Stop Revenue Leaks with Expert Medical Billing Services
Internal Medicine Billing Services
Internal Medicine Billing Services—Boost Your Revenue by 25% with Specialty-Specific Expertise.
E/M Coding Experts – Precise 99202-99215 & modifier 25 billing
Denial Prevention – 95% clean claim rate for IM practices
Chronic Care Mgmt – Maximize 99490-99491 reimbursements
Fast Payments – 85% of claims paid within 14 dayst
MIPS/MIPS Compliance – Maximize incentive payments while avoiding penalties
Transparent Pricing – 3-5% of collections or flat-rate options
FREE
CREDENTIALING WITH MEDICAL BILLING
starting from
$ 499
PER MONTH
HIPAA-Compliant
Pay as you go
No fixed contract
Primary Care Billing Services
medical billing services
Smooth Transition Between EHR/EMR Systems
Efficient Electronic Funds Transfer (EFT), EDI, and ERA Setups
Claims Submission Within 24 Hours
Prompt follow-up with payers.
Free CAQH maintenance
Free provider credentialing & revalidation
Comprehensive Revenue Cycle Management (RCM) Services
Appeals & Adjustments.
Reimbursement Strategies for Optimized Billing
Why 68% of Private Practices lose 15-30% of their revenue to these preventable issues
Biggest Internal Medicine Billing Challenges
E/M Level Under-Coding
Conservative coding (99212-99213 instead of 99214-99215) costs IM practices $28k/physician/year in lost revenue (AMA 2023 data).
Our Solution:
AAPC-certified coders apply 2023 MDM guidelines to capture valid level 4/5 visits
Chronic Care Management Gaps
Only 17% of eligible 99490-99491 CCM services are billed due to documentation gaps (CMS 2024 report).
Our Solution:
Automated 20-min/month tracking + consent management recovers $42k/practice/year
Modifier 25 Denials
38% of preventive+problem visits (9939X + 9921X) are denied when modifier 25 isn't properly justified.
Our Solution:
AI-powered note scanning ensures separately identifiable documentation for 97% approval
AWV Missed Opportunities
Only 58% of Medicare Annual Wellness Visits (G0438-G0439) include billable ICD-10 Z00.00-Z00.01 + preventive care gaps.
Our Solution:
Custom EHR templates capture 100% of AWV components + HCC opportunities
Telehealth Compliance
2024 Medicare requires POS 02 + modifier 95 - 43% of virtual visits are underpaid without both.
Our Solution:
Real-time claim scrubber flags missing telehealth indicators before submission
HCC Coding Inaccuracies
Under-documented chronic conditions (E11.65, I25.10) reduce RAF scores by 0.8-1.2 (avg $12k/patient/year).
Our Solution:
Quarterly HCC reviews + provider education boost risk adjustment revenue
Schedule a Consultation with Our Medical Billing Experts
We maximize reimbursements for internal medicine practices through precise 99202-99215 E/M coding with Modifier 25 compliance, seamless 99490-99491 chronic care management billing, and HCC coding to boost RAF scores—all while ensuring MIPS/MACRA reporting avoids penalties and captures bonuses.
Our medical billing specialists for independent small practices thoroughly study your needs and offer custom-made solutions.
Internal Medicine Billing Services
We Offer
Internal Medicine Billing Services
Process
Internal Medicine Billing Services
Physician Billing Services
Higher E/M Coding Accuracy
AAPC-certified coders optimize 99214/99215 levels using 2023 MDM guidelines, capturing 28% more revenue from complex visits (per AMA benchmarks).
Proven Result:
$31k average annual increase per internist
Chronic Care Management Optimization
End-to-end management of 99490-99491 billing with automated time tracking and patient consent documentation (per CMS 2024 requirements).
Proven Result:
83% more CCM claims paid vs. in-house billing
Modifier 25 Compliance
AI-driven documentation review ensures separately identifiable E/M services during preventive visits (9939X + 9921X combinations).
Proven Result:
96% modifier 25 acceptance rate
HCC Coding Expertise
Quarterly reviews capture chronic conditions (like E11.65, I25.10) to maximize RAF scores and risk-adjusted revenue.
