MedCare Billing Solutions provides expert internal medicine billing for general internists, hospitalists, and primary care practices. We specialize in chronic care management billing, complex E/M coding, and annual wellness visit optimization — services that most internists dramatically underbill.
Internists manage the most complex patient panels in medicine — but their billing rarely reflects that complexity. Common revenue losses include:
An internist with 200 patients with 2+ chronic conditions qualifies for ,000+/year in CCM billing (CPT 99490) — yet fewer than 20% of practices bill for it at all. MedCare identifies and implements these programs.
| CPT Code | Procedure | Common Issue |
|---|---|---|
| 99213–99215 | Office visits — established | Undercoding due to MDM underestimation; 99213 used when 99215 justified |
| 99490–99491 | Chronic care management (20–60+ min/month) | Not billed at all for qualifying patients — –+/patient/month missed |
| G0438–G0439 | Annual wellness visit (initial/subsequent) | Billed as preventive E/M instead; wrong HCPCS code |
| 99495–99496 | Transitional care management | Missed after hospitalizations; 7-day vs 14-day contact documentation errors |
| 99453–99457 | Remote patient monitoring | Setup and monthly billing missed entirely for hypertension/diabetes programs |
| 99497 | Advance care planning (30 min) | Never billed even when documented in chart |
| 99417 | Prolonged service add-on | Missed when total encounter time exceeds standard code thresholds |
Accurate MDM-based coding that reflects the true complexity of your patient encounters — not conservative undercoding.
Full CCM program setup and monthly billing for all qualifying patients with 2+ chronic conditions.
Correct AWV coding (G0438/G0439) separate from sick visit E/M codes with all required components documented.
RPM billing setup for hypertension, diabetes, and COPD management programs — a growing revenue stream.
Post-discharge TCM billing (99495/99496) for all qualifying hospital, SNF, and observation discharges.
We help practices navigate quality reporting, MIPS scoring, and value-based contract billing requirements.
Get a free billing audit. Our specialists will show you exactly where your practice is leaving money on the table.