Internal Medicine & Family Practice Billing Services

Internal medicine is the most common primary care specialty among all. Internists are considered the “gatekeepers” of America’s healthcare system. Anyone who has ever been to a doctor, has seen an internist. Yet, as important as this specialty is, internal medicine provider reimbursements are generally lower than other procedure-based specialties. On top of doing their regular notes, internists often have to procure referrals and pre-auths for their patients which can take an inordinate amount of time. With all the rising complexity of administration, EHR, referrals, myriad of govt, programs, and acronyms, Internists need a partner who understands technology and the new changing world of value-based medicine along with medical billing.

There is not enough time in the day for the staff in your office to call the insurance and stay on the phone for hours to fight denied claims. Their time can be much better utilized in “generating revenue” by participating in various modalities like Chronic Care Management, Remote Physiological Monitoring, helping with ancillary services, and other value-based payment activities so you can earn a bonus.

Internal medicine family and practice billing services

At Integrity Practice Solutions, we are at the forefront of all the changes that are happening in the healthcare environment. We constantly learn and recommend ancillary services that a practice can add to their offerings to improve patients health and practice revenue.

Don’t get burned out! Let Integrity Practice Solutions handle your Internal Medicine coding and billing. Our specialists staff will submit your claims quickly, work on denials with complete follow up notes and get the revenue you deserve quickly in your bank account. We provide you 5 star billing service with a dedicated account manager and a team which will become an extension of your office. They will truly become your “Internal medicine billing department” and not just an outsourced vendor. You will have all modes of communications open with your team so your staff can get any information whenever they need it.

Internal Medicine & Family Practice Billing TIPS

  • You can bill CPT code 96372 for a therapeutic injection but if you give that in a joint, the correct CPT code will be 201610
  • Did you know that CMS looks at a bell curve with CPT code 99213 at the top of the bell and the rest spread on either sides.
  • Did you know that more than 20% of allergy testing nationwide is done by internists?
  • If you do an office visit along with a procedure on the same day, don’t forget your modifier 25. Talk to your coder/biller to understand when to use the modifier since it is one of the bigger audit risks.
  • Understand carefully when to use modifiers 25 and 59. They are audit hot spots.
  • Do not assume that insurance will not negotiate fee schedules. Worst case, they will say No. If you have good MIPS scores, patient ratings, highlight those points when you bring it up to your network representative.

Benefits of OUTSOURCING

GET PAID FASTER & FOR EVERY PATIENT

GET PAID FASTER & FOR EVERY PATIENT

Our billers will review all the claims and send them out within 24 hours. Any missing information will be promptly discussed with the office so there are no delays in claims processing. We can use our software for billing or bill from your existing EHR. We have worked with Medisoft, eClinicalworks (eCW), Kareo, STI, OmniMD, Meditab IMS, OfficePracticum (OP), Healthfusion among many others.

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

Cash flow of your office is dependent on your claims going out in a timely manner. You cannot afford to have that stop when someone takes a vacation or has to take time off. With our size, your claims will never stop going out and your collections will always be worked on. You never have to worry about that.

SAVE MONEY BY OUTSOURCING YOUR BILLING

SAVE MONEY BY OUTSOURCING YOUR BILLING

We get paid only if you get paid. You get the benefit of having a specialized team of experts working on your account without worrying about training, vacation etc. If you go on a vacation, you do not have to pay any of your billing and collections staff.

REDUCE PAYER DENIALS

REDUCE PAYER DENIALS

You do not need to live in a vacuum!! We work with hundreds of providers and learn from the denials and push back that we receive from insurance. We learn from this and educate our practices so they do can get paid on the first time.

FULL TRANSPARENCY

FULL TRANSPARENCY

You and the staff you designate will always have full access to your data. We do not want to hide anything from you. When we do follow up, the notes will be attached to the patient chart and you can review them. We believe in 100% transparency.

NO CONTRACTS

NO CONTRACTS

It is your money and it is your right to work with whomever best serves your need. We do not impose any contracts. We are confident in our service that you will not find a harder working billing service provider.

How It WORKS

How Medical Billing Works
KNOW MORE

Denial MANAGEMENT

Denial management is the key to a successful revenue cycle program. Many companies claim to “automate” RCM but they fail to acknowledge that the problem in denials is the “intention” and not “technology”. There is no other alternative to being on the phone with the insurance company for hours on end and fighting for a claim to get paid. Nonetheless, smart billers learn from their interaction with insurances and pass on that knowledge to the offices they work with so they can take care of these “gottchas”. For e.g. many companies will deny a claim if you send a specific (e.g Lt knee pain) and unspecified pain diagnosis on the same claim.

Denial Management Process