Family Practice Billing Services

A team of family practice billing experts with AAPC and AHIMA certifications drives us. They have first-hand experience with common and complex coding challenges for acute and chronic illnesses. Our team leverages this experience to facilitate seamless and error-free billing solutions encompassing ailments such as preventive care, routine check-ups, immunizations, and minor procedures. Here is how we assist you in simplifying the family practice billing process:

• Integrate digital systems such as electronic medical records (EMR), electronic health records (EHR), and electronic data interchange (EDI) into family practice-specific billing software integrated to facilitate seamless electronic claims processing.
• Verify patient information (registration number, SSN, medical history) and insurance information (name, address, history, coverage details, effective date, expiration date, fee structure), physician referral, etc., to ensure accurate claims documentation.
• Determine and process pre-authorization requests as needed before the family medicine practice completes a medical procedure.
• Accurately assign codes (CPT codes, ICD-10 codes, HCPCS Level II codes, E/M codes, modifiers, place of service codes, etc.) for the family practice services rendered to the patients.
• Adhere to regulatory guidelines and code specificity while working on multiple types of family practice billing models such as fee-for-service, capitation, bundled payment, value-based payment, etc.
• Validate claims before submitting them to the payers, including government programs (Medicare, Medicaid), private insurance companies (Blue Cross Blue Shield, Aetna, Cigna), Tricare, Self-Pay Patients, Managed Care Organizations (MCOs), and more.
• Obtain the EOB statement from the insurance payer to check for any discrepancies in the reimbursement value, address the same, and support the appeals process.
• Examine EOBs to generate a clear summary of patient copays, deductibles, and other out-of-pocket expenses.