing Care Solutions takes care of the entire revenue cycle, starting from pre-billing assessments to the submission of claims, denial management, and reporting. We also check patient eligibility, make sure that charges are accurately recorded, and submit clean claims for office visits (CPT 99203–99215), wellness exams (CPT 99381–99397), and preventive screenings.

Our team is very active in following up on accounts receivable, solving denials, and putting into practice plans to get the most out of reimbursements, thus ensuring that there is a steady flow of cash. By managing billing in an effective manner, we allow your staff to be less occupied with administrative tasks and more with patient care. Your practice remains compliant with payer rules, lessens revenue leakage, and improves financial performance due to our proficiency; thus the business and clinical sides of your family medicine practice can function smoothly and ​‍​‌‍​‍‌​‍​‌‍​‍‌effectively.

Our Expertise in Family Medicine Billing

  • Comprehensive Coding Expertise: Proficient in using CPT, ICD-10, and HCPCS codes specifically designed for family medicine billing.
  • Navigating Payer Compliance: Extensive understanding of Medicare, Medicaid, and diverse private insurance protocols for effective claims management.
  • Optimizing Revenue Cycle Management: Leveraging data analytics to enhance financial performance and improve revenue recovery strategies.
  • Proficiency in Family Medicine Services: Expertise in addressing the intricacies involved in billing for comprehensive family medicine services and preventive care.
  • Streamlining Operational Workflows: Offering tailored solutions to simplify billing processes, reduce administrative burdens, and enhance overall accuracy.

Achieve Better Outcomes with Specialized Family
Medicine Billing Services

Performance Stats
Days in AR

< 25

Days in AR

Revenue Increase

40%

Revenue Increase

Denial & Rejection

< 5%

Denial & Rejection

Clean Claims Rate

99%

Clean Claims Rate

Client Retention

100%

Client Retention

What You Need to Know About Family Medicine Billing Services

We provide family medicine billing services that include a complete revenue cycle management package tailored to the needs of primary care practices. We cover accurate coding, proper documentation, and timely claim submission for preventive and wellness visits, chronic care management, acute sick visits, minor in-office procedures, and transitional care management. In addition, our team handles intricate payer rules, keeps track of claim status, and, hence, by issuing specialized appeals, deals with denial situations in a proactive manner. Family medicine practices, by the use of our services, can through billing being streamlined, reimbursement being improved and administrative burden being reduced, stay financially sound, optimize their revenue, and concentrate on making the best care available to their patients.

Explore More Specialties

Pre-billing Assessment

Analyze documentation to prevent errors before claims are submitted.

Patient Eligibility Verification

Confirm coverage and benefits for accurate billing.

Preventive and Wellness Visit Billing

Ensure every service provided is billed correctly.

Clean Claim Filing

Accurate coding for annual physicals, Medicare AWVs, and well-child visits across all age groups.

Denial and Rejection Management

Resolve denied claims quickly to secure timely payments.

Accounts Receivable Follow-up

Track outstanding balances and ensure prompt collection.

Family Medicine Billing

Why Choose Our
Family Medicine
Billing Solutions

We handle the billing challenges of family medicine practices, ensuring accurate claims, efficient reimbursements, and less administrative work so your team can focus on comprehensive patient care.

Behavioral Health Billing Illustration

Streamline Your Family Medicine Revenue Cycle with Billing Care Solutions

We specialize in managing comprehensive primary care coding, chronic care management, and preventive service billing to protect your practice's financial health.

 

Common Family Medicine Billing Challenges

Billing ChallengeBCS Solutions
Managing coding for combined preventive and problem-oriented visitsOur specialists ensure accurate CPT coding and modifier application for complex E/M services.
Navigating diagnosis coding for multiple chronic conditionsWe precisely apply ICD-10 codes for comprehensive patient care across all age groups.
Differentiating between routine physicals and Medicare Annual Wellness VisitsWe verify documentation requirements to properly code for various preventive service types.
Coding for in-office procedures and chronic care managementOur certified coders accurately bill for minor surgeries, care coordination, and remote monitoring.
Managing authorization processes for referrals and specialized testingWe streamline approvals for diagnostic imaging, specialist consultations, and advanced laboratory tests.

Delivering Nationwide Support for Family Medicine Practices

Family medicine practices handle a wide range of patient needs, from routine checkups to chronic care management. By handling coding, claim submission, and follow-ups, our billing staff lowers denials and expedites reimbursements. We handle these administrative tasks so your employees can concentrate on providing high-quality patient care while maintaining steady and predictable revenue.

