Killer 01
Same-day preventive and problem coding missed
Modifier 25 opportunities are often left unbilled.
Primary care billing that captures
every billable encounter.
AWV add-ons, CCM, TCM, and same-day preventive plus problem-oriented coding handled correctly.
Aetnapaneled
BCBSpaneled
UnitedHealthcarepaneled
Cignapaneled
Humanapaneled
Kaiser Permanentepaneled
Tricarepaneled
Anthempaneled
Centenepaneled
Molinapaneled
Medicarepaneled
ElevancepaneledAetnapaneledBCBSpaneledUnitedHealthcarepaneledCignapaneledHumanapaneledKaiser PermanentepaneledTricarepaneledAnthempaneledCentenepaneledMolinapaneledMedicarepaneledElevancepaneledQuiet killers
Where primary care revenue leaks. Three patterns we audit on every onboarding and fix first.
Killer 02
CCM and TCM not billed
Care management programs qualify but remain uncoded in many practices.
Killer 03
AWV add-ons underused
Wellness add-ons can materially lift reimbursement when documentation supports them.
How we work
Primary care operations, built right.
A specialty pod that lives inside your workflow, not a call-center model. These are the controls we run on every claim from day one.
Primary care pod · operating playbookActive
01
CCM enrollment and monthly coding operations
✓02
TCM timeline tracking
✓03
AWV optimization with add-ons
✓04
Telehealth and hybrid care workflow support
✓Reviewed quarterly · last update May 2026v2.6
Codes & modifiers
The primary care code family.
What we actively scrub on every claim. Coders in this pod work these codes daily with payer edits and documentation patterns mapped into weekly QA.
CPT/HCPCS reviewed quarterly · payer LCD/NCD subscriptions · CCI updates · claim-level audit logs.
99202-99215
E/M office
99381-99397
G0402
G0438
AWV initial
G0439
AWV subsequent
99490
CCM 20 min
99495
TCM moderate
99496
G0444
99497
Credentialing
Panels we already work for primary care. Enrollment, revalidation, and CAQH upkeep included.
✓Medicare PECOS
✓State Medicaid
✓Commercial payer enrollment
✓ACO alignment where applicable
FAQ
Frequently asked.
Practical questions we get during diligence. Ask anything we missed.
Do you set up and bill CCM?+
Yes, including eligibility and monthly compliance flow.
Can you handle telehealth billing?+
Yes, with payer-specific POS and modifier rules.
Do you support hybrid concierge models?+
Yes.
Other specialties
Same playbook, tuned per specialty pod.
30-day review
A quick conversation, not a long form.
Six short questions. We use them to route your request to the right specialist and return a focused recommendation summary.
HIPAA-safe by default
We don't ask for PHI. Practice-level data only.
~ 90 seconds
Press Enter to continue. No long intake form.
Based on what you've told us...
We route your request to the billing pod that can move fastest.