Primary Care Billing Services

Professional primary care billing for family medicine and internal medicine clinics

Medex Pro RCM Solutions helps primary care practices manage E/M coding, preventive visits, chronic care management, annual wellness visits, telehealth, transitional care, quality reporting, denial management, and revenue analytics.

E/M coding support for established and new patient visits
Preventive care, wellness visit, and chronic care billing workflows
Telehealth, TCM, CCM, and incident-to compliance support
Denial prevention, payer follow-up, and practice performance reporting

Primary Care Revenue Desk

PRACTICE MODE
E/M VISITS 99213 / 99214 Review
PREVENTIVE Annual Wellness Support
CHRONIC CARE CCM Tracking
TELEHEALTH Virtual Visit Billing
E/M Coding Medical decision-making, time-based coding, modifiers, and documentation review
CHECK
Wellness Preventive services, AWV requirements, screenings, and payer policies
READY
CCM / TCM Chronic care and transitional care time tracking and documentation support
TRACK
FOCUS Clean Claims
OUTPUT Practice Analytics
Primary Care Revenue Cycle

Billing support built for high-volume primary care workflows

Primary care practices face a broad mix of visit types, preventive services, chronic care programs, telehealth encounters, payer-specific rules, and quality reporting requirements. Our workflow helps keep claims clean and organized.

E/M Visit Coding Support
AWV Wellness Visit Billing
CCM Chronic Care Billing
TCM Transitional Care Support
Primary Care Billing Expertise

Specialty billing services for primary care practices

Medex Pro supports the billing challenges that are common in family practice, internal medicine, pediatric primary care, urgent primary care, and multi-provider clinics.

01

E/M Coding

Support for office visit coding, medical decision-making, time-based coding, new patients, and established patients.

02

Preventive Services

Billing support for preventive visits, screenings, vaccines, counseling services, and same-day problem visits.

03

Annual Wellness Visits

Medicare AWV billing support, required documentation review, risk assessments, and care plan checks.

04

Chronic Care Management

CCM documentation, patient consent, time tracking, monthly care activity review, and code selection support.

05

Telehealth Billing

Virtual visit billing support including modifiers, consent documentation, technology details, and payer coverage rules.

06

Transitional Care

TCM billing support for discharge communication, follow-up timing, medical decision complexity, and documentation.

07

Quality Reporting

Support for quality measures, preventive care documentation, chronic condition tracking, and reporting visibility.

08

Incident-To Compliance

Workflow support for incident-to billing, supervision documentation, care plans, and provider involvement.

Coding Expertise

Common primary care CPT code areas

These examples show primary care services that often require careful documentation, modifier use, payer policy review, and medical necessity support.

99213

Established Patient Office Visit

Low to moderate complexity E/M visit documentation and coding support.

E/M Visit
99214

Established Patient Office Visit

Moderate complexity primary care visit with MDM or time-based documentation review.

E/M Visit
99396

Preventive Medicine Visit

Established patient preventive visit for adults with required preventive documentation.

Preventive
99487

Complex Chronic Care Management

CCM billing support for complex chronic care activities and time tracking.

CCM
99495

Transitional Care Management

Moderate complexity TCM support after discharge with follow-up and communication requirements.

TCM
G0439

Subsequent Medicare Annual Wellness Visit

Annual wellness visit documentation, risk assessment, and care planning review.

AWV
Our Process

Primary care billing process

Our primary care process helps reduce denials, organize high-volume visits, improve documentation, and protect revenue across daily practice operations.

Registration E/M Coding Claims Denials Analytics
01

Patient Registration & Insurance Verification

We verify eligibility and benefits before visits to reduce preventable denials.

  • Eligibility verification for office visits, wellness visits, and preventive services
  • Coverage confirmation for vaccines, screenings, and diagnostic testing
  • Coordination of benefits for patients with multiple coverage sources
  • Patient responsibility estimates for deductibles and co-pays
  • Prior authorization checks when payer rules require approval
02

Specialized Primary Care Coding

Primary care coding requires accuracy across many visit types and payer policies.

  • E/M coding support for new and established patient visits
  • Preventive visit and same-day problem visit documentation review
  • Medicare Annual Wellness Visit billing support
  • Chronic care management and transitional care code support
  • Incident-to billing and modifier review
03

Clean Claim Submission

Claims are reviewed for documentation, code selection, modifier use, and payer requirements.

  • Primary care claim scrubbing before submission
  • Preventive and E/M modifier checks
  • Medical necessity and diagnosis linkage review
  • Telehealth modifier and place-of-service validation
  • Electronic submission to all major payers with tracking
04

Primary Care Denial Management

We review denial patterns and build prevention steps for common primary care issues.

  • Appeals for E/M, preventive service, and wellness visit denials
  • Review of telehealth coverage and modifier denials
  • CCM and TCM documentation denial support
  • Bundling and same-day service denial review
  • Payer policy monitoring for primary care services
05

Primary Care Practice Analytics

We provide reporting that helps practice leaders understand revenue trends and improvement areas.

  • Revenue review by visit type and service line
  • Payer performance tracking for office visits and preventive care
  • Denial trend analysis by code, provider, and payer
  • CCM, TCM, telehealth, and AWV performance visibility
  • Recommendations for workflow and revenue optimization
Practice Analytics

Primary care revenue insights your team can use

High-volume primary care practices need clear reporting by visit type, payer, provider, preventive service, chronic care program, telehealth activity, and denial category.

Office visit and E/M distribution by provider
Preventive service and AWV utilization tracking
CCM, TCM, and telehealth billing performance
Denial trends by payer, code, visit type, and root cause

Primary Care Revenue Dashboard

VISUAL PERFORMANCE VIEW
VISITS E/M
PROGRAM CCM
CARE AWV
Why Medex Pro

Why choose Medex Pro for primary care billing?

Medex Pro understands the day-to-day billing complexity of primary care: high claim volume, E/M documentation rules, preventive visits, payer policies, chronic care programs, telehealth changes, and recurring denial patterns.

Specialty-aware primary care billing and E/M coding support
Preventive, wellness, CCM, TCM, and telehealth billing workflows
Denial prevention for same-day visits, modifiers, and payer coverage issues
Compliance-focused incident-to and chronic care documentation support
Revenue analytics by payer, provider, visit type, and care program

Primary Care Billing Control Center

E/M CODING Office Visit Accuracy
PREVENTIVE CARE Wellness Visit Support
CARE PROGRAMS CCM / TCM / Telehealth
ANALYTICS Practice Performance Reports
Primary Care Billing Questions

Frequently asked questions

Clear answers about E/M coding, preventive services, wellness visits, chronic care management, telehealth billing, and primary care revenue optimization.

How do you handle chronic care management billing?

We support CCM billing by checking patient consent, eligible diagnoses, care plan documentation, monthly time tracking, clinical staff activity, and correct code selection for chronic care services.

How do you handle preventive visits and wellness visits?

We help distinguish preventive services from problem-oriented visits, review documentation requirements, support modifier use when needed, and help organize Medicare Annual Wellness Visit billing.

Can you support telehealth billing?

Yes. We review telehealth payer policies, modifiers, place of service, consent documentation, technology details, patient location requirements, and visit documentation.

How do you support E/M coding changes?

We support E/M coding by reviewing medical decision-making, time-based documentation, diagnosis support, risk level, data reviewed, and provider documentation patterns.

Ready to optimize your primary care revenue cycle?

Contact Medex Pro today for primary care billing support designed for E/M visits, preventive services, wellness visits, CCM, TCM, telehealth, denials, and practice analytics.

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