Specialties / Primary Care / Medical Billing & RCM

Primary Care · Medical Billing & RCM

Full-Cycle RCM for Primary Care Practices

Revenue cycle management built around E/M coding accuracy and CCM/AWV capture at high claim volume.

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Provider-Level
E/M Coding Accuracy
CCM/AWV
Revenue Capture Built In
94%
Target Clean Claim Rate

Primary care sees the highest claim volume of any specialty, which means small per-claim inefficiencies compound fast. We run full-cycle RCM built around what actually moves the needle for primary care specifically — provider-level E/M coding accuracy, systematic CCM/AWV billing capture, and denial tracking at the volume primary care practices actually generate.

What Matters Here

Why primary care needs this differently

E/M coding variance is the single biggest lever at this volume

A small, consistent undercoding pattern across thousands of annual visits adds up to real revenue lost, more than almost any other single fix.

CCM and AWV billing requires systematic patient tracking

Capturing this revenue reliably takes a dedicated identification and tracking process, not an occasional reminder to front-desk staff.

Denial patterns at high volume need automated flagging

Manually reviewing denials one by one doesn't scale at primary care's claim volume — patterns need to be caught systematically.

What's Included

Medical Billing & RCM, built for primary care.

A dedicated implementation team and full transparency through your client portal — the same standard as everything else we run, tailored to how primary care practices actually operate.

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Provider-level E/M coding audits and standardization
AWV billing (G0438/G0439) with separate E/M capture where appropriate
Chronic Care Management (CCM) program billing infrastructure and patient tracking
High-volume claim scrubbing and electronic submission
Denial rate tracking by provider and CPT code at volume
Clean claim rate and AR days reporting calibrated to primary care claim volume

More for Primary Care

Call Center Support for Primary Care Practices

High-volume scheduling, CCM/AWV outreach, and triage support sized to your patient panel.

Credentialing for Primary Care Providers

Enrollment across every commercial payer, Medicare, and Medicaid — sized for a solo provider or a growing panel.

Back-Office Support for Primary Care Practices

Claims processing and administrative support sized to primary care's high patient volume.

Medical Billing & RCM for Other Specialties

Behavioral Health

End-to-end revenue cycle management built around MBHO carve-outs, session limits, and parity-related denial patterns.

Cardiology

Revenue cycle management built around prior authorization volume, modifier 26 compliance, and device billing.

Multi-Specialty Groups

One revenue cycle operation with the coding depth to handle every specialty under your roof correctly.

Labs & Diagnostics

Revenue cycle management built around PAMA reporting, LCD compliance, and ABN discipline — not standard physician billing.

Ready to get started?

A free revenue cycle assessment — you'll get a written breakdown of where the gaps are, whether or not you move forward with us.

Get a Free Assessment