Family Medicine Billing

Family medicine bills everything — preventive care, acute problems, chronic disease management, minor procedures — at a volume where small coding habits multiply into large money. Elite Bill Care's family medicine billing is built for that breadth and pace.

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Family medicine billing specifics

• Preventive + problem-oriented same day — a well visit that becomes a sick visit needs a separately identifiable E/M with modifier 25 and documentation that stands on its own; done wrong, one of the two services is donated.
• Medicare wellness distinctions — IPPE ("Welcome to Medicare"), initial and subsequent Annual Wellness Visits (G0438/G0439) are not the same as a commercial annual physical (99385–99397 family) — and billing one as the other denies or underpays.
• Chronic Care Management — 99490 and related codes for documented non-face-to-face care coordination, with time logs and consent that satisfy the rules.
• Procedures in primary care — joint injections, lesion removals, laceration repair and in-office testing billed with correct global and modifier logic alongside E/M services.
• Transitional care — TCM codes (99495/99496) with their strict contact and visit windows after discharge.

How we run it

Daily charge entry keeps pace with clinic volume, coding review focuses on the high-frequency habits above, eligibility (including Medicare Advantage plan rules) is verified at scheduling, and reporting by provider and service line shows where the practice actually earns. See the full operation on our billing services page, and our internal medicine page for the adult-medicine overlap.

Frequently asked questions