# Family Medicine Billing Services | Primary Care Medical Billing | PRMS

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Family & Primary Care Billing

# Family Medicine Medical Billing Services

Primary care runs on volume and thin margins, where under-leveled visits and missed preventive codes quietly erode revenue. Our coders specialize in family medicine so you capture every dollar you earn.

[Get a Free Family Medicine Billing Audit](https://prmsbs.com/contact)

We handle family medicine billing end to end, eligibility, E/M and preventive coding, submission, and denial follow-up. Because primary care revenue comes from high visit volume plus reimbursable care-management and preventive services, accurate coding and capture matter more than in almost any specialty.

## Family Medicine billing we handle

- **E/M leveling.** New and established visits coded to documentation, not habit.
- **Annual Wellness Visits.** Medicare AWV (G0438/G0439) and preventive exams.
- **Chronic Care Management (CCM).** 99490 and complex CCM time captured.
- **Transitional Care Management (TCM).** Post-discharge coordination billed correctly.
- **Immunizations & injections.** Vaccine plus administration codes.
- **In-office procedures.** Skin-lesion removal, joint injections, laceration repair, cerumen removal, spirometry, and EKG.
- **Remote & principal care management.** RPM (99453 to 99458) and PCM billed alongside CCM where appropriate.
- **Advance care planning.** 99497 and 99498 documented and billed.
- **Behavioral health integration.** BHI and collaborative care (CoCM) codes.
- **Preventive + problem visits.** Correct modifier 25 usage when both occur.

**The primary-care leak.** Reimbursable services like CCM, TCM, and AWVs often go unbilled, and same-day preventive-plus-problem visits get denied for missing modifier 25. We capture and code all of them.

## Why family medicine practices lose revenue

The common losses: under-leveled E/M, unbilled care-management (CCM/TCM) and wellness services, and modifier-25 denials when a problem visit happens alongside a preventive exam. At primary-care volume, these small misses add up to major annual revenue.

## What you get with PRMS

### Full charge capture

Care-management and preventive services billed, not left on the table.

### Accurate E/M

Visits leveled to documentation to protect revenue and compliance.

### Volume throughput

Same-day capture and scrubbing sized to busy primary-care schedules.

## Family Medicine billing FAQs

**Do you bill Chronic Care Management and Annual Wellness Visits?

Yes. CCM (99490 and complex CCM), TCM, and Medicare AWVs (G0438/G0439) are commonly under-billed in primary care. We set up capture so these reimbursable services are consistently billed.

**How do you handle same-day preventive and problem visits?

When a patient has both a preventive exam and a separately identifiable problem addressed, we apply modifier 25 correctly so both are paid instead of one being denied.

**Can you handle high patient volume?

Yes. High volume is where we add value, same-day charge capture, scrubbing, and fast denial follow-up keep primary-care cash flow steady.

**Do you code immunizations correctly?

Yes. We bill both the vaccine product and the administration codes, a frequent miss that leaves money uncollected.

## Related services & specialties

Explore our full [billing, coding & denial management services](https://prmsbs.com/services) and [provider credentialing](https://prmsbs.com/medical-credentialing/), or see other specialties we bill including [urgent care](https://prmsbs.com/specialties/urgent-care-billing/) and [more](https://prmsbs.com/specialties/).