With over 12 years of experience in the healthcare industry and expertise across multiple specialties, MedCare MSO provides top-notch family practice billing services for both small and large family practice groups throughout the United States.
The Results Will Amaze You
We enroll you with in-network and out-of-network insurance payers to ensure full reimbursement for your services.
Our family practice billing services extend to general behavioral health, therapy services, psychiatric services, skilled nursing, home visits, and assisted living. Effective billing procedures for family practice services are crucial for timely reimbursements and financial stability.
Let us streamline your billing process and enhance your practice’s revenue with our expert services!
The financial health of your family practice is closely linked to efficient billing and prompt account reimbursement, which are key components of the revenue cycle management process. Our family practice billing services reduce coding errors, address denied claims swiftly, and ensure that your revenue cycle remains smooth and optimized.
If you provide services to Medicare patients, it’s crucial to understand that consultation CPT codes 90241 to 99248 are accepted by commercial payers but will face denials with Medicare.
For family practitioners conducting office visits and making same-day surgical decisions, we use modifier 57. This essential step ensures you receive the reimbursement you are entitled to for those surgical decisions.
Common codes in family practice include 99202-99205 and the established codes 99212-99215. According to CMS guidelines, the 99213 code can be added for stable chronic conditions.
Additionally, when utilized correctly, E&M modifiers 24, 25, and 57 can lead to 100% reimbursement for additional services rendered alongside office visits. We significantly enhance your revenue by up to 30% with the accurate and precise use of these codes and modifiers.
Inaccurate coding, incomplete documentation, or failure to follow payer guidelines can lead to high denial rates. These not only delay payments but also increase administrative burdens.
We systematically handle claim denials using our IMMP process, which stands for Identify, Manage, Monitor, and Prevent. Initially, we determine the causes of claim denials. Next, we appeal these denials to secure payment from insurers. Finally, we work on minimizing future denials by refining our processes and providing staff retraining.
With the increasing number of high-deductible health plans (like HSAs, catastrophic plans, EPOs, PPOs, and marketplace plans), practices often struggle to collect payments from patients. This can lead to cash flow problems and requires effective patient communication and collection strategies.
Our family practice billing services ensure patients understand their financial responsibilities upfront, breaking down complex insurance terms and deductibles, so they know what to expect. Our advanced software tracks patient balances and automates reminders, ensuring consistent follow-up.
We stay updated on key regulations affecting family practice billing, including the Medicare Access and CHIP Reauthorization Act (MACRA), HIPAA, and Affordable Care Act (ACA) guidelines, to help family practices remain compliant and efficient. Additionally, we support practices in adopting value-based care models like Patient-Centered Medical Homes (PCMHs), Shared Savings Programs, and Pay-for-Performance.
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Partnering with a top family practice billing company like MedCare MSO can do wonders for your practice. It enhances operational efficiency, saves valuable time, and improves cash flow.
Here are the benefits you can expect from our family practice medical billing services:
Discover how our family practice billing services can help boost your revenue by as much as 30%. If you have any questions or need assistance, just fill out the contact form or give us a call during business hours. We are here to help!
A member of our team will get in touch with you in 12 hours.
800-640-6409
