Internal Medicine Billing That Boosts Revenue Without the Admin Burden

Yes. Providers can bill for TCM using codes like 99495 or 99496 if they manage a patient’s care within 14 days after discharge. These services require specific follow-up and documentation to qualify.

BHI services can be billed using CPT code 99484. Internal medicine practices must coordinate care with mental health professionals and document monthly management activities.

Yes. RPM codes like 99453 and 99457 can be used when practices collect and interpret health data remotely. These codes are useful for chronic condition management and require proper device tracking.

When a provider spends additional time beyond the standard E/M code, prolonged service codes such as 99417 can be added, provided that time is clearly documented.

Yes. NPPs can bill under the physician using incident-to guidelines or bill independently. The method affects reimbursement rates and documentation requirements.

Proper documentation and diagnosis linking are essential. The visit must justify the E/M level, and each condition must be supported with clinical notes and medical necessity.

Key metrics include clean claim rate, first-pass resolution rate, denial reasons, AR aging, and charge lag. These indicators help practices identify and fix revenue cycle gaps.

We manage enrollment and re-credentialing with commercial payers, Medicare, and Medicaid. Proper credentialing is essential for timely reimbursement and claim acceptance.

Yes. We assist with documentation, coding, and reporting requirements under value-based care models to ensure practices meet quality benchmarks and avoid penalties.

Preventive services are covered without cost-sharing under most plans, while diagnostic services follow different billing rules. Correct coding helps prevent denied claims and patient billing confusion.

Yes. We ensure that all services provided on the same day are captured, coded accurately, and supported by documentation to avoid bundling or rejection.

Onboarding typically takes 7 to 14 days. We customize the transition based on your EMR, staff workflow, and payer setup to ensure zero disruption.

We specialize in high-volume, detail-heavy billing environments. Our team understands internal medicine coding, compliance, chronic care models, and performance-based payer programs.