Talk to An Expert
  • Family Practice Coding Specialists

Family Practice Medical Billing Services

Family practice billing is more complex than it appears. One wrong preventive vs problem visit code, one missed chronic care management opportunity, or one undercoded same-day visit—and thousands in revenue vanish. Neo MD fixes that with family medicine-certified coders, preventive care optimization workflows, and aggressive revenue capture built for primary care complexity.

Neo MD fixes that with pain management-certified coders, strict LCD compliance workflows, and aggressive procedure capture built for interventional pain complexity.

95-97%

First-Pass Claim Acceptance

+21%

Average Revenue Increase

90

Days to Results

Get Free Family Practice Revenue Analysis
Talk to a Family Practice Billing Expert
  • Practice Revenue Health Audit

Is Your Family Practice
Bleeding Revenue? (Most Are.)

If you fall behind your revenue goals, it’s time to get our professional consultation about the Revenue Cycle Management process. If any of these are happening, you’re losing $120K–$280K+ annually:

Visible Revenue Bleed

Immediate Impact

Priority: Critical
Audit Code: FP-901

Preventive Visit Claims Denied

Sick visit coded as preventive or vice versa

Priority: High
Audit Code: FP-902

Annual Wellness Visit Claims Rejected

Wrong AWV code for initial vs subsequent

Priority: High
Audit Code: FP-903

Chronic Care Management Claims Denied

Missing the required 20 minutes of documentation

Priority: Critical
Audit Code: FP-904

Same-Day Sick and Well Visit Claims Delayed

Modifier 25 documentation is insufficient

Priority: High
Audit Code: FP-905

Procedure Claims Bundled

When minor surgery should've been billed separately

Priority: High
Audit Code: FP-906

Prolonged Service Code Missing

Not capturing visits over 40 minutes (99354)

Invisible Losses

According to AAFP and MGMA family practice benchmarking data, practices lose 18%–25% of revenue due to:

20% underpayment

E/M Level Undercoding

Defaulting to 99213 when 99214 applies

$10K-$24K/month

Preventive vs Sick Visit

Wrong visit type selection

High-dollar loss

Chronic Care Management

Not billing 99490 for eligible patients

17% revenue loss

Annual Wellness Visits

Missing G0438/G0439 opportunities

Critical miss

Same-Day Sick and Well

Missing modifier 25 documentation

Systematic loss

Prolonged Service Time

Not capturing extended visits

Compliance risk

Care Coordination

Missing TCM codes 99495-99496

Untapped revenue

Behavioral Health Integration

Not billing 99484 screening

"You didn't become a family doctor to fight with insurance companies. But right now, coding errors cost more than a physician's salary."
Cumulative Revenue Variance
$280,000+
Per Annum Potential
Request Your Free Revenue Assessment
  • Industry Problem

Why General Medical Billing Companies Fail Family Practice Practices

Family practice billing requires specialty expertise that general billers don’t have.

E/M level selection chaos

Default to level 3 when higher levels apply

Preventive coding blindspot

Can't distinguish wellness vs sick visits

?

AWV confusion

Don't know when G0438 vs G0439 applies

CCM documentation miss

Don't track 20-minute requirement for 99490

Same-day visit errors

Can't properly code sick and well on the same day

Medical necessity gaps

Can't document higher-level E/M visits

Care coordination underbilling

Miss TCM and care management codes

Prolonged service blindspot

Don't capture extended visit time

Result: 15%–22% denial rates, 45-60 day payment cycles, and constant staff time wasted on resubmissions.

  • The NEO MD Difference

The Neo MD Pain Management Advantage

Family Medicine-Certified Coding Teams

  • Expert in preventive vs problem visit separation
  • Annual wellness visit optimization (IPPE, AWV)
  • Chronic care management billing (99490, 99491, 99437)
  • Complex E/M coding for multi-problem visits
  • Minor procedure revenue capture
  • Vaccine administration and product coding

→ 94–96% clean claim rate vs 68–78% industry average

Preventive Care Revenue Maximization

We ensure proper billing for:

  • Annual wellness visits with all required elements
  • Preventive service add-ons (depression screening 96127, alcohol counseling G0442-G0443)
  • Age-appropriate preventive codes (99381-99397)
  • Same-day preventive + problem visits with modifier 25
  • Medicare IPPE (initial preventive physical exam G0402)

→ $8K–$18K monthly recovery from preventive service optimization

Chronic Care Management Revenue

We capture:

  • Chronic care management (99490, 99491)
  • Complex chronic care management (99487-99489)
  • Principal care management (99424-99427)
  • Remote patient monitoring (99453-99458)
  • Transitional care management (99495-99496)

→ $14K–$32K monthly from CCM/TCM programs

Complete Prior Authorization Management

We handle authorizations for:

  • Advanced imaging (CT, MRI)
  • Specialty referrals requiring authorization
  • Durable medical equipment (DME)
  • Home health services
  • Specialty medications
  • Sleep studies and diagnostic testing

