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Billing Services for Primary Care Practices

Over 20 years of experience helping primary care practices optimize and manage their revenue cycle.

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Billing Services for Primary Care

Our dedicated revenue cycle management team has proven results in helping practices improve cash flow and total collections.

Our team of experts has vast knowledge with over 20 years of billing and coding experience in all primary care areas – family practice, internal medicine, and pediatrics.

We are experienced in fee-for-service claims billing and value-based care for all payers, including Medicare and Medicaid.

Our clients have seen significant reductions in days in A/R, fewer claims rejections, improved charge capture, and maximized reimbursement for services provided.

We understand the challenges of managing the revenue cycle process for primary care practices and partner with our clients so they can focus on patient care and the patient experience.

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Patients, please do not use this form. Instead, contact your provider directly.

primary care challenges Billing Services

We understand the challenges that primary care practices face

With over 20 years of billing, coding, and reimbursement experience with Primary Care practices, we know you have many challenges to overcome with your billing and claims management, credentialing, and compliance.

These primary challenges include:

  • Understanding the complex billing and coding guidelines required by Medicare, Medicaid, and Commercial Payers
  • Knowing how to submit claims to maximize both incentive and fee for service payments
  • Increased claim rejections and delays in receiving payment from payers
  • Difficulties with technical requirements for submitting more detailed claim information required by payers
  • Making sure all charges are being captured and billed due to a higher volume of claims than other specialties

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How We Help Primary Care Practices

Larsen Billing offers full revenue cycle management support for our clients. From charge entry and coding support to posting payments, we ensure all claims are paid timely and accurately. Enjoy the peace of mind that comes with handing your billing to us so you can focus on patient care.

We bill your claims correctly and fight all denials. We analyze your Accounts Receivable so you don’t have to. We worry about the cash flow so you can focus on patient care. Our team becomes an extension of your team.

We train you in healthcare and security compliance. We make sure your financial policies are sound. We analyze your areas of risk and audit your charts. Basically, we keep you out of trouble.

We send electronic applications to payers so they can’t lose your data. We don’t miss deadlines. We apply for new contracts and negotiate existing ones. You can be as involved as you want or just leave it all to us.

Our teams help your medical practice run more smoothly by providing management support across your support teams.

We can conduct provider education sessions focused on proper documentation/charting, understanding the requirements to support CPT codes, and appropriate supervision and incident-to-billing protocols.

We understand the complexities of these issues in your primary care practice, and we help keep you compliant.

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primary care billing services Billing Services

Benefits of partnering with us

We want you to have peace of mind about your billing and cash flow so that you can fully focus on patient care. That is why we work so hard to support you in every area that we can.

Specialized Team

We assign you a highly qualified team who works closely with you and becomes an extension of your staff.

Clean Claims

Our billing and coding experts make sure that your claims are billed accurately to prevent delays.

Full Transparency

We want you to see all of the work we do on your claims and to understand the data.

Aggressive Aging

Your ager’s sole job is to work every outstanding claim on your A/R every month and report back.

Denials and Appeals

We fight inappropriate denials and underpaid claims with aggressive appeals to make sure that you are paid properly.

Patient Collections

We manage cash payment plans, answer patient questions about their bill, and reconcile accounts after insurance pays.

Excellent Software

Our billing software is easy to use and accessible to all your staff.  We can also bill out of your software if needed.

Credentialing and Contracting

We keep your credentialing current and handle any contracting needs you have.

Clear Communication

We meet with you regularly to discuss workflows and analyze your data.

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Commonly Used Family and Internal Medicine CPT Codes

CPT® Code Description
10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single
11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions
11201 Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)
12001 Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less
30300 Removal foreign body, intranasal; office type procedure
30901 Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method
69200 Removal foreign body from external auditory canal; without general anesthesia
69209 Removal impacted cerumen using irrigation/lavage, unilateral
69210 Removal impacted cerumen requiring instrumentation, unilateral
99213 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of total time is spent on the date of the encounter.
99214 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minutes of total time is spent on the date of the encounter.
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.
99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of total time is spent on the date of the encounter.
99205 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter.