Family/Interal Medicine Billing

Maximize Revenue and Streamline Billing for Family Medicine & Internal Medicine Practices

  • Is your practice losing revenue due to denied claims, delayed reimbursements, or complex coding regulations?

    At Health & Billing, we provide end-to-end Revenue Cycle Management (RCM) solution for family medicine and internal medicine practices. From medical coding and billing to provider credentialing and claims follow-up, our mission is clear: maximize your reimbursements, reduce denials, and allow you to focus on patient care.

Start Optimizing Your Revenue Today!
family medicine internal medicine billing florida

Why Family & Internal Medicine Practices Struggle with Revenue Cycle Management

Family medicine and internal medicine practices face an increasingly challenging financial and administrative environment.

 Key challenges include:

Regulatory Complexity

Primary care practices must comply with evolving regulations, such as:

  • No Surprises Act (price transparency, surprise billing)
  • Telehealth reimbursement updates
  • Advanced Primary Care Management (APCM) services
  • Behavioral health integration codes
Even slight errors in compliance or coding can lead to delayed reimbursement or denied claims.

Prior Authorization & AI-Driven Denials

Insurance carriers increasingly leverage AI tools to process pre-authorizations, often denying requests incorrectly. Key stats:

  • 60% of physicians report AI-driven authorization denials
  • 80% of all denied claims relate to missing or incorrect prior authorizations
These delays not only affect revenue but also patient satisfaction and care continuity.

Financial Performance Impact

Inefficiencies in payment posting, A/R follow-up, claim reconciliation, or insurance verification can significantly impact:

  • Clean Claims Rate (percentage of claims submitted without errors)
  • Days Sales Outstanding (DSO)
  • Net Collection Ratio
  • Cost-to-Collect Ratio

Claims & Denial Management

Common denial reasons include:

  • Incorrect or incomplete CPT/ICD-10 coding
  • Missing modifiers
  • Failure to secure prior authorizations
  • Non-compliance with payer-specific documentation
Every denied claim increases administrative workload and slows accounts receivable (A/R)

Administrative Burden & Coding Complexity

Primary care billing involves intricate documentation across:

  • Evaluation & Management (E/M) codes
  • Preventive medicine codes
  • Immunizations & vaccines
  • Lab & diagnostic testing
  • Radiology procedures
Inaccurate charge capture, miscoded ICD-10 diagnoses or missed modifier usage can trigger claim denials and revenue loss

Transform your practice’s revenue cycle from a source of stress into a strategic advantage with Health & Billing

At Health & Billing, we combine technical expertise, advanced RCM technology, and regulatory knowledge to help practices optimize revenue and improve operational efficiency.

Comprehensive Revenue Cycle Management

  • Verify patient coverage with real-time insurance checks
  • Utilize CPT, ICD-10, HCPCS Level II, and modifier-specific coding to ensure precise billing for all services.
  • Navigate complex payer requirements, including pre-certifications for advanced imaging, therapeutic injections, and specialty labs.
  • Track claims through electronic claim submission
  • Implement root-cause analysis for denied claims

Technology-Driven Insights

  • Monitor claim denial trends by CPT, ICD-10, and payer
  • Track A/R aging and net collections
  • Identify under-billed or missed services
  • Predict future revenue gaps and optimize cash flow

Credentialing & Provider Enrollment

  • Proper provider credentialing ensures maximum reimbursement and compliance
  • Medicare, Medicaid, Blue Cross, UnitedHealthcare, and other commercial plans
  • Customized Credentialing Plans
  • Reduce delays with eligibility verification and payer enrollment tracking

Compliance & Risk Management

  • 100% HIPAA-compliant Operations to ensure patient data security at every step
  • Evolving CPT/HCPCS coding and payer regulations
  • Perform compliance audits, medical audits, and pre-submission reviews to minimize claim rejections

Health & Billing Brings

Hope, Health & Harmony

To Your Healthcare Practice
So, You can focus on what’s more important: Patient Care!

Reduced Administrative Burden | Improved Cash Flow | 100% HIPAA-compliance
Cost Efficiency | Certified medical coders and credentialing specialists | Scalable Solution