Maximize revenue from comprehensive primary care services with specialized billing expertise. From preventive care to chronic disease management and value-based programs, we handle the complexities of primary care revenue cycle management.
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Texas primary care practices face unique billing complexities. Our specialized team understands the intricacies of preventive care coding and value-based payment models.
Complex age-based and risk-factor preventive care guidelines require precise coding to maximize reimbursement and avoid denials.
Common Issues:
Medicare ACO, MIPS, and other value-based programs require specialized tracking and reporting for bonus payments and risk adjustments.
Our Solution:
CCM, RPM, and transitional care services offer significant revenue opportunities but require specific documentation and billing protocols.
We Handle:
Comprehensive revenue cycle management tailored specifically for primary care practices in Texas.
Office Visits
Comprehensive evaluation and management services
Preventive Care
Annual wellness visits and preventive services
Chronic Care Management
Monthly CCM and care coordination services
Remote Patient Monitoring
Digital health monitoring and management
Telehealth Visits
Virtual care and online consultation services
Transitional Care
Post-discharge care management services
MIPS Reporting
Quality measure tracking and improvement activities
Risk Adjustment
HCC coding for Medicare Advantage and ACOs
Quality Bonuses
Maximize incentive payments and avoid penalties
Population Health
Care gap identification and closure strategies
Local expertise for Texas healthcare regulations and primary care requirements.
Deep understanding of Texas Medicaid managed care plans and STAR+PLUS requirements for comprehensive patient care.
Specialized support for rural Texas practices including FQHC and RHC billing requirements and enhanced reimbursements.
Maximize revenue from Texas-specific preventive care initiatives and wellness programs for diverse patient populations.