Specialty Focus: Family Medicine

Primary Care Billing,
Engineered for Precision.

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Wellness & Preventative

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Preventative
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Pediatrics
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Routine E&M
vaccines
Procedures

Select a focus area on the scanner or list below to reveal the specific E&M leveling, preventative care rules, and procedural documentation standards our certified coders master to secure your family practice revenue.

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Wellness & Preventative

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Flawless coding for Medicare Annual Wellness Visits (AWV), Initial Preventive Physical Exams (IPPE), and commercial routine physicals. We ensure Modifier 25 and Modifier 33 are applied perfectly when sick visits or specific screenings overlap with preventative care.

AWV & IPPE Coding Modifier 25/33 Mastery Screening Captures
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Pediatrics & Immunizations

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Accurate billing for early childhood/adolescent well-care visits, vaccine administration, and counseling. We ensure VFC (Vaccines for Children) guidelines and age-specific counseling codes (90460/90461) are handled flawlessly to prevent denial of costly serums.

Well-Child Visits Vaccine Admin & Counseling VFC Compliance (SL Modifier)
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Routine E&M Visits

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Proper E&M leveling based strictly on the latest MDM (Medical Decision Making) guidelines or Time. We ensure you never under-code your complex chronic disease management visits out of audit fear, safely maximizing your 99214 and 99215 claims.

MDM vs. Time Guidelines Complex Chronic Linking E&M Leveling Defense
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Minor Procedures

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Accurate billing for high-volume in-office procedures including laceration repairs, joint injections, lesion removals, skin biopsies, and EKGs. We ensure all materials, global periods, and drug J-codes are captured perfectly.

Joint Injections & J-Codes Skin Biopsies / Lesions Global Period Mgmt

Primary Care Billing is Complex.
We Make It Profitable.

Family medicine practices face intense scrutiny on preventative/sick visit overlaps, vaccine coding, and E&M under-coding. Hover over the common challenges below to see how HBS secures your revenue.

AWV + Acute E&M Bundling

When a patient comes in for an Annual Wellness Visit (AWV) but also requires evaluation for an acute illness, payers routinely deny the secondary E&M code if billed incorrectly.
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The HBS Solution

We ensure distinct diagnosis mapping. By separating the preventative ICD-10 codes from the acute/chronic ICD-10 codes and properly applying Modifier 25, we secure payment for both services legally.

Vaccine Administration Errors

Billing multiple vaccines gets complicated fast. Missing counseling codes based on age, or misreporting multi-component vaccines vs. single vaccines leads to immediate underpayments.
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The HBS Solution

Our automated cross-checks verify patient age, presence of counseling, and the exact serum CPT vs. administration CPTs, ensuring maximum capture for every antigen component administered.

Chronic E&M Under-Coding

Fear of RAC audits causes many family practitioners to “play it safe” and constantly bill Level 3 (99213) visits, even when managing multiple severe chronic conditions that warrant a Level 4 or 5.
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The HBS Solution

We provide targeted Clinical Documentation Improvement (CDI) feedback. If your MDM supports a 99214/99215 based on prescription management or data review, we bill it and fiercely defend it against downcoding.

The HBS Family Medicine Advantage

We don’t just process claims; we act as the financial safeguard for your primary care practice. From capturing preventative care incentives to eliminating E&M under-coding, we maximize your high-volume revenue.

98% First-Pass Clean Claim Rate

Our proprietary scrubbing engine catches modifier 25 errors, missing vaccine counseling codes, and incomplete MDM criteria before the claim ever leaves our system.

48-Hour Turnaround

High patient volume requires speed. We guarantee that your daily encounters, from well-child checks to complex chronics, are coded and billed within 48 hours.

E&M Bell Curve Management

We analyze your physician group's coding habits against national CMS bell curves, providing targeted education to confidently capture level 4/5 visits without audit fear.

Average Clinic Revenue Lift (First 6 Months)

M1
M2
M3
M4
M5
+15% Lift
M6
Calculate Your Specific ROI

Stop Surgical Denials Today.

Let our specialized orthopaedic billing team audit your current operative reports. Discover exactly where your revenue is leaking on unbundled procedures and missed implants.