Top-Rated Family Practice Billing Services for Improved Revenue
Transcure’s family practice medical billing services provide comprehensive solutions for your billing problems. Contact us today to:
- Maximize revenue by solving complex family practice coding.
- Prevent denials from common chronic care management codes.
- Ensure full reimbursement for all minor in-office procedures.
- Navigate tricky E/M leveling to avoid lost revenue.
- Streamline your billing process with HIPAA-compliant support.
The Top Challenges in Family Practice Billing
- Billing for a routine physical and a separate issue on the same day requires the correct use of modifier -25 to avoid claim denials.
- Accurately billing for Chronic Care Management (CCM) and Transitional Care Management (TCM) is difficult due to strict time tracking and documentation rules.
- Family practices must manage thousands of CPT and ICD-10 codes for patients while facing the risk of payer-specific denials.
- Improperly billing for services that are bundled together, like a wound repair with a surgical procedure, leads to lost revenue.
- High-deductible health plans shifts financial responsibility to patients, increasing administrative burden and lowering collection.
Why Choose Transcure’s Family Practice Medical Billing Services?
Experts in Modifiers and E/M Coding: We specialize in using critical modifiers like -25 to ensure you’re reimbursed.
Streamlined Chronic Care Management:Transcure handles the complex billing for CCM and TCM by documenting the required time and services.
Proactive Denial Management: We proactively manage and appeal denials specific to family practice, such as those related to bundled procedures.
Tackle Family Practice Medical Billing Challenges with Transcure
The above challenges can push your family practice to the back seat and cost thousands in lost revenue. However, Transcure can take over your whole billing workflow and optimize it to reduce denials and increase reimbursements. Here is how Transcure improves your Family Practice billing:
Integrated Pre-Authorization
Our medical billing team streamlines pre-authorization for common procedures, high-cost medications, and referrals to specialists, so patient care is not delayed.
Credentialing & Payer Enrollment
We provide end-to-end oversight of provider enrollment and contract negotiations to ensure you’re set up with every major U.S. insurance organization.
Comprehensive Coding
We apply the correct CPT, ICD-10, and E/M codes to a wide range of services like well-child visits, annual physicals, and preventative screenings to minimize claim rejections.
Chronic Care Management Billing
With our billing services, practices can handle the complex coding and billing for long-term patient care, telehealth visits, and other non-face-to-face services.
Family Practice Billing and Coding Service Expertise
The heart of family practice is its vast scope, which involves treating every age and condition. This creates a uniquely complex billing environment, where a single claim can involve a preventive visit, a new medical issue, and a minor procedure. We understand that this requires precise E/M coding and the correct use of modifiers like -25 and -59.
At Transcure, we don’t just understand these problems but also solve them. Our team of 1100+ AAPC-certified coders and billers specializes in the nuanced billing of family medicine. We handle every detail, from accurate coding and clean claim submission to relentless denial management. Our end-to-end family practice RCM services ensure you capture all revenue and maintain a healthy cash flow.
Family Practice Revenue Cycle Management (RCM) with Transcure
The vast scope of your family practice, from well-child visits to in-office procedures, creates unique billing vulnerabilities. We offer a complete family practice revenue cycle management to tackle these challenges and ensure no revenue is left uncollected:
- Family Practice Credentialing
- Family Practice Appointment Scheduling
- Family Practice Procedure Pre-Authorization
- Patient Eligibility Verification
- Family Practice Medical Billing
- Family Practice Medical Coding
- Family Practice EHR Integration
- Family Practice Clearinghouse Transmission
- Family Practice EOB Posting
- Family Practice Claim Submission
- Family Practice Denial Management
- Billing Appeal Creation
Our Success in Numbers
Value of claims processed
Accounts Receivable Days
Turn Around Time (TAT)
Customer Retention
Number of Claims Processed
First Pass Clean Claims Rate
Revenue Improvement
Reduction in A/R
Transcure’s Expertise in CPT and ICD-10 Codes for Family Medicine Practice Medical Billing
Transcure boasts a team of 1100+ highly-qualified AAPC-certified billers who perform precise coding for diagnostic studies and interventional procedures. Our expertise in family practice billing and coding includes, but is not limited to:
94010
- Office or other outpatient visit
99385
- Initial preventive medicine E/M, 18-39 years.
99490
- Chronic Care Management.
11100
- Skin biopsy, single lesion.
20610
- Arthrocentesis, major joint.
87515
- HIV-1 RNA, quantitative.
I10
- Essential (primary) hypertension.
E11.9
- Type 2 diabetes mellitus without complications.
J06.9
- Acute upper respiratory infection, unspecified.
Family Practice Billing Services by AAPC-certified Professionals
Don’t let complex coding and reimbursement rules slow down your family practice. Transcure offers specialized billing services to help you maximize revenue and reduce administrative burden. Our team of 1,100+ AAPC-certified billers and coders is proficient in the unique needs of family medicine, ensuring a first-pass clean claim rate of up to 98%.
We handle the entire revenue cycle, from eligibility verification to denial management and accounts receivable follow-up, so you can focus on patient care. We’ve helped practices like yours increase revenue by up to 10% and reduce A/R days by 30%.
Procedure‑Specific Family Practice Billing Services
Unlike other specialties, family practices manage a spectrum of diagnostic and interventional procedures, each with its own complex CPT and ICD-10 coding. That’s why Transcure covers all core family practice services to help you minimize denials and optimize reimbursements:
Laceration Repair and Suturing
Joint Injections and Aspirations
Skin Biopsies
Incision and Drainage of Abscesses
Electrocardiogram (EKG/ECG)
Cryotherapy for Warts
Pap Smears and Pelvic Exams
IUD Insertion and Removal
Ingrown Toenail Removal
Splinting and Casting
Well-Child Visits and Immunizations
Endometrial Biopsy
Transcure’s Onboarding Process for Family Practice Medical Billing
Welcome Call
Your journey with Transcure begins with a personal introduction. We'll connect you with your dedicated account manager, who will be your single point of contact, setting clear expectations for our partnership.
Implementation Questionnaire
We'll provide you with a digital questionnaire to collect essential information about your family practice, including your EHR system, provider list, and specific coding needs.
Onboarding Meeting
Our expert team will do a meeting with you to review your current billing workflow. During this meeting, we will ask you to provide access to your current EHR and billing platforms.
Establishing Workflow SOPs
Based on our strategic plan, we will create a step-by-step workflow document that outlines how our team will handle everything, from charge capture to denial management.
Go-Live Date
Once our custom workflow is approved, we will set a "go-live" date. Your family practice billing operations will then seamlessly transition to Transcure, allowing your staff to focus entirely on patient care.
We are adept at using these EHRs
The experts at Transcure are well-versed with the features
and workflows of your EHR system.
Assisting Healthcare Organizations to Flourish
Satisfied Providers are our Testaments
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
What is family practice billing?
Family practice billing refers to managing claims, payments, and patient accounts for the diverse services delivered in family medicine, from wellness visits to chronic care management.
Why do claims for family practice get denied?
Denials occur due to coding errors, incomplete documentation, unverified insurance information, or failure to follow payer-specific billing guidelines.
How is chronic disease management billed in family practice?
Chronic care management services require documented care coordination and may use specific CPT codes like 99490 or 99487 for billing monthly management.
What are the common billing challenges for family practices?
Challenges include heavy administrative workload, complex coding across specialties, frequent insurance paperwork, and dealing with delays in payments and denials.
What regulations affect family practice billing?
Family practice billing must comply with HIPAA and ACA rules, CMS regulations, and insurer requirements to avoid financial and legal penalties.