→ 3.5-day turnaround instead of 8–12 days

Complex E/M Visit Optimization

We maximize reimbursement for:

  • Multi-problem visits with proper medical decision-making documentation
  • Time-based coding when counseling dominates visit
  • New patient visits (99204-99205)
  • Established patient visits with high complexity (99215)
  • Prolonged service codes for extended visits

→ Appropriate coding for primary care complexity

Real-Time Revenue Visibility

Expert navigation of:

  • Daily preventive care claim tracking
  • Weekly chronic care management monitoring
  • Monthly financial performance by service type
  • Quarterly payer policy update reviews

→ Complete transparency

Request Your Free Revenue Assessment

Family Services We Master

Preventive Care Services

Annual wellness visits for Medicare patients, including comprehensive health risk assessments, age-appropriate preventive visits for all ages from newborns through geriatrics, routine health maintenance examinations with appropriate screening tests, immunizations and vaccine counseling for children and adults, and preventive counseling for obesity, alcohol use, and tobacco cessation.

Acute & Chronic Disease Management

Evaluation and treatment of acute illnesses, including respiratory infections, skin conditions, and minor injuries; chronic disease management for diabetes, hypertension, COPD, asthma, and heart disease; comprehensive medication management for multiple conditions, anticoagulation management and monitoring, and coordinated care for patients with complex medical needs.

Minor Office Procedures

 Laceration repair and wound care, incision and drainage of abscesses, skin lesion removal and biopsies, nail removal procedures, joint injections for arthritis and pain, nebulizer treatments, ear lavage and foreign body removal, and wart removal with various techniques.

Women's Health Services

Annual gynecologic examinations, Pap smear collection and interpretation, contraceptive counseling and management, prenatal care and coordination, IUD insertion and removal, and breast examination and screening coordination.

Care Coordination Services

Chronic care management for patients with multiple conditions requiring comprehensive care planning, transitional care management after hospital or SNF discharges, care plan oversight for home health and hospice patients, advanced care planning discussions and documentation, and behavioral health integration for patients with comorbid mental health conditions.

Technology & Value-Based Services

Remote patient monitoring for chronic conditions, telehealth visits for acute and follow-up care, after-hours virtual care, patient portal messaging for clinical questions, and participation in quality reporting programs including MIPS and value-based contracts.

Real Results: 6-Physician Family Practice (North Carolina)

“We had no idea how much we were leaving on the table. Neo MD helped us launch a chronic care management program that generates $18K monthly. Our E/M coding is finally accurate, and we’re capturing transitional care after every hospital discharge. Revenue is up 27% without adding patients.”

— Dr. Michael K., Family Medicine

Get Your Practice's Revenue Analysis
Metric Before NEO MD After NEO MD (90 Days)
Denial Rate on Same-Day Visits 26% 4.2%
Annual Revenue Loss $520,000 Eliminated
Chronic Care Management (CCM) $0 Revenue +$18,000 / month
Transitional Care Management (TCM) Never Billed +$9,000 / month
E/M Visit Coding Accuracy Consistently Undercoded Optimized (+$24,000 / month)
Preventive Add-On Services Missed Entirely +$7,000 / month
Total Revenue Impact Missed Revenue $68,000 / month
($816K annually)

Free Download

Family Practice Denial Prevention Checklist

The exact checklist our coders use for 94%+ clean claims.

Preventive vs problem visit coding map (same-day billing guide)

Annual wellness visit documentation template (IPPE and AWV)

Chronic care management billing checklist (99490, 99491, consent requirements)

Transitional care management workflow (99495-99496, timing requirements)

Complex E/M documentation templates for multi-problem visits

Modifier 25 medical necessity guide for same-day procedures

Vaccine administration coding matrix (product + admin pairing)

Preventive service add-ons quick reference (depression, alcohol, tobacco)

Used by 220+ family practices. Worth $2,400. Yours free.

Download Family Practice Checklist

Performance: Neo MD vs Industry Standard

Performance Metric Industry Avg Neo MD
Clean Claim Rate 68–78% 94–96%
Denial Rate 22–32% 4–7%
CCM Revenue Capture 8–22% 92%+
TCM Billing Capture 18–35% 94%+
E/M Coding Accuracy 71–82% 96%+
Preventive Add-On Capture 32–54% 93%+

Our Process: Revenue Acceleration in 90 Days

Step 1 (Week 1)
Free 90-Day Revenue Diagnostic

 We begin with a comprehensive analysis of your last 90 days of billing data, examining every preventive visit, same-day visit combination, chronic care management opportunity, and E/M code selection pattern. Our team reviews denial patterns by service type and payer, identifies missed transitional care management after hospital discharges, and assesses medical decision-making documentation quality for complex visits. You receive a detailed report showing exactly where revenue is leaking and the specific dollar amount being lost to each type of coding error or missed service opportunity.

