Specialties We Support

We provide comprehensive services for all family medicine professionals, including but not limited to:

✅Family Physicians (MD/DO) – Primary care doctors managing chronic and acute conditions for patients of all ages.
✅General Practitioners (GPs) – Primary care providers offering preventive care, routine screenings, and treatments.
✅Nurse Practitioners (NPs) in Family Medicine – Advanced practice nurses delivering primary care, including wellness visits and chronic disease management.
✅Physician Assistants (PAs) in Primary Care – Healthcare professionals diagnosing illnesses, prescribing medications, and managing treatments under physician supervision.

All-in-One Family Medicine Services

1. Credentialing & Payer Enrollment

Insurance credentialing and enrollment are crucial for family medicine providers to accept Medicare, Medicaid, and commercial insurance plans. We simplify the process to reduce delays.

✅Medicare, Medicaid & Commercial Insurance Credentialing
✅CAQH Profile Setup & Maintenance
✅EDI, ERA, and EFT Enrollment for electronic claims processing and payments
✅Re-Credentialing & Contract Renewals

2. Medical Billing & Coding for Family Medicine

Billing for family medicine involves managing preventive care, chronic disease treatment, procedures, and urgent care visits. We ensure that claims are processed correctly to maximize reimbursement.

✅Comprehensive CPT & ICD-10 Coding Support for primary care services
✅Claims Submission, Reconciliation & Denial Management
✅Pre-Authorization & Eligibility Verification to confirm coverage before treatments
✅Patient Billing & Collections Support to improve revenue flow

3. EHR/EMR Setup & Integration

Choosing the right EHR/EMR is essential for efficient documentation, scheduling, and patient care coordination. We help set up and optimize systems tailored to family medicine practices.

✅Primary Care-Specific EHR Implementation & Training
✅Integrated Patient Portals & Appointment Scheduling
✅Telehealth Integration for Virtual Consultations
✅HIPAA-Compliant Data Management & Security

4. Compliance & Regulatory Support

Family medicine providers must comply with federal and state regulations, HIPAA standards, and insurance payer policies. We ensure that your practice meets all compliance requirements.

✅HIPAA, Medicare, and Medicaid Compliance
✅MACRA & MIPS Reporting for Value-Based Care
✅Audit-Ready Documentation & Risk Management
✅State-Specific Licensing & Credentialing Compliance

5. Revenue Cycle Management & Practice Growth

A well-managed revenue cycle ensures that family medicine providers get paid on time while maintaining a high patient satisfaction rate. Our financial and operational solutions help practices thrive.

✅Revenue Performance Monitoring & Financial Analytics
✅Payer Contract Negotiation for Better Reimbursements
✅Practice Expansion Consulting & Strategic Growth Support
✅Marketing & Referral Network Optimization

Types of Family Medicine Services Billed

✅Preventive Care & Wellness Visits (CPT 99381-99397)
✅Acute & Chronic Disease Management (CPT 99202-99215, 99490-99491)
✅Annual Medicare Wellness Exams (G0438, G0439)
✅Vaccinations & Immunizations (CPT 90460-90750)
✅Minor In-Office Procedures (CPT 10040-11982, 20550-20610)
✅Urgent Care & Walk-In Visits (CPT 99202-99215, S9083, 99050, 99051)
✅Telemedicine & Virtual Consults (CPT 99441-99443, 98966-98968)
✅Care Coordination & Chronic Care Management (CPT 99490, 99487, 99489)

Required Knowledge for Successful Family Medicine Billing

1. Understanding Preventive & Chronic Care Reimbursements

Family medicine providers must navigate preventive care coverage and chronic disease management billing rules to avoid denied claims. Medicare and commercial insurance plans often require proper documentation for annual wellness visits and chronic care coordination.

2. Mastery of E/M Coding Guidelines

Evaluation & Management (E/M) coding is a core part of family medicine billing, requiring providers to select the appropriate level of service based on patient history, examination, and medical decision-making.

3. Compliance with Medicare, Medicaid & Commercial Payer Policies

Each payer has different requirements for billing, pre-authorizations, and documentation, making it essential to stay updated on insurance policies and regulatory changes.

4. Insurance Credentialing & Payer Contract Negotiations

Understanding the credentialing process and contracting with payers ensures that family medicine providers get fair reimbursement rates and avoid delays in claim approvals.

5. Telemedicine & Remote Patient Monitoring Reimbursement

As telehealth and virtual care become more common, family medicine providers must understand telemedicine billing codes and compliance regulations to ensure proper reimbursement.

Why Choose Solubillix for Family Medicine Practice Management?

✔ End-to-End Credentialing & Billing Services to ensure faster approvals and payments.
✔ Custom EHR & Compliance Support to improve documentation and regulatory adherence.
✔ Expert Revenue Cycle Management to maximize reimbursement and minimize denials.
✔ Seamless Insurance Enrollment & Contract Negotiations to enhance payer relationships.
✔ Telehealth & Virtual Care Enablement for modern primary care solutions.
✔ Dedicated Support for Family Medicine Providers with tailored solutions for practice growth.

Get Started with Solubillix Today!

Let us handle the complexities of billing, credentialing, compliance, and practice management, so you can focus on patient care. Contact us today to see how we can support your family medicine practice!