Specialized Billing Expertise

Family Practice Billing, Preventive Care & Wellness Services

Family Practice clinics manage massive volumes of claims spanning preventative wellness checkups, acute visits, immunizations, and minor procedures. Efficiency, speed, and accuracy are vital.

Clean Claim Rate
99.4%
AR Cycle Average
21 Days
Denial Rate
1.2%
Audit Recovery
99.1%
Family Practice Billing, Preventive Care & Wellness Services
Specialty Active Image

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Claims Scrubbing Lifecycle
Active Flow
1
Eligibility & Benefit Validation
2
Vaccine Coding Linking
3
Chronic Care Coding Addition
Target: 98%+ Clean Claim Rate99.4% Live Approval
1

Eligibility & Benefit Validation

Same-day insurance checks for wellness copays and deductibles.

2

Vaccine Coding Linking

Linking correct ICD-10 diagnosis codes to vaccine administration codes.

3

Chronic Care Coding Addition

Identifying qualifying patients to add CCM codes (e.g. 99490) for recurring revenue.

Claims_Audit.log
SECURE HIPAA
LINE 01 // INIT CLAIMS_AUDIT_SEQUENCE...
LINE 02 // SPECIALTY_SLUG = "family-medicine-billing"
LINE 03 //CPT 99214SCRUBBED_OK
LINE 04 // AUTO-ROUTING TO CLEARINGHOUSE...
STATUS: ACTIVE RUN21 Days Average AR

Pre-Registration

Validate active policy status and copay criteria.

Multi-Code Bundling Check

Apply preventive codes alongside E&M codes using Modifier 25 properly.

Payer Scrutiny

Sort EOB data and send secondary claims within 24 hours.

Patient Billing

Issue electronic statements with easy credit card/Apple Pay online portal access.

Modifier Audit Performance99.1% Recovery
First-Pass Clean Claim Rate99.4%
Denial Rate Prevention98.8%
Clean Claim Target: 98%HIPAA Audits Reprocessed
CPT 99214Office outpatient visit, 30-39 mins
CPT 99396Preventative medicine evaluation, age 40-64
CPT 90471Immunization administration, 1 vaccine
Modifier 25Significant, separately identifiable E&M service on same day

Denial Recovery Performance

97.4% Recovery

We recover Modifier 25 denials by supplying clinical chart logs demonstrating separately documented E&M consultations.

100% HIPAA compliant claims reprocessing

Optimize Your Family Medicine Billing Today

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CLIENT TESTIMONIAL

“Success Seekers RCM has completely transformed our Family Medicine billing. Our collections are up 28% and billing stress is gone.”

— U.S. Clinical Director, Family Medicine Specialist Group