Specialty Billing
Primary Care Billing Services
Accurate, efficient billing for family medicine, internal medicine, and general practice — so your team can focus on patient care.
Primary Care Billing Overview
Primary care practices face a unique billing challenge: high patient volumes, broad service mix, and increasing complexity from preventive care codes, chronic care management, and annual wellness visits. At 2 Lee's Billing, we handle primary care billing with the specificity your practice requires — from correctly coding E/M visits and preventive screenings to managing chronic disease management codes and behavioral health add-ons. Our goal is to ensure every service you provide is captured, coded accurately, and reimbursed at the appropriate rate — with minimal administrative burden on your team.
Coding Highlights
- ✓E/M visit coding (99202–99215) with MDM vs. time-based selection
- ✓Annual Wellness Visit (AWV) and IPPE codes
- ✓Chronic Care Management (CCM) — 99490, 99491 series
- ✓Transitional Care Management (TCM) — 99495, 99496
- ✓Preventive medicine services and immunization administration
- ✓Behavioral health integration codes (CoCM)
- ✓Modifier usage: 25, 33, 59
Common Primary Care Billing Challenges
E/M Coding Complexity
The 2021 AMA E/M coding revisions changed how office visit levels are selected. Ensuring all providers consistently document and code at the appropriate level requires ongoing attention.
Preventive vs. Diagnostic Billing
When a preventive visit includes problem-focused services, correct use of modifier 25 and separate E/M coding is required — a common source of billing errors and patient balance disputes.
Chronic Care & Wellness Codes
CCM, TCM, and AWV codes are high-value services that many practices underutilize or fail to bill correctly. Missed documentation requirements result in denied claims.
High Claim Volume
Primary care practices often submit hundreds of claims weekly. Even a small denial rate creates a significant rework burden without an organized denial management process.
Prior Authorization for Referrals
Referrals to specialists often require prior authorization. Managing this alongside a busy clinical schedule strains front-desk resources and delays patient care.
Payer Mix Complexity
Primary care practices typically have diverse payer mixes including Medicare, Medicaid, and multiple commercial plans — each with unique documentation and billing requirements.
How 2 Lee's Billing Supports Primary Care Practices
Accurate E/M Coding
Our certified coders apply the correct E/M level based on medical decision making or time-based documentation — capturing the full value of each visit.
Preventive & Chronic Care Billing
We correctly differentiate and bill preventive services, AWVs, CCM, and TCM — ensuring these high-value codes are captured and documented to payer standards.
Immunization & Procedure Billing
In-office procedures, immunizations, and point-of-care tests are separately captured and billed with appropriate codes and modifiers.
Insurance Verification & Authorization
We verify coverage and identify prior authorization requirements before each visit — reducing eligibility denials and authorization-related claim rejections.
Denial Management & Appeals
Every denied claim is reviewed for root cause and resubmitted with corrected coding or documentation — protecting your net collection rate.
Performance Reporting
Monthly reports show your collection rate, denial trends, and AR aging by payer — giving you a clear picture of your practice's financial health.
Primary Care Billing FAQs
Primary Care Billing That Works as Hard as You Do
Schedule a free consultation and find out how much revenue your practice may be leaving uncollected.
Or call us: (702) 478-8115 · Toll Free: (800) 364-1801