Primary Care Billing Services
RevClinic360 delivers comprehensive primary care billing services designed to optimize revenue for family medicine, internal medicine, and general practice providers. Our coders are experts in Evaluation and Management (E/M) coding under the 2021+ MDM-based guidelines, chronic care management (CCM) billing, annual wellness visits (AWV), transitional care management (TCM), remote patient monitoring (RPM), and the full spectrum of preventive care and vaccination billing.
Primary care practices often operate on tight margins, making accurate billing essential for financial viability. Many practices leave significant revenue uncaptured — missed chronic care management charges, unbilled care coordination time, uncoded preventive services, and improper E/M level selection. Our team ensures that every billable service is captured: from straightforward office visits to complex multi-problem encounters, in-office procedures, screening services, immunization administration, and time-based care management codes.
- E/M visit coding optimized for 2021+ MDM-based guidelines (99202-99215) with proper documentation support.
- Chronic Care Management (99490, 99491) and Remote Patient Monitoring (99453-99458) coding and compliance.
- Annual Wellness Visit (G0438, G0439) billing with proper HRA documentation and personalized prevention plans.
We help primary care practices unlock revenue from services they are already providing but not billing for. Many providers spend significant time on care coordination, medication reconciliation, and chronic disease management but fail to capture these charges. Our team identifies CCM, TCM, and RPM billing opportunities, ensures proper time documentation, and manages the patient consent and enrollment requirements. We also optimize your preventive care billing to capture all covered screenings and counseling services.
Frequently Asked Questions
We review documentation against the 2021+ CMS guidelines using medical decision making (MDM) complexity — number and complexity of problems, data reviewed, and risk of management. We ensure proper level selection and identify cases where documentation supports a higher-level code.
Yes. We handle the complete workflow including patient consent documentation, time tracking setup, monthly billing cycle management, and compliance with CMS requirements for chronic care management (99490/99491) and remote patient monitoring (99453-99458).
We properly split visits when a preventive encounter also addresses a problem. The preventive service is billed with the appropriate code (99381-99397 or AWV), and the problem-oriented portion is billed separately with modifier -25 on the E/M code.
We bill both the vaccine product code and the administration code for every immunization given. We track VFC eligibility for pediatric vaccines, manage Medicare Part D vs. Part B coverage rules, and ensure proper lot number and manufacturer documentation.
We assist with quality measure documentation and reporting for MIPS/APM programs, helping your practice maximize quality bonuses and avoid payment penalties. We track eligible measures, ensure proper coding for quality reporting, and manage submission requirements.