Primary Care Billing Services

Specialty Focus

Primary Care Billing That Captures What You've Earned

Primary care is the cornerstone of the healthcare system — and the billing complexity that comes with it matches that responsibility. Annual wellness visits, chronic care management, advance care planning, and preventive screenings each carry their own coding rules and documentation requirements that generalist billers consistently undercapture.

Prime Medical Billing's primary care team maximises reimbursement on every patient encounter — from AWV and IPPE billing to complex chronic care management and transitional care. We also manage remote patient monitoring billing, care coordination codes, and the preventive-vs-problem visit coordination that determines which services are separately billable.

97%

First-Pass Clean Claim Rate

24h

Average Claim Submission

40%

Average A/R Reduction

Annual Wellness Visit (AWV/IPPE) billing

Chronic Care Management (CCM) codes

Preventive care billing & coordination

Transitional Care Management (TCM)

Remote Patient Monitoring (RPM)

Advance Care Planning (ACP) coding

Immunisation administration billing

Complex chronic disease E&M

Electronic remittance posting

Monthly performance reporting

Specialty-Trained Coders

Our billers are trained in your specialty's CPT codes, ICD-10 diagnoses, and payer-specific rules — not generalists working across 50 specialties.

97%+ Clean Claim Rate

We scrub and submit clean claims the first time, reducing rework, accelerating payment, and improving your net collection rate.

24-Hour Denial Recovery

Every denied claim is reviewed within 24 hours, root cause identified, corrected, and re-submitted before payer appeal deadlines close.

Full HIPAA Compliance

Encrypted data handling, a signed Business Associate Agreement, and annual compliance audits — your patients' information is always protected.

Maximize Your Primary Care Revenue

Get a free billing audit and find out exactly how much revenue your practice could be recovering. No contracts, no obligation — just results.

Get Your Free Billing Audit Call 346-307-9057

HIPAA Compliant • No Long-Term Contracts • Results in 30 Days

Do you handle MIPS reporting and value-based care coding?

Yes. We track MIPS performance categories (Quality, Promoting Interoperability, Improvement Activities, Cost) and ensure quality measure denominator and numerator coding is captured on every applicable claim. Practices with proper MIPS coding avoid the 9% Medicare penalty and qualify for positive payment adjustments.

How do you bill Medicare Annual Wellness Visits and preventive screenings?

We bill the Initial AWV (G0438), Subsequent AWV (G0439), and Welcome to Medicare Exam (G0402) with their required components. We also coordinate billing for all associated preventive screenings — mammography, colonoscopy, bone density — ensuring each is billed with the correct preventive CPT code and that applicable cost-sharing waivers are applied.

Can you handle both Medicare and commercial payer billing for primary care?

Absolutely. We manage claims across all payers including Medicare, Medicare Advantage, Medicaid, and all commercial insurers. We maintain separate fee schedules and billing rules for each payer, apply payer-specific modifier and diagnosis requirements, and route claims to the correct payer entity for coordination of benefits patients.

How do you maximize revenue through care management code billing?

Chronic Care Management (99490, 99491, 99439), Principal Care Management (99424–99427), and Transitional Care Management (99495–99496) are chronically underutilized in primary care despite offering $40–$120 per patient per month. We identify qualifying patients, track care coordination time, obtain required patient consents, and submit monthly claims — often adding 10–15% to total practice revenue.

Primary Care Billing Services

Primary Care Billing That Captures What You've Earned

Key Billing Areas for Primary Care Practices

Built for Primary Care Billing Complexity

Specialty-Trained Coders

97%+ Clean Claim Rate

24-Hour Denial Recovery

Full HIPAA Compliance

Maximize Your Primary Care Revenue

Primary Care Billing — FAQ

We Serve All Medical Specialties