Internal medicine billing services · E/M · CCM · RPM

Internal medicine billing services, care management included

PhysiAssist runs billing for internal medicine practices: office and hospital visits, annual wellness visits, chronic care management and remote patient monitoring. We track monthly time and readings so every eligible month is billed, and every claim has the documentation behind it.

See what we checkCodes, CCM, RPM

Monthly CCM and RPM codes

Try it
CCM clinical staff minutes this month
Days with RPM readings
RPM treatment management minutes

CCM

RPM

CMS care management rules; check each year's updates

  • Monthly timetracked for CCM and RPM
  • Every E/Mlevel checked against the record
  • Office to hospitalone team for every setting
  • 2.8% to 5%of net collections, one rate

The basics

What are internal medicine billing services?

Internal medicine billing services manage the revenue cycle of an internal medicine practice: E/M visits, annual wellness visits, chronic care management, remote patient monitoring, transitional care, hospital and nursing facility visits, payment posting, denials and AR. Care management revenue depends on tracking time and readings every month.

Visits

Office and hospital E/M

Office, telehealth, hospital and nursing facility visits coded to the record.

Monthly

Chronic care management

Clinical staff time tracked each month, with consent and care plan on file.

Monthly

Remote patient monitoring

Device days and treatment management time billed when the thresholds are met.

Preventive

Wellness visits

Annual wellness visits timed to Medicare frequency rules.

What we check

Internal medicine billing and coding: what we check on every claim

Internal medicine codes we check
CodesWhat they coverWhat we check
99202–99215New and established office visitsLevel supported by decision making or total time
99490 · 99439Chronic care management, clinical staff timeConsent, care plan and minutes per month
99453 · 99454RPM setup and device supply16 or more days of readings in the 30-day period
99457 · 99458RPM treatment managementInteractive communication and minutes per month
G0438 · G0439First and later annual wellness visitsOnce every 12 months, no physical exam included
99495 · 99496Transitional care managementContact within 2 business days, visit within 7 or 14 days
99221–99239Hospital inpatient and observation visitsAdmission, subsequent and discharge visits by date

Free internal medicine billing audit

Find the months and visits that went unbilled

Send us a recent month of E/M, wellness and care management claims. A certified coder checks every one and sends a written report you keep, whether or not you work with us.

Internal medicine billing audit · sampleIllustrative

Claims reviewed

540

With an issue

37

Dollar impact

$12,600

What the report covers

  • E/M level support
  • CCM and RPM time and requirements
  • Wellness visit timing
  • Hospital visit coding
  • Denials by root cause and the fix for each pattern

Office, hospital and home

Care that continues between visits, billed every month

Care management happens between visits. We track the minutes and the readings so each eligible month is billed and documented.

E/MCCMRPMWellness

The systems we work in every day

Already fluent in the tools your practice runs on

35+EHRs
6clearinghouses
8auth portals
EHRs we have masteredWe work inside yours
and more

We log in to your system; nothing about it changes for your team.

ClearinghousesClaims, rejections, ERAs

Claims, rejections and remittances worked through your clearinghouse.

Prior auth portalsSubmit, track, renew
and more

Submissions, status checks and renewals in each payer's own portal.

Pricing

How internal medicine billing is priced

One rate of 2.8% to 5% of net collections, quoted in writing before you sign. Where you land depends on monthly collections, specialty mix, the scope of services, and your AR backlog and payer mix.

The rate covers medical coding, claim submission, payment posting, denials and AR follow-up. Front desk services, prior authorization, the reporting dashboard, patient statements, credentialing and digital marketing are quoted separately.

See full pricing and estimate your rate →

Internal medicine billing questions

What do internal medicine billing services include?

Eligibility checks, E/M coding, annual wellness visits, chronic care management, remote patient monitoring, transitional care, in-office tests and procedures, hospital visits, payment posting, denials, AR follow-up and patient billing.

How is chronic care management billed?

With 99490 for the first 20 minutes of clinical staff time in a month and 99439 for each additional 20 minutes, once the patient has consented and a care plan is on file.

How is remote patient monitoring billed?

With 99453 for setup, 99454 for device supply when there are 16 or more days of readings in 30 days, and 99457 and 99458 for treatment management time with interactive communication.

Can CCM and RPM be billed in the same month?

Yes, for the same patient, as long as the time counted for each is not double counted and each service's requirements are met.

Do you bill hospital and nursing facility visits?

Yes. Inpatient, observation and nursing facility visits are billed with the right codes and place of service, alongside your office claims.

How are E/M levels chosen?

By medical decision making or total time on the date of service. We check that the documentation supports the level billed.

How much do internal medicine billing services cost?

PhysiAssist charges 2.8% to 5% of net collections for coding, claims, payment posting, denials and AR, quoted in writing before you sign.

What is in the free internal medicine billing audit?

We review recent E/M, wellness and care management claims and send a written report: E/M level support, wellness visit timing, CCM and RPM time and requirements, denials by root cause and the dollar value of each.

Related services

Bill every visit and every eligible month

A free internal medicine billing audit by a certified coder, with a written report you keep.

See pricing2.8% to 5% of net
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