Proven Result:
1.4 average RAF score increase per patient
MIPS Performance Maximization
Complete Quality, PI, and IA reporting to avoid 9% penalties and secure 5% bonuses (2024 CMS benchmarks).
Proven Result:
98% of clients achieve 90+ MIPS scores
Reduced Administrative Burden
Free up 16 hours/week of provider/staff time by handling prior auths, claim follow-ups, and patient billing inquiries.
Proven Result:
40% increase in patient visit capacity
Internal Medicine Billing
FAQs
How does outsourcing billing help with E/M coding for internal medicine?
Our AAPC-certified coders specialize in 2023 E/M guidelines, ensuring proper documentation for:
- 99214/99215 visits (avg. $28k more/year per provider)
- Preventive + problem visits (9939X + 9921X with modifier 25)
- Chronic care management (99490-99491)
What is your denial rate for internal medicine claims?
We maintain a 4.7% denial rate (vs. 18-22% industry average) through:
- Pre-submission scrubbing for NCCI edits
- Real-time modifier validation
- Specialty-specific rules for Medicare/Commercial payers
Can you help maximize Chronic Care Management revenue?
We handle all aspects of CCM (99490/99491/99487/99489):
- Patient consent management (CMS Requirement #1)
- 20+ min/month time tracking with EHR integration
- Care plan documentation per 2024 guidelines
How do you handle Annual Wellness Visits differently?
We ensure 100% compliance with AWV billing requirements:
- Proper ICD-10 coding (Z00.00-Z00.01)
- HCC capture during Health Risk Assessments
- Preventive vs. problem visit differentiation
Do you support telehealth billing for IM practices?
Yes! We stay current with 2024 telehealth rules:
- POS 02 + modifier 95 for Medicare
- State-specific commercial payer requirements
- Audio-only visit eligibility (98966-98968 where applicable)
Is MIPS reporting included?
Our full-service MIPS management covers:
- Quality measure selection (e.g., #134, #226 for IM)
- Promoting Interoperability (PI) attestation
- Improvement Activities (IA) documentation
How do you improve HCC coding for risk adjustment?
Our quarterly HCC reviews focus on:
- Chronic condition capture (diabetes w/ complications, CAD, etc.)
- Specificity in coding (E11.65 vs. E11.9)
- Documentation improvement for RAF scoring
What EHRs do you work with?
We integrate with all major systems used by IM practices:
- Primary Care Focused: Elation, eClinicalWorks, Athena
- Enterprise Systems: Epic, Cerner, NextGen
- CCM Platforms: CareHarmony, ChronCare
Is my patient data secure with outsourcing?
We exceed HIPAA requirements with:
- SOC 2 Type II certified data centers
- End-to-end 256-bit encryption
- US-based teams only
How quickly can we see results after switching?
Typical timeline for impact:
- Week 1-2: Clean up existing AR (30-45% faster collections)
- Month 1: Implement E/M coding improvements
- Month 3: Full CCM/HCC optimization
Internal Medicine Billing Services
Insurances Covered
Medicare
Medicaid
VA Health
TRICARE
ACA Marketplace
UnitedHealthcare
Aetna
Cigna
Humana
Anthem
BCBS National
BCBS Alabama
Florida Blue
BCBS Michigan
Empire BCBS
Horizon BCBS
BCBS NC
Highmark BCBS
BCBS Texas
Premera BCBS
Kaiser Permanente
Molina
Centene
Oscar Health
Health Net
CDPHP
Capital Blue
Independence BC
CareFirst
Regence BCBS
UHC Medicare
Humana Medicare
Aetna Medicare
Cigna Medicare
BCBS Medicare
Trusted Medical Billing Services
Verified Results
Rx Credentialing LLC did an excellent job helping my practice join the MCOs. Their team made the process seamless and stress-free, answering all my questions promptly. I highly recommend them—their service is efficient, professional, and reasonably priced! 😁
I am a licensed psychotherapist and could not be more pleased with the efficient, professional services from RX credentialing services. No AI or bots here. Instead, RX offers real human beings who understand the needs of solo providers or group practice owners who are spread thin and have to wear many hats. Rx has hired talented individuals, like my account manager, Tyler, who will go the extra mile for you to ensure credentialing goes smoothly. We hit a hiccup on the road to becoming credentialed, but Tyler quickly intervened, advocating for my business so that the issue was resolved and I was approved for various insurance panels--some which have very high bars or administrative requirements. RX handled it all, informing me through each step of the process with clear and concise credentialing updates that put my fears to rest. Their services are kind of like therapy for therapists, because when you worry less about admin burdens, you can better focus on the client, while growing your business capacity. I would highly recommend them to any solo or group practice needing such services.
