Talk to An Expert
  • Primary Care Coding Specialists

Primary Care Medical Billing Services

Primary care billing isn’t straightforward for office visits. It’s preventive vs problem distinctions, chronic care management programs, and complexity documentation that general billers constantly miss.

One incorrect same-day visit code, one missed chronic care management opportunity, or one undercoded multi-problem visit—and $20K-$50K vanishes monthly.

Neo MD fixes that with primary care-certified coders, preventive care protocols, and CCM/TCM revenue capture workflows.

94–96%

First-Pass Claim

+22%

Avg Revenue Increase

90

Days to Results

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

Is Your Primary Care Practice
Bleeding Revenue? (Most Are.)

If any of these are happening, you’re losing $240k-$580k  annually:

Visible Revenue Bleed

Immediate Impact

Priority: Critical
Audit Code: PCP-901

Same-Day Preventive + Problem Visit Denied

Missing modifier 25 documentation or inadequate separation

Priority: High
Audit Code: PCP-902

Annual Wellness Visits Downcoded

Incomplete comprehensive health risk assessment documentation

Priority: High
Audit Code: PCP-903

Chronic Care Management Not Billed

99490, 99491 opportunities sitting on the table = $0

Priority: Critical
Audit Code: PCP-904

Transitional Care Management Missed

Post-hospital discharge visits never captured (99495-99496)

Priority: High
Audit Code: PCP-905

Minor Procedures Bundled with E/M

Laceration repair, I&D billed incorrectly with office visit

Priority: Medium
Audit Code: PCP-906

Immunization Administration Rejected

Incorrect CPT code pairing between product and admin codes

Invisible Losses

According to AAFP data, primary care practices lose 20%–30% of revenue due to:

E/M Complexity Undercoding

99213 when should be 99214/99215

18% underpayment

Preventive Add-Ons Missed

Depression screening, alcohol counseling

$7K-$15K/month

CCM Revenue Uncaptured

Multi-condition patient management

$14K-$32K/month

TCM Post-Discharge

Hospital follow-up visits

$9K-$18K/month

Age-Based Preventive Errors

Wrong code = auto-denial

12% denial rate

Remote Patient Monitoring

RPM opportunities

Untapped revenue

Time-Based Counseling

Prolonged service codes

High-yield miss

Vaccine Admin + Product

Incomplete code pairing

15% revenue loss
"You chose primary care to treat the whole patient. But right now, coding errors cost more than two family physicians' combined salaries."
Cumulative Revenue Variance
$576,000+
Per Annum Potential
See How Much Revenue You're Leaving Behind
  • Industry Problem

Why General Medical Billing Companies Fail Primary Care Practices

Primary care billing demands breadth of knowledge that generalists simply don’t have.

Preventive vs problem confusion

Can't separate same-day billing correctly

CCM blindspot

Never implement chronic care management (99490, 99491)

+

AWV documentation gaps

Miss required elements for annual wellness visits

E/M undercoding epidemic

Treat complex multi-problem visits as routine

TCM revenue loss

Don't capture transitional care after hospitalizations

+

Preventive add-on misses

Depression screening (96127), alcohol counseling never billed

Vaccine pairing errors

Incorrect product + administration code matching

Time-based coding failure

Don't capture counseling-dominant visits

Result: 22%–32% denial rates, systematic undercoding, and massive revenue leakage on value-based care services.

  • The NEO MD Difference

The Neo MD Primary Care Advantage

Primary Care-Certified Coding Teams

  • Preventive vs problem visit separation mastery
  • Annual Wellness Visit optimization (IPPE, AWV)
  • Chronic Care Management expertise (99490, 99491, 99437)
  • Complex E/M coding for multi-problem visits
  • Minor procedure revenue capture
  • Vaccine administration + product pairing

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

Preventive Care Revenue Maximization

  • Annual wellness visits — All required elements captured
  • Preventive add-ons — Depression screening (96127), alcohol counseling (G0442-G0443)
  • Age-appropriate codes — 99381-99397 correct selection
  • Same-day preventive + problem — Modifier 25 compliance
  • Medicare IPPE — G0402 initial preventive exam