Why Do Healthcare Professionals Choose BCS Medical Billing Services?

rapid -response-time-billing-care-solutions

24/7 Rapid Response Time

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Practice Health Plan

error-free-billing-billing-cares-solutions

Error Free Billing

fast-revenue-restoration-billing-care-solutions

Practice Health Audit

revenue-boost-billing-care-solutions

Constant Revenue Boost

45%
claims-submission-success-rate-billing-care-solutions

Claims Submission Success Rate

99%
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Fast Revenue Restoration

20 Days
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Free Consultantion Call

15 Minutes

Medicine Billing Codes for Accurate Reimbursement

Review key CPT and ICD-10 codes for family medicine. Accurate coding for office visits, preventive care, chronic disease management, and minor procedures ensures proper claims, compliance, and reimbursement.

CategoryCode (CPT / ICD-10)Description
New Patient VisitsCPT 99201–99205Comprehensive evaluation and management of new patients, documented for severity, history, and medical necessity.
Established Patient VisitsCPT 99212–99215Routine office visits, including chronic condition management and follow-up care, are documented for proper reimbursement.
Preventive CareCPT 99381–99397Annual wellness exams and preventive screenings are documented to ensure payer compliance.
ImmunizationsCPT 90460–90699Vaccination administration for children and adults, documented with vaccine type, dose, and patient consent.
Minor ProceduresCPT 10060–13160Laceration repair, skin procedures, and other minor interventions are documented for complexity and site.
Lab TestsCPT 80047–82962Common laboratory tests ordered in-office, with documentation supporting medical necessity and payer approval.
Chronic Disease ManagementCPT 99490–99495Ongoing management of conditions like diabetes or hypertension, documented for time, interventions, and follow-up.
Telehealth VisitsCPT 99201–99215 + 95Remote consultations and follow-ups, coded with modifier 95 and proper documentation.

Family Medicine Billing FAQ's

Which CPT codes are used for new patients? +

CPT 99201-99205 covers first-time evaluations. Documentation of history, exam, and treatment plan ensures correct reimbursement.

What is the proper way to bill follow-up visits? +

CPT 99212-99215 is used for established patients. Progress notes and interventions must be documented to align with claims requirements.

What are the codes that cover preventive care services? +

CPT 99381-99397 covers wellness exams and screenings. Documentation of counseling, labs, and immunizations ensures payer compliance.

Do you bill for minor procedures? +

Yes, CPT 10060-13160 covers laceration repair and other minor procedures. Proper documentation of site, complexity, and technique ensures reimbursement.

What ICD codes are used for family medicine? +

ICD-10 A00-Z99 covers acute and chronic conditions, preventive care, and wellness visits. Correct coding ensures claims are approved.

How are follow-up visits tracked for billing? +

We review appointments, lab results, and care updates to ensure proper coding, documentation, and payer compliance, maximizing reimbursements.

How are immunizations documented for reimbursement? +

CPT 90460–90699 covers vaccine administration. Documentation should include vaccine type, dose, lot number, administration date, and patient consent for claim approval.

What steps prevent claim denials? +

Careful coding, detailed documentation, obtaining pre-authorization, and following payer guidelines help avoid denials, speed up reimbursement, and reduce revenue loss.

Are preventive labs and screenings billed separately? +

Yes, CPT 80047–82962 or 36415 covers preventive laboratory tests. Proper documentation of medical necessity and patient evaluation ensures correct reimbursement.

What benefits come from outsourcing billing? +

Outsourcing reduces administrative workload, ensures coding accuracy, prevents denials, increases revenue, and allows clinicians to focus fully on patient care.

What Our Clients Say

Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.

Client Photo

Jennifer Aaron

Cardiologist, HeartCare Clinic

“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”

Client Photo

David Lieske

Chief Strategy Officer

“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”

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Linh Tran

Chief Finance Officer, My CHN

“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”

Client Photo

Ashley Sahakian

Owner, Express Wellness LLC

“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”

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Zahid Mehmood

Manager BD, CRM

“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”

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Melissa Renteria

CEO, Family Health Center

“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”

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Emily Kariuki

Owner, Home Health Agency

“Great service. Professional, friendly, people who get the job done. The best”

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Donna Taylor

Manager

“very professional and great customer service. Would highly recommend”

Client Photo

Judy Kariuki

Operations Coordination Manager

“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”