That breadth means more code sets, more payer types and more opportunities for missed revenue.
Why specialized family practice billing matters
Primary care billing services must handle preventive, sick, chronic care and immunization claims for every age group accurately.
Our family practice medical billing services
- Preventive and sick visit billing
- Annual wellness visits
- Chronic care management
- Immunization billing for all ages
- Medicare, Medicaid and commercial claims
Every engagement includes our full medical billing services workflow, adapted to family practice rules.
Family Practice coding and claims management
Examples of the codes and rules our team works with every day:
99381–99397
Preventive medicine services by age and new/established status.
G0438 / G0439
Medicare annual wellness visits (not the same as a physical).
90471 / 90472
Immunization administration without counseling (or for adults).
99490
Chronic care management, first 20 minutes per month.
Codes are examples, not coding advice. We apply current CPT®, ICD-10-CM, HCPCS and payer policy to each claim.
Common family practice billing challenges and claim denials
AWV vs physical
Medicare doesn't cover routine physicals; billing the wrong service causes denials.
Same-day sick and well
Requires separate documentation and modifier 25.
Payer variety
Medicare, Medicaid and commercial plans all apply different rules.
Missed care management
CCM and TCM go unbilled without tracking.
How our RCM services help family practice practices
Our family practice revenue cycle management captures preventive, chronic and acute care across all ages.
Insurance eligibility and benefits verification
We verify preventive frequency and benefits for every age group. Learn about verification.
Payment posting and accounts receivable
High-volume posting with patient balance accuracy. Unpaid claims are followed up through our A/R management process.
Denial management and appeals
We correct frequency, modifier and coordination-of-benefits denials. See our denial management services.
Credentialing and enrollment
We credential family physicians, NPs and PAs with all major payers. Insurance credentialing is $150 per payer.
Why family practice providers choose Cyber Sense
- Transparent pricing: 4% of monthly insurance collections, no hidden fees or minimums
- We work inside your existing EHR / PM system
- Billers who understand family practice payer rules
- Monthly reports on collections, denials and A/R
- No patient-level data collected through marketing forms; access to your systems is role-based
Our family practice medical billing workflow
- 1Practice review and onboarding
- 2Eligibility and authorization checks
- 3Coding review and charge entry
- 4Claim scrubbing and submission
- 5Payment posting and reconciliation
- 6Denial work and A/R follow-up
- 7Monthly reporting and review call
Family Practice medical billing FAQs
Is an annual wellness visit the same as a physical?
No. Medicare's AWV is a planning visit; routine physicals aren't covered by Medicare.
Do you bill immunizations for adults and kids?
Yes, with the right administration codes for each.
Do you bill chronic care management?
Yes.
Do you handle Medicaid?
Yes, according to your state's rules.
What does it cost?
4% of monthly insurance collections.
Family Practice billing articles
- Family Practice Annual Wellness Visit Workflow: From Scheduling to ClaimBuild a family practice annual wellness visit workflow with eligibility checks, required documentation, separate services, and claim review safeguards.
- Preventive and Sick Visits on the Same Day in Family PracticeReview same-day preventive and sick visit billing for family practices, including modifier 25, separate documentation, patient costs, and payer rules.
- Office E/M Time Versus MDM: A Family Practice Selection WorkflowChoose office E/M levels using time or medical decision-making, with family practice examples, exclusions, documentation checks, and payer cautions.
- Immunization Product and Administration Charges in Family PracticeSeparate vaccine product and administration charges across pediatric, adult, and Medicare visits with inventory checks, payer caveats, and claim controls.
- A Chronic Care Management Time Ledger for Family PracticeCreate a family practice chronic care time ledger that separates qualifying work, staff roles, duplicate minutes, monthly thresholds, and payer rules.
- Minor Office Procedure Modifiers: A Family Practice Review GuideReview modifiers for family practice minor procedures, including separate E/M work, distinct services, global periods, documentation, and payer caveats.
- Primary Care Laboratory CLIA Workflow for Family PracticesBuild a primary care lab billing workflow around CLIA certificates, test methods, medical necessity, QW review, reference labs, and claim reconciliation.
- Family Practice Eligibility and Coordination of Benefits WorkflowVerify family practice eligibility and coordination of benefits across children, working adults, and Medicare patients before claims enter billing queues.
- Family Practice Denial Appeals: Build the Evidence Before the LetterBuild family practice denial appeal packets using claim facts, policy versions, clinical evidence, filing proof, and service-specific documentation checks.
- Family Practice Billing Outsourcing: A Controlled Handoff PlanPlan a family practice billing outsourcing handoff with clear ownership, secure access, vaccine and procedure controls, reconciliation, and escalation.
- Transitional Care Management in Family Practice: Contact, Visit Timing, and BillingHow family practices bill transitional care management after discharge: the two-business-day contact, face-to-face timing, MDM levels, and common errors.
- Referral Authorizations in Family Practice: Coordinating Specialist CareHow family practices manage HMO referrals and prior authorizations for specialist care, imaging and procedures so patients and specialists are not left with denials.
- Medicare vs. Commercial Preventive Benefits: What Family Practices Should KnowWhy Medicare does not cover routine physicals, how the IPPE and Annual Wellness Visit differ from preventive medicine codes, and how ACA plans cover preventive care.