Family Practice Billing
Family practice covers more ground than almost any other specialty, from preventive visits and chronic disease management to minor procedures and same-day urgent care. Each encounter type has its own CPT codes, modifier rules, and payer requirements. ProtoMed's certified family practice billing specialists get every claim right the first time. Fewer denials. Faster reimbursements. More revenue.
98%+
Clean Claim Rate
We review every claim before submission, catching undercoded visits, missing modifier -25, incorrectly bundled preventive and problem codes, and documentation gaps before they reach the payer.
Why Choose Us
Family practice is one of the most billing-intensive specialties in medicine. On any given day, your providers might see a well-child visit, a Medicare Annual Wellness Visit, a patient with multiple chronic conditions, and a same-day procedure, each billed under a different code set with its own documentation rules and payer requirements. A missed modifier -25, an undercoded E/M visit, or an incorrectly bundled preventive and problem visit is money your practice has earned but will never collect.
ProtoMed's certified family practice billing team understands the full range of primary care coding, from new and established patient E/M levels and preventive care codes to chronic care management, in-office procedures, and Medicare Wellness Visits. We submit clean claims, maximize your code levels, and follow up on every denial so your revenue cycle stays healthy.
Every biller on your account holds active AAPC and AHIMA credentials with hands-on experience in primary care CPT coding, E/M level documentation, and payer-specific billing guidelines.
We review every claim before submission, catching undercoded visits, missing modifier -25, incorrectly bundled preventive and problem codes, and documentation gaps that trigger denials.
We securely log into your existing EHR: Epic, Athenahealth, eClinicalWorks, AdvancedMD, and more, with zero disruption to your daily clinical workflow.
From charge capture and eligibility verification to claim submission, denial appeals, and payment posting, we manage your complete family practice billing cycle.
Every rejected claim is investigated, corrected, and resubmitted. We recover the revenue your practice has earned, including denied preventive visits, wellness exams, and chronic care management claims.
Monthly reports and real-time billing data give you a clear picture of your collections, E/M level distribution, denial patterns, and overall revenue performance by payer.
Our Expertise
Family medicine billing spans office visits, preventive care, chronic disease management, minor procedures, and care coordination, each with distinct CPT codes, modifier requirements, and payer documentation standards. Our certified coders know every code and rule.
Office visits, new and established patients, time- or MDM-based E/M level selection
Preventive medicine visits, new and established, age-stratified codes
Medicare Annual Wellness Visits, initial and subsequent with HRA documentation
Chronic Care Management (CCM), time-tracked monthly coordination services
Same-day E/M with procedure, modifier -25 compliance and documentation rules
Immunization administration, vaccine product codes and counseling add-ons
In-office procedures, joint injections, urinalysis, and common minor procedures
Procedure-Specific Billing
Family practice billing demands accurate coding across a wide range of service types, from routine office visits to complex chronic disease management. ProtoMed's certified team handles every encounter correctly, capturing the full value of your care.
Accurate E/M level selection, based on medical decision making or time, is the single biggest revenue driver in family practice. We ensure every visit is coded at the correct level with the supporting documentation, capturing the full reimbursement your providers have earned on each encounter.
Preventive visits, Medicare Annual Wellness Visits, and same-day problem-focused encounters billed together require proper use of modifier -25 to avoid bundling denials. We correctly separate preventive and problem-oriented services so both are paid, every time.
CCM services represent significant recurring revenue for family practices, but they require precise time tracking, patient consent documentation, and monthly reporting. We manage the full CCM billing cycle, capturing every billable minute of care coordination your clinical team provides.
Vaccine billing requires accurate pairing of administration codes, product codes, and counseling add-ons, with payer-specific coverage rules for each vaccine type. We ensure every immunization encounter is billed completely, with the correct codes and documentation to prevent denials.
Minor procedures performed during office visits, joint injections, laceration repairs, skin biopsies, urinalysis, must be billed with the correct modifier -25 on the accompanying E/M visit to avoid bundling. We apply the right codes and modifiers on every encounter so no procedure revenue is left uncollected.
Transitional Care Management (TCM), care plan oversight, and inter-professional consultations are frequently underbilled in family practice. We identify and bill every eligible care coordination service using the correct TCM codes and documentation, adding a reliable revenue stream most practices miss entirely.
Our Process
A structured four-step process that ensures every encounter type is coded correctly, every claim is tracked, and every denial is resolved, keeping your revenue cycle as consistent as your patient schedule.
We review your current family practice billing setup, identify revenue leaks from undercoded visits, missed care coordination services, and unresolved denials, then securely access your existing EHR with zero disruption to your clinical operations.
Our certified coders review every encounter, verify patient eligibility and benefits, select the correct E/M level based on documentation, and apply the right codes for preventive visits, CCM, procedures, and wellness exams. Accurate coding before submission means fewer denials and full reimbursement on every claim.
Clean, payer-compliant family practice claims are submitted electronically on time to all major payers: Medicare, Medicaid, and commercial insurance. We track every claim, follow up persistently, and appeal every denial until your practice receives full payment.
Payments are posted accurately, patient balances are billed promptly, and you receive clear monthly reports tracking your collections, E/M coding distribution, denial rates, and overall revenue performance by service type and payer.
Let ProtoMed's certified family practice billing specialists handle your complete revenue cycle, from E/M coding and preventive visit billing to chronic care management and denial appeals. We'll audit your current billing, identify what's being missed, and start recovering it.
Get your free family practice billing audit today. A ProtoMed expert will reach out within 24 hours.
