Internal medicine
Medical billing for internal medicine
Your visits run long because each patient has several conditions, and a lot of your schedule is Medicare. We check whether the claim reflects the work your documentation supports.
It's free, and you can keep your current biller
Where internal medicine revenue slips
- Complex visits billed conservativelyA long visit covering diabetes and heart failure can go out at a lower level out of caution, when nobody's checked the level against the documented work.
- Medicare Advantage rulesA patient moves to a Medicare Advantage plan and the cardiology visit that never needed paperwork suddenly does, because plans can add referral and authorization requirements traditional Medicare doesn't have.
- Risk of unsupported diagnosesDiagnosis codes need documentation behind them, particularly where risk adjustment is involved. A condition carried on the problem list for years still needs support in the note.
- Care between visitsChronic care programs can recognize those phone calls and refill conversations, but only with the proper consent and time records.
Common internal medicine billing checks
- Higher level visits9921499215 Supported by medical decision making or total time.
- Chronic care management9949099439 Requires consent and documented clinical staff time.
- Physician led CCM99491 Personally performed by a physician or qualified provider.
- Remote monitoring99445994549947099457 Device days and management time are separate tests, and each code has its own threshold.
These codes are examples. Rules change by year and payer, so we check current guidance.
Where to start
- Medical billingWe prepare, check, submit and follow up on claims within your agreed scope.
- Coding supportWe check CPT and ICD-10 codes against the note and take questions to the provider.
- Denial managementDenied claims worked by cause and deadline, and tracked to an outcome.
- Care management billingWe check prerequisites first, then support the billing for CCM, CPO, RPM and PCM.
Further reading: the basics of billing CCM and CPO and common claim denial codes and where to start on each.
Questions
Questions about internal medicine billing
Will you push us to code visits higher?
No. We check whether your codes match your documentation in both directions, and if a visit looks overcoded we'll tell you that too.
Can you help with Medicare Advantage denials?
Yes. They often come down to authorization or plan rules, so we read the plan's rules along with the denial code.
Do you handle complex chronic care management?
Yes, the billing side of it, and we check the prerequisites first. Clinical decisions and documentation stay with your team.
Find out what your internal medicine claims are leaving behind
Send us your denial and A/R reports and you'll have a written report within 48 hours, for free. You can keep your current biller while you decide.
