MedCare Billing Solutions specializes in family medicine billing for independent practices, group practices, and FQHCs. Our certified coders know E/M coding guidelines, preventive care billing rules, and chronic care management billing inside and out — so your practice collects every dollar it earns.
Family physicians generate enormous visit volume — and every visit is a billing opportunity that must be coded correctly. Practices using inexperienced billing staff or outdated processes typically leave 15–25% of their revenue uncollected through:
The average 2-physician family practice leaves $80,000–$200,000/year in uncollected revenue — primarily from CCM not billed, AWV under-coded, and E/M levels consistently downcoded. MedCare closes that gap.
From E/M visits to Medicare wellness codes and chronic care management — we maximize every code.
| Code | Service | Common Billing Issue |
|---|---|---|
| 99202–99215 | Office E/M visits (new and established) | Consistent downcoding; MDM criteria not fully documented |
| 99381–99397 | Preventive medicine visits (new/established) | Billed as regular E/M; G-code revenue lost |
| G0438 / G0439 | Annual Wellness Visit (initial / subsequent) | Billed as 99213 instead of AWV G-code; revenue difference = 30%+ |
| 99490 / 99491 | Chronic Care Management (CCM) | Not billed at all for eligible patients; $40–$100/patient/month lost |
| 99483 | Cognitive assessment for dementia | Not billed; worth $282 per assessment |
| 99406 / 99407 | Tobacco cessation counseling | Not billed separately when performed during E/M visit |
| G2211 | Medicare complexity add-on | Not appended to 99213/99214 for primary care continuity |
| 99421–99423 | Online digital E/M (patient portal) | Not billed despite qualifying patient messages |
Real-time eligibility verification for every patient before every visit. We catch coverage issues before the appointment — not after the claim is denied.
We apply the 2021 AMA E/M guidelines correctly and identify every same-day modifier opportunity, AWV upgrade, and CCM billing opportunity in your schedule.
Electronic claim submission within 24 hours of charge entry. Claims scrubbed against Medicare, Medicaid, and commercial payer edits before every submission.
We appeal every denial — missing modifiers, coordination of benefits issues, timely filing disputes, and medical necessity denials — with full documentation support.
We identify all eligible CCM patients and ensure monthly billing is captured. We also ensure every AWV is billed to the correct G-code — not miscoded as a regular visit.
Full physician and mid-level credentialing with Medicare, Medicaid, and all major commercial payers. Fast-track enrollment for new associates joining your practice.
Get a free, confidential family practice billing audit. We'll show you exactly where your practice is losing money — CCM, AWV, E/M downcoding, and more.