General practitioners (GPs) are the foundation of primary care—addressing a wide range of health concerns, managing chronic conditions, and coordinating patient care. But despite their pivotal role, general practitioners often face declining reimbursements and rising administrative burdens due to inefficient medical billing practices.
General Practice Medical Billing Services
At Smart RCM Solutions, we specialize in providing reliable, accurate, and scalable billing services for general practice clinics. From wellness visits and chronic care to same-day sick consults, our team ensures every service is coded correctly and reimbursed promptly.
Why General Practice Billing Needs a Specialized Approach
General practice involves a high volume of patients, a wide variety of conditions, and a mix of preventive and problem-focused visits. Properly capturing and coding all services—including annual wellness exams, vaccinations, telehealth visits, and chronic care management (CCM)—requires expert handling.
Common Billing Challenges for GPs:
🧾 Managing multiple diagnosis codes and linking them correctly
📆 Billing preventive and problem-focused services in the same visit
⏱️ Time-based billing for counseling and coordination of care
📞 Telehealth and virtual care documentation requirements
🔁 Frequent claim rejections for incomplete documentation
💊 Managing billing for in-house services like injections or labs
What We Offer: End-to-End RCM for General Practitioners
✅ Accurate E/M Coding Support
We select the right evaluation and management codes based on history, exam, and complexity or total time.
✅ Preventive + Problem Visit Billing
Ensure compliance with split billing for well visits and acute concerns when documented properly.
✅ Annual Wellness Visit Optimization
Capture G0438/G0439 with appropriate HCPCS codes and modifiers.
✅ Chronic Care Management (CCM) Billing
We help you establish eligibility and bill for CPT 99490, 99439, and complex CCM services.
✅ Vaccination & In-House Procedure Billing
Flu shots, injections, wound care, and lab collection billed with correct CPTs and diagnosis pairing.
✅ Telehealth