Specialty billing

Billing built for Primary Care

Primary care billing built for value-based reality — AWVs, chronic care management, quality capture, and the recurring revenue most practices never bill.

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The challenges

Where primary care revenue leaks

CCM, RPM, BHI, and AWV programs go unbilled for lack of workflow
Value-based contracts demand quality data most PMs can't produce
High visit volume makes small per-visit leakage compound fast

Our playbook

How we fix it

Care management program billing setup (CCM, RPM, BHI)
Annual wellness visit capture workflows
Quality measure capture aligned to VBC contracts
MIPS and HEDIS performance support built in

Core solutions

What primary care clients typically use

Medical BillingEnd-to-end claim submission, scrubbing, and follow-up that gets you paid faster — engineered to a 98%+ first-pass clean claim standard.

Medical CodingAAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.

CredentialingEnd-to-end provider lifecycle management — credentialing, primary source verification, expirable tracking, and AI-monitored compliance from application to recredentialing.

Denial ManagementEvery denial worked within 48 hours and root causes eliminated — because the best denial strategy is preventing the next one.

AI Revenue IntelligenceMachine learning that predicts denials before submission, prioritizes A/R by recovery probability, and finds patterns humans miss.

MIPS & Quality ReportingFull Quality Payment Program management — measure selection, data capture, submission, and score optimization that turns MIPS from a penalty risk into a payment adjustment you earn.

Get a billing health check for your primary care practice

Free, 30 minutes, with a consultant who knows your specialty's codes and payers. We'll benchmark your denial rate, A/R days, and collections — and tell you exactly what we'd fix first.

Book my free consultation