Internal Medicine Billing Services That Get Every Visit Paid Correctly
Solutions360 offers internal medicine billing for US internists and multi-provider practices. Our dedicated staff understands E/M coding, chronic care management guidelines and the ICD-10 codes your adult patients require. You keep tabs on complicated patients. You manage complex patients. We ensure every visit has a full payment.
Why You Need Internal Medicine Billing
It may sound simple on paper but internal medicine is not. Your patient has multiple conditions, and a common visit might require a more advanced E/M code than the code you typically bill out of habit. Chronic care management and annual wellness visits come with their own documentation requirements and forgetting just one line in the documentation can result in a denial.
- Multiple Condition Visits
- Billing For Chronic Care Management
- Modifier Rate
- Annual Wellness Visit Confusion
Services We Handle
Complete revenue cycle management from verifying patient eligibility and benefits through prior authorization to providing submitting and scrubbing medical codes billing charge entry to the system and submitting claims to clearing houses.
For denied claims, we file the appeal and put your A/R to work as we handle patient billing and statements. We conclude with credentialing, payer enrollment and continual revenue cycle reporting.
Why Clinics Trust Us
Coding Specific to Internal Medicine
Our coders are aware of chronic disease E/M levels, not just the rules of coding.
Proper Modifier Application
We use -24, -25, -33, -59 and -95 when they are relevant to what really occurred during the visit.
Works With Your Existing EHR
No new systems to learn, no data to migrate.
HIPAA-Compliant Process
All customer data is secured through the entire billing cycle.
Faster Payments
Claims are filed as quickly as possible and A/R practices are maintained on a regular basis.
Easy to Report
Track your clean claim percentage, deny trends, and days in A/R at any time.
Our Performance Metrics
Providers
Procedures We Support
We also invoice for all aspects of internal medicine care including chronic disease management and x-ray, labs and other diagnostics. Coders assign the appropriate CPT and ICD-10 code and the proper modifier based on the payer. We also do well visits, Advance Care Planning and telehealth visits.
- New and Established Patient E/M visits
- Annual Wellness Visits (Medicare)
- Chronic Care Management (CCM)
- Transitional Care Management (TCM)
- Electrocardiogram (EKG) Interpretation
- Spirometry and Pulmonary Function Testing
- Diabetes Management and Glucose Monitoring
- Immunization Administration
- Venipuncture and Lab Order Coordination
- Telehealth Internal Medicine Visits
- Advance Care Planning (ACP)
Our Billing Process
Step 1
Practice Assessment
We review your billing workflow to identify inefficiencies, errors, and revenue gaps.
Step 2
System Integration
We connect with your EHR and practice management systems for seamless data exchange.
Step 3
Coding & Claim Management
We ensure accurate coding, clean claim submission, and timely claim follow-up.
Step 4
Payment Tracking
We track every claim through payment, resolution, or necessary follow-up.
Step 5
Issue Resolution
We quickly address denials, payer issues, and outstanding balances.
Step 6
Optimization & Reporting
We monitor performance and provide clear reports to continuously improve your revenue cycle.
Common Internal Medicine Billing Challenges
Request a DemoOvercoding E/M Visits/ Downcoding
Billing at a lower or higher level than indicated by the medical record documentation.
Missing Modifier -25
One E/M visit and a procedure on the same day, such as an EKG.
Lacking CCM Documentation
Absence of time logs, a care plan or consent from the patient with the billing of CCM.
Annual Wellness Visit Mix-ups
Doing the Annual Wellness visit like a regular physical. It is a different appointment that they don't pay for the same way.
Slow Approvals
Referrals and some tests slowed down because approval was not monitored.
Inconsistent Commercial Payer Policies
Screening and referral policies that are inconsistent from payer to payer.
Frequently Asked Questions
What is the price of internal medicine billing services?
Most companies charge a percentage of collections, a flat fee or a hybrid.
How much time does it take to onboard an outsourced billing partner?
It depends on how your records are organized and your practice size. A good partner will plan the switch to keep your claims moving.
Do you have multi-provider internal medicine groups, not just solo practices?
Yes, Our services are scalable to any size practice. Multiple or single location, solo or multi-physician practices.
Are you able to recover old or unpaid internal medicine claims?
Yes, we will analyze aging on the accounts for denied or underpaid claims and appeal those claims before the payers deadline.
Prepared to Quit Giving Away Money on Visits You Have Already Served?
Let our billing specialists review your recent claims and show you exactly where revenue is slipping away.No long term contracts and no pressure. Just clear answers on how to collect what your practice has earned.