Medical specialties
Primary and family care
Surgical and procedural
Dental, DME and labs
Revenue cycle · one rate
Front end · before the visit
Patients, insight and growth
Clinical documentation
Revenue operations
Voice automation
Primary care billing services · E/M · Preventive · Care management
PhysiAssist runs billing for primary care and family medicine practices: office visits, preventive and wellness visits, chronic care management, vaccines and in-office tests. We code each visit to what the record supports and catch the billable work that high-volume days leave behind.
Preventive visit code finder
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CPT preventive medicine and Medicare wellness visit rules
The basics
Primary care billing services manage the revenue cycle of a primary care or family medicine practice: E/M visits, preventive and annual wellness visits, chronic and transitional care management, vaccines, in-office tests, telehealth, payment posting, denials and AR. In primary care, small amounts lost on many visits add up fast.
Office and telehealth visits coded by medical decision making or time.
IPPE, annual wellness visits and preventive exams by age, with same-day problems billed.
Monthly care management and post-discharge visits with consent and time on file.
Vaccine products and administration, labs and in-office tests.
What we check
| Codes | What they cover | What we check |
|---|---|---|
| 99202–99215 | New and established office visits | Level supported by decision making or total time |
| G0402 · G0438 · G0439 | Welcome to Medicare, first and later annual wellness visits | Frequency rules and no cost share for the patient |
| 99381–99397 | Preventive medicine visits by age | New or established, age band and payer coverage |
| 25 | Significant, separately identifiable E/M | Same-day problem visit documented apart from the preventive visit |
| 99490 · 99439 | Chronic care management, clinical staff time | Consent, care plan and minutes per month |
| 99495 · 99496 | Transitional care management | Contact within 2 business days, visit within 7 or 14 days |
| 90471 · 90472 | Vaccine administration | Product and administration lines for each vaccine |
Free primary care billing audit
Send us a recent month of E/M, preventive and care management claims. A certified coder checks every one and sends a written report you keep, whether or not you work with us.
Claims reviewed
600With an issue
41Dollar impact
$11,800What the report covers
High volume, small margins
Primary care earns its revenue a visit at a time. We check each one, so the small amounts that slip on busy days come back.
The systems we work in every day
We log in to your system; nothing about it changes for your team.
Claims, rejections and remittances worked through your clearinghouse.
Submissions, status checks and renewals in each payer's own portal.
Pricing
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 →Eligibility checks, E/M coding for office visits, preventive and annual wellness visits, chronic care management, transitional care, vaccines and in-office tests, telehealth, payment posting, denials, AR follow-up and patient billing.
The Welcome to Medicare visit is G0402, the first annual wellness visit is G0438 and later ones are G0439, once every 12 months. A physical exam is not part of the AWV.
Yes, when a significant, separately documented problem is addressed. The preventive code is billed with an E/M code and modifier 25.
By medical decision making or total time on the date of service, under the 2021 office visit guidelines. We check that the documentation supports the level billed.
Yes. Monthly care management time is billed with 99490 and 99439 for clinical staff time, once consent and a care plan are on file.
Yes, with the right place of service, modifiers and each payer's current telehealth rules.
PhysiAssist charges 2.8% to 5% of net collections for coding, claims, payment posting, denials and AR, quoted in writing before you sign.
We review recent E/M, preventive and care management claims and send a written report: E/M level support, preventive and same-day problem visits, wellness visit timing, care management time, denials by root cause and the dollar value of each.
A free primary care billing audit by a certified coder, with a written report you keep.