Family Medicine Billing Services
At Family Medicine Billing Services, we help family medicine practices streamline their billing process, ensuring accurate claims, reduced denials, and maximized reimbursements. Family medicine covers a wide range of services, from routine checkups to chronic disease management, making precise CPT coding, insurance claim submissions, and compliance essential for a steady cash flow.
We specialize in RCM, insurance verification, coding, and claims follow-up, allowing you to focus on patient care while we handle the complexities of medical billing. Whether you’re an independent provider or part of a group practice, our tailored solutions keep your revenue cycle running smoothly.
Family Practice Billing Services
CPT & ICD-10 Code Optimization
We ensure accurate coding using CPT codes for common family medicine procedures such as 99213 (office visit, established patient) and 99396 (preventive care exam, adult), along with precise ICD-10 codes for conditions like hypertension (I10) and diabetes (E11.9).
Claim Submission & Denial Management
We manage both electronic and paper claim submissions, ensuring compliance with CMS guidelines and payer-specific requirements. If claims are denied, our team promptly reviews EOBs (Explanation of Benefits) and resubmits corrected claims to minimize revenue loss.
Insurance Verification & Eligibility Checks
Before appointments, we verify patient insurance eligibility with payers such as Medicare, Medicaid, and private insurers, reducing claim rejections due to coverage issues.
Revenue Cycle Management (RCM) for Family Physicians
We optimize your revenue cycle by managing patient collections, AR follow-ups, and payment posting. Our systematic approach ensures steady cash flow for your practice.
Compliance & Regulatory Support
We ensure full compliance with HIPAA, CMS, and MACRA/MIPS guidelines to protect patient data and help you qualify for value-based reimbursement programs.
Credentialing & Contracting
Our team assists with provider credentialing and payer enrollment, ensuring your practice is contracted with leading insurance carriers to expand your patient base.
Why Choose Our Family Medicine Billing Services?
Specialized in Family Medicine
Our billing processes align with the diverse services offered in family medicine, from routine checkups to chronic care management.
Maximized Reimbursements
We reduce claim denials by ensuring precise coding and adherence to payer policies.
Dedicated Billing Experts
Our team stays updated on the latest CPT and ICD-10 coding changes, payer policies, and reimbursement guidelines.
Real-Time Support
Gain instant access to financial insights with detailed reports that track revenue performance and highlight areas for improvement.
Pediatrics Billing Services Challenges
01
Accurate Coding for Family Medicine Services
Proper CPT and ICD-10 coding is essential for family medicine, covering preventive care (CPT 99396, 99386), chronic disease management (CPT 99490), and sick visits (CPT 99213, 99214). Errors in coding conditions like hypertension (ICD-10 I10) or type 2 diabetes (ICD-10 E11.9) can result in claim denials and underpayments.
02
Modifier Usage for Office Visits and Procedures
Using correct modifiers, such as modifier 25 for separately identifiable E/M services or modifier 59 for distinct procedural services, is critical for accurate insurance reimbursement. Incorrect modifier usage leads to claim rejections and payment reductions for combined services like sick visits and immunizations.
03
Compliance with Medicare, HIPAA & Value-Based Programs
Family medicine billing must align with HIPAA, CMS, and MACRA/MIPS guidelines. Incorrect documentation for E/M coding, chronic care management, and telemedicine services can lead to payer audits and financial penalties.
04
Insurance Eligibility & Prior Authorization
Family medicine providers frequently face insurance verification issues, particularly for preventive screenings, chronic care services, and diagnostic tests. Prior authorizations for procedures like imaging (CPT 77080 for bone density tests) or minor surgeries (CPT 17110 for lesion removal) can create delays in treatment and payment bottlenecks.
05
High Claim Denial & Rejection Rates
Errors in medical claim submissions, including missing documentation, incorrect diagnosis-to-procedure code mapping, and payer-specific coding guidelines, contribute to high denial rates. Without efficient denial management and appeals, practices risk revenue loss and delayed payments.
Leadership Team
Co-Founder
Dimitar Talevski
Dimitar is a seasoned marketing specialist and the visionary behind CLICKVISION. With over 10 years in digital marketing, he excels in crafting marketing strategies that boost rankings, which in return increase leads, conversions, sales, profits, and ROI.
Co-Founder
Filip Dimitrijevski
With a strong background in the marketing industry and healthcare leadership roles, Filip is responsible for CLICKVISIONBPO’s sales strategies and onboarding new clients. With a passion for sharing insights gained from his experience, he also shares valuable knowledge through industry related articles.
Frequently Asked Questions
Family medicine providers frequently use CPT codes like 99213 and 99214 for office visits, 99396 for adult preventive exams, and 99490 for chronic care management. Accurate coding is essential to prevent claim denials and ensure proper reimbursement.
We optimize every step of the revenue cycle, from coding and claim submission to payment posting and AR follow-ups. Our services help reduce denials, speed up reimbursements, and improve cash flow for your practice.
Common reasons for pediatric claim denials include incorrect coding for procedures like immunizations, well-child exams, or pediatric specialty consultations. Additionally, failing to verify insurance eligibility beforehand, missing modifiers, and incomplete documentation can all lead to denials. Our Pediatric Billing Services focus on minimizing these issues by ensuring claims are submitted accurately and in compliance with payer guidelines.
Our family medicine billing services ensure accurate coding, faster claim submissions, and efficient family practice billing services, improving reimbursements and reducing denials.
