AspireMedX - Smart Revenue Cycle Solutions
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Family Medicine Billing

Preventive care, chronic disease management, and referrals, billed without missing revenue.

Overview

Family medicine practices bill across an unusually wide mix - annual wellness visits, problem-focused sick visits, chronic care management, and referral coordination, often in the same day for the same patient. AspireMedX keeps that mix coded correctly so preventive-care claims don't quietly convert into a patient bill.

Who this service supports

Family medicine billing focuses on care across age groups, including preventive visits, vaccines, and chronic care. Same-day preventive and problem-oriented services require documentation and payer-specific review; separate payment is not automatic.

Where claims usually go wrong

The most common revenue leak is billing a preventive visit and a problem-focused visit on the same day without the right modifier, which either drops the second service or triggers a denial. We flag same-day combination visits before submission so both services get paid correctly.

What we handle

  • ✓Annual Wellness Visit (AWV) vs. problem-focused E/M coding and modifier 25 use
  • ✓Chronic Care Management (CCM) and transitional care management billing
  • ✓Immunization and vaccine administration coding
  • ✓Referral and prior authorization coordination for specialist visits
  • ✓Medicare and commercial payer mix reconciliation

Talk to us about family medicine billing

info@aspiremedx.com · +1 (716) 242-2898

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