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For family medicine, internal medicine and pediatrics
Primary care billing that captures every visit.
Billing, coding review, denial follow-up and credentialing for family medicine, internal medicine and pediatric practices. Preventive visits, chronic care, wellness visits and same-day sick visits, billed so they get paid.
- HIPAA BAA signed first
- Works in eClinicalWorks, athenahealth and more
- No setup fee
A full schedule, and nothing left unbilled.
Primary care runs on volume. A small denial rate across hundreds of visits a month is a lot of money, and so are the services that never make it onto a claim.
Get a free claims reviewCoverage checked before every visit
Active coverage, PCP assignment and preventive benefits confirmed before the patient arrives.
Revenue you earned, captured
Wellness visits, chronic care and add-on services billed whenever your notes support them.
Fewer denials on busy days
Same-day visits, secondary coverage and plan rules handled before the claim goes out.
A report your whole team can read
Billed, paid, outstanding, and what we are doing about it, every month.
Everything between the visit and the deposit
Your front desk keeps seeing patients. We take the eligibility, claims and follow-up work off their plate.
Eligibility before every visit
Active coverage, PCP assignment, copays and preventive benefits verified before the patient arrives.
Coding review
Visit levels checked against time or medical decision-making, with same-day preventive and problem visits billed correctly.
Medicare programs
Annual wellness visits, chronic care management, transitional care and add-on codes billed when your notes support them.
Payment posting and balances
Every ERA posted, underpayments against your fee schedule flagged, patient statements kept accurate.
Denials and appeals
Modifier, bundling, coordination-of-benefits and coverage denials worked and resubmitted before deadlines.
Credentialing
New providers enrolled with Medicare, Medicaid and commercial plans, plus CAQH and revalidations.
Four causes behind most lost revenue
Fix the cause, and the same problem stops coming back.
Same-day preventive and problem visits
When a patient comes in for a physical and raises a new problem, both can be billed, but only when the note separates the two and the claim says so. Without it, the problem visit is denied.
Coverage and secondary insurance
Patients change plans or have secondary coverage nobody updated. Claims go to the wrong payer and bounce.
Services the plan doesn’t cover
Preventive frequency limits, lab and vaccine coverage rules differ by plan. Missing them means surprise patient balances and write-offs.
Revenue that never gets billed
Wellness visits, chronic care management and longitudinal care add-ons are often left off claims. They aren’t denials, but they’re still lost revenue.
Two more ways we take work off your plate
Growing primary care practices hit the same two walls: new providers waiting on insurance panels, and a front desk that can’t keep up with phones and insurance checks.
New provider? We get them in-network.
Every week a new provider waits on credentialing is a week of visits you can’t bill in-network. We handle it from start to finish.
- CAQH, Medicare and Medicaid enrollment
- Applications to the commercial plans your patients use
- Follow-up with every payer every two weeks
Phones ringing off the hook?
A HIPAA-trained assistant schedules visits, checks insurance and routes referral and refill requests, inside your systems.
- Scheduling, reminders and same-day openings
- Eligibility and PCP assignment checks
- Referral, records and refill request routing
Dozens of visit types a day. Each one billed by its own rules.
Primary care sees a wide mix of visits in a day: preventive, sick, follow-up, procedures, vaccines and labs. Each has its own coding and coverage rules, and front desks rarely have time to check them all.
We work inside your EHR, with hands-on experience in eClinicalWorks and athenahealth, and take the eligibility, claims and follow-up work off your staff.
- Coverage checked before every visitActive coverage, PCP assignment and preventive benefits confirmed.
- Same-day visits billed rightPhysicals and sick visits both captured when the note supports it.
- Nothing left off the claimWellness, chronic care and add-on services billed when documented.
Who we work with
Independent practices, groups and clinics.
Visits we capture
The visit types most often under-billed or left off claims.
Switching takes about two weeks
No new software and no gap in claims. You keep seeing patients while we set up.
Free claims review
We look at your denied and unpaid claims and show you what is recoverable, in 3 business days.
BAA and access
We sign a Business Associate Agreement, then get user access to your EHR and clearinghouse.
Clean-up and setup
We work the open AR, fix payer setup issues and confirm your fee schedules.
Claims go out daily
Claims, payments and follow-up run every day, with a report you can read each month.
Primary care billing questions
Still unsure? Email info@carerevenuemanagement.com or call (850) 515-4548.
When can we bill a sick visit on the same day as a physical?
When the patient raises a new or worsening problem that needs significant, separate work beyond the preventive exam. The problem visit is billed with modifier 25, and your note should clearly separate the two.
What is G2211 and should we be billing it?
G2211 is a Medicare add-on code for the ongoing, longitudinal care that primary care provides. It’s added to office visits when you’re the continuing focal point of the patient’s care. Many practices still leave it off claims.
Do you handle Medicare annual wellness visits?
Yes. We check eligibility for the initial or subsequent AWV before the visit, so you don’t bill one the patient isn’t eligible for yet.
Do you work in eClinicalWorks and athenahealth?
Yes, both. We’ll also work in other systems your practice uses.
Can you bill for an FQHC or rural health clinic?
Yes. FQHC and RHC billing has its own payment rules and encounter-based claims, and we have hands-on FQHC experience.
See what your practice is owed
Send us a few details. We’ll review your denied and unpaid claims and show you what’s recoverable, free, in 3 business days.