Step 2 (Weeks 2-3)
Seamless Transition

 Our implementation team coordinates a smooth transition with zero disruption to your practice operations or patient flow. We integrate with your EMR system (whether you're using Epic, Athenahealth, eClinicalWorks, NextGen, Greenway, or any other platform), verify all payer enrollments and credentialing including Medicare and Medicaid participation, set up chronic care management workflows with patient enrollment protocols, establish transitional care management tracking systems, and provide comprehensive training to your physicians, nurses, and front desk staff on documentation requirements for preventive visits, modifier 25 usage, and time-based coding. Most practices have their first clean claims submitted within 10-12 business days.

Step 3 (Days 30-90)
Revenue Acceleration

 This is where you see immediate financial impact. Our certified family medicine coders begin capturing chronic care management revenue for your patients with multiple chronic conditions, implementing transitional care management billing for every hospital discharge, optimizing E/M coding to reflect the true complexity of multi-problem primary care visits, and capturing preventive service add-ons like depression screening and alcohol counseling that were previously missed. We systematically rework and resubmit old denied claims for same-day visits and procedures. Within the first 30 days, most practices see noticeable cash flow improvement from CCM and TCM alone, and by day 90, our clients average a 22-27% revenue increase without extending office hours or adding appointment slots.

Step 4 (Ongoing)
Continuous Optimization

 Revenue optimization doesn't stop at 90 days. We provide bi-weekly updates on preventive care and value-based payment changes as CMS policies evolve, conduct monthly E/M coding reviews with your providers to ensure continued accuracy and appropriate complexity capture, perform quarterly compliance audits on chronic care management documentation and time tracking, and deliver annual CPT code update training specific to family medicine services. As your practice expands into new service lines like remote patient monitoring or behavioral health integration, we proactively research coverage policies and implement billing protocols to ensure maximum reimbursement from day one.

Start Your Revenue Assessment

Critical Compliance Issues We Handle

Family practices face unique compliance challenges. We protect you:

Preventive vs problem visit separation (modifier 25 requirements, distinct documentation)

Annual wellness visit compliance (all required elements, risk assessment)

Chronic care management documentation (consent, care plan, time tracking)

Transitional care management timing (within 14 days of discharge, communication documented)

Complex E/M medical decision-making (supporting documentation for level selection)

Modifier 25 medical necessity (separately identifiable service documentation)

Vaccine administration accuracy (product and administration code pairing)

Time-based coding requirements (counseling dominates visit, prolonged services)

Preventive service add-ons (frequency limitations, age restrictions)

We keep you compliant, paid, and audit-ready.

Frequently Asked Questions

 10–14 days, zero claim disruption.

 Yes. We provide CCM setup, patient enrollment workflows, time tracking systems, and ongoing billing.

 We optimize these with proper modifier 25 usage and distinct documentation requirements.

 5–8% of collections, but clients average a 22–27% revenue increase.

Yes. We handle hybrid models that combine membership fees with insurance billing.

 We help optimize quality measure reporting and ensure you capture all available incentive payments.

  • Financial Attrition Warning

Stop Losing $20K–$48K Every Month

Every month you delay is another month of compounded clinical leakage.

Same-day visits denied

Chronic care management = $0

Transitional care is missed after discharge

Complex E/M visits undercoded

Preventive add-ons uncaptured

Minor procedures underbilled

Partner with Neo MD

Operational Performance Protocol

90 Day scaleability
Clean claims
94–96%
Denials below 5%
60 Days
Revenue up 22–27%
90 Days
CCM capture
92%+
TCM billing
94%+
E/M accuracy
96%+

Preventive add-ons

93%+

Two Ways to Get Started

Option 1

Free Revenue Analysis

No obligation. No sales pitch. Just data.

We’ll show you:

  • Same-day visit denial patterns
  • Chronic care management opportunities
  • Transitional care management capture rate
  • E/M coding accuracy and complexity documentation
  • Preventive service add-on revenue potential
  • Missed revenue by service category
Request Free Revenue Analysis

Option 2

Talk to a Specialist

15-minute consultation. Zero pressure.

We’ll discuss:

  • Your current billing challenges
  • CCM and TCM program opportunities
  • E/M coding optimization strategies
  • Whether Neo MD is the right fit
Schedule 15-Minute Call

Or call us directly:

  • (929) 502-3636

Monday-Friday, 8 am-5 pm EST

The Cost of Waiting

If you’re a family practice collecting $2.4M annually and losing 24% to billing inefficiencies:

$576,000

Per year in lost revenue

$2.88 million

Over 5 years

That’s hiring another physician, opening a second location, investing in care coordination staff, or launching comprehensive chronic disease management programs.

Every month you wait costs you $48,000 you'll never recover.

The question isn’t “Should I switch?”
The question is: “How much more am I willing to lose?”

Get Your Free Analysis

Neo MD Inc. | Family Practice Medical Billing Specialists

Trusted by 220+ family practices across all 50 states