RxCredentialing has been a wonderful partner in helping with my credentialing for my new primary care practice as well as are assisting me with a few other services. They are very knowledgeable and most importantly they are not pushy in working with my needed timeline. Moreover, they are very responsive, and I am looking forward to expanding our relationship to include their other services such as medical billing. I was fortunate to find them while searching the web and so refreshing to deal with an organization that is really focused on helping me establish a medical practice the smart way and not just spend money foolishly on things I do not need until the time is right.
Adam and his team are excellent at what they do. They walk you through every step of the process. Highly recomend Adam and his team. always responding in quickly.
Attention to detail
Very attentive and efficient
Always available to explain things or answer questions or concerns
Very attentive and efficient
Always available to explain things or answer questions or concerns
Tyler has been an excellent person to work with. He kept us (our clinic) informed of our status throughout the credentialling process. They did the "heavy lifting" tracking down and following up so we didn't need to. Because this company handled our credentialling process, it allowed our company to focus on our number one priority--patient care. Thanks for taking care of us!!
they handled the issue quickly and professionally. I truly felt supported and confident in their assistance.
I can’t say enough great things about RX Credentialing! From the beginning, they’ve been incredibly efficient, responsive, and always a pleasure to work with. Anytime I had a question or needed assistance, they got back to me quickly with clear, helpful answers. They made the entire credentialing process smooth and stress-free! It truly feels like they care about their clients and go the extra mile to make sure everything is handled correctly and on time. I would highly recommend RX Credentialing to anyone looking for a credentialing partner who delivers every time!
David is wonderful very responsive and on top his work. Great experience.
Making the decision to use Rx Credentialing for my billing service was a game changer for my practice. Solo practice as an NP and lipid specialist has been challenging for sure. Rx Credentialing has provided the professional knowledgeable support I needed. I am so grateful to be partnering with them for my billing and credentialing needs.
The staff is great and very helpful. I have been with them for 2 years with no complaints. I am very satisfied with their service.
I have been working with this company for over a year and I have no complaints…They are really the best at what they do.
Trusting a third party with your sensitive information can be difficult. I encountered this challenge while seeking credentialing services for my business with various insurance providers. Although I received numerous proposals from credentialing firms, I was uncertain about the security of my personal data. A trusted colleague recommended Rx Credentialing LLC, based on her positive experience. I decided to engage their services, and I’m pleased to report that they handled my information securely. Moreover, their expertise and competitive pricing make them an excellent choice for anyone needing credentialing support.
Adam is very professional and kind, always responsive when I need assistance. I have billing service through this company which has been going good so far. I was lucky enough to get a wonderful virtual assistant from Adam, I don’t know what I would do without her.
Rx Credentialing did a phenomenal job assisting with credentialing for my Ophthalmology practice start-up. Tyler is responsive and kept me up to date throughout the entire process. I would recommend Rx Credentialing to anyone hands down the best. Dr. Montenegro.
Locations
Serving Nationwide
Enjoy affordable medical billing services across the nation! We are now available in all 50 states. So, wherever your practice might be, don’t hesitate to contact our expert team to unburden your administrative staff.
WE LOVE TO HELP
Get in touch. We will get back to you at the earliest.
Rx Credentialing is offering medical billing, Insurance credentialing, medical licensure, Insurance eligibility verification and virtual healthcare assistance services to medical practices across all 50 states.
Quick Links
Copyright 2019 - 2025 - Rx Credentialing LLC - All Rights Reserved