Primary care billing is won on preventive-vs-problem distinctions, annual wellness visits and chronic care management - revenue most practices leave on the table. We capture it all.
The specialty-specific billing traps we fix every day for primary care practices.
One visit, two purposes - billed wrong, one side denies. We code the split correctly with modifier 25 where it’s earned.
G0438/G0439 AWVs are pure found revenue most practices underuse. We build AWV programs that fill schedules and pay.
99490 CCM pays monthly per qualifying patient - if time is tracked. We implement CCM time-tracking and billing.
Payers shave E/M levels across high-volume primary care. We defend medical decision-making levels with documentation that holds.
A sample of the primary care codes where small errors cost real money.
| Code | What it covers | Where practices lose money |
|---|---|---|
| G0439 | Annual wellness visit, subsequent | Never scheduled - the most common found revenue in primary care. |
| 99490 | Chronic care management | Time not tracked; consent not documented - monthly revenue lost. |
| 99214 | Office E/M level 4 | Downcoded despite qualifying MDM; modifier 25 missed on preventive+problem visits. |
| 96127 | Behavioral assessment | Billable in primary care but rarely billed - found money. |
The same proven process behind every primary care engagement.
Send one billing export. We map denials, AR aging and underpayments - free.
You get a prioritized action plan with projected recoveries before you commit.
Denials appealed, AR worked, workflows fixed - inside your systems.
Transparent reporting. You pay 5%% of what we collect - nothing else.
Straight answers for primary care practices.
Send one billing export. We'll show you the leaks, the stuck AR and the denials worth fighting - before you spend a dollar.