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

Chronic Care Management Revenue

  • CCM (99490, 99491) — Multi-condition management
  • Complex CCM (99487-99489) — High complexity patients
  • Principal care management (99424-99427) — Single serious condition
  • Remote patient monitoring (99453-99458) — Technology-enabled care
  • Transitional care (99495-99496) — Post-discharge management

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

Prior Authorization Management

  • Advanced imaging (CT, MRI)
  • Specialty referrals
  • DME authorizations
  • Home health services
  • Specialty medications
  • Diagnostic testing

→ 3.5-day turnaround (vs 8–12 days industry standard)

Complex E/M Visit Optimization

  • Multi-problem visits — Proper medical decision-making documentation
  • Time-based coding — When counseling dominates (>50% of visit)
  • New patients (99204-99205) — Comprehensive documentation
  • Established high complexity (99215) — Supporting documentation
  • Prolonged services — Extended visit codes

→ Appropriate coding for primary care complexity

Real-Time Revenue Intelligence

  • Daily preventive care tracking
  • Weekly CCM program monitoring
  • Monthly performance by service type
  • Quarterly policy updates
  •  

→ Complete transparency

Request Your Free Revenue Assessment

Primary Care We Master

Preventive Care Services

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

Acute & Chronic Disease Management

Acute illness evaluation and treatment including respiratory infections and minor injuries, chronic disease management for diabetes, hypertension, COPD, asthma, and heart disease, comprehensive medication management for multiple conditions, anticoagulation monitoring, and coordinated care for 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, nebulizer treatments, ear lavage and foreign body removal, and wart removal procedures.

Women's Health Services

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

Care Coordination Services

Chronic care management for patients with multiple conditions, transitional care management after hospital or SNF discharges, care plan oversight for home health and hospice, advanced care planning discussions and documentation, and behavioral health integration for 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 MIPS and value-based contracts.

Real Results: 6-Physician Primary Care Group (North Carolina)

“We had no idea how much we were leaving on the table. Neo MD helped us launch a chronic care management program generating $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 Recovered
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 +$24,000 / month
Preventive Add-On Services Missed Entirely +$7,000 / month
Total Revenue Impact Missed Revenue $68,000 / month
($816K annually)

Free Download

Primary Care 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 (consent, time tracking)

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

Complex E/M templates for multi-problem visits

Modifier 25 medical necessity guide

Vaccine administration coding matrix

Preventive service add-ons quick reference

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

Download Primary Care 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 for same-day problem billing opportunities, reviewing chronic care management eligibility across your patient panel, evaluating E/M code selection patterns for multi-problem visits, and assessing transitional care management capture after hospital discharges. Our team identifies denial patterns by service type and payer, examines preventive add-on opportunities like depression screening and alcohol counseling that were never billed, and reviews medical decision-making documentation quality for complex visits. You receive a detailed report showing exactly where revenue is leaking with specific examples of undercoded visits and the 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 primary care 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 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 primary care 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

Primary care practices face unique compliance challenges. We protect you:

Preventive vs problem separation

modifier 25 requirements, distinct documentation

Annual wellness visit compliance

all required elements, risk assessment

CCM documentation standards

consent, care plan, time tracking

TCM timing requirements

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

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 22–27% revenue increase.

Yes. We handle hybrid models combining membership fees with insurance billing.

 We help optimize quality measure reporting and 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.

Multi-region adjustments undercoded

Modifier AT was missed on therapy

E/M visits are completely underbilled

Personal injury cases are mismanaged

Therapeutic modalities bundled incorrectly

Maintenance care denied

Partner with Neo MD

Operational Performance Protocol

90 Day scaleability
Clean Claims Rate
94–96%
Denials Below 5%
60 Days
Revenue Increase
27–32%
Multi-Region Accuracy
97%+
Modifier AT Application
96%+
E/M Optimization
94%+

Activate Recovery

Start Your 90 days cycle.

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 primary care 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. | Primary Care Medical Billing Specialists




    Trusted by 220+ primary care practices across all 50 states