Medical Billing for Family Medicine & Internal Medicine Practices

Family & Internal Medicine Billing That Pays What You Earn

Primary care billing looks simple — but chronic care management, annual wellness visits, transitional care codes, and the growing landscape of value-based care billing create dozens of revenue opportunities that most practices miss entirely. 360Solutions helps primary care practices capture every billable CCM minute, every AWV component, and every care coordination code while maintaining the compliance documentation that keeps payers from clawing revenue back.

$420
avg monthly additional revenue per provider from CCM alone
73%
of eligible patients never billed for CCM by their practice
99%
AWV billing accuracy rate with our coders
Family & Internal Medicine Billing Challenges
Where practices lose the most revenue:
Chronic Care Management (CCM)
Annual Wellness Visit vs. IPPE
Transitional Care Management
Value-Based Care Billing
Family & Internal Medicine Billing Challenges

Where Family & Internal Medicine Practices Lose Revenue

These are the coding and billing pitfalls that cost family & internal medicine practices the most — and where our specialised billers add the most value.

Chronic Care Management (CCM)

CCM codes (99490/99491/99439) require 20+ minutes of non-face-to-face care coordination per month, documented in a structured care plan. Most practices have eligible patients but no billing workflow. We build the workflow and bill it every month.

Annual Wellness Visit vs. IPPE

The Medicare Annual Wellness Visit (G0438/G0439) is completely different from the Initial Preventive Physical Exam (G0402) and from a standard E&M. Mixing these up results in denials or compliance exposure. We assign the correct code every time.

Transitional Care Management

TCM codes (99495/99496) are time-sensitive: the first contact must occur within 2 business days of discharge and the face-to-face within 7 or 14 days. We track discharge lists and alert your team before the TCM window closes.

Value-Based Care Billing

MIPS, ACO shared savings, and quality program billing require separate documentation workflows. We track quality measure codes (G-codes), patient population metrics, and reporting deadlines so your practice captures every incentive payment.

Coding Intelligence

High-Risk CPT Groups

Code ranges payers audit most aggressively in Family & Internal Medicine.

99490 / 99439 / 99491
Chronic Care Management — 20 min, each add'l 20 min, complex
G0438 / G0439
Annual Wellness Visit — initial / subsequent
99495 / 99496
Transitional Care Management — moderate / high complexity
99484 / 99492–99494
General BHI / Collaborative Care — monthly time-based
G2211
Visit complexity inherent to primary care — add-on to 99213/99214
Denial Intelligence

Common Denial Patterns

Knowing these before submission is the difference between a 60% and a 96% first-pass rate.

AWV billed within 12 months of a previous AWV (annual frequency rule)

CCM billed without a signed patient consent on file

TCM billed without documented 2-business-day telephone contact

E&M level not supported by documented MDM or time

G2211 billed without qualifying E&M (99202–99215 required as primary code)

Free Denial Audit

Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.

Request Free Audit →
Our Process

How 360Solutions Works for Family & Internal Medicine Practices

01

Free 2-Week Billing Audit

We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.

02

Specialty Coder Assignment

You are paired with a coder trained specifically in family & internal medicine coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.

03

Parallel Billing Transition

We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.

04

Live KPI Dashboard

Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.

05

Weekly Account Manager Call

Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.

Family & Internal Medicine Billing FAQ

Questions From Family & Internal Medicine Practices

We start with a patient population audit — identifying all patients with 2+ chronic conditions — and build the CCM care plan templates and monthly tracking workflow. Most practices start billing within 30 days and see $400–600 per provider per month in new CCM revenue.
Yes, with modifier -25 on the E&M when a separate, significant problem is addressed beyond the wellness visit scope. We document and apply this correctly to avoid bundling denials.
G2211 is a complexity add-on for primary care's ongoing relationship with patients — it pays approximately $16 extra per qualifying E&M visit. It requires the visit to be 99202–99215 with a primary care POS. We track eligibility and apply it where appropriate.
Yes. Medicare Advantage plans have their own prior auth requirements, formulary restrictions, and sometimes different covered services. We maintain payer-specific rule sets for all major MA plans in your service area.
Ready to Fix Your Family & Internal Medicine Billing?

Start With a Free,
No-Obligation Audit

Two weeks, no contract. A certified family & internal medicine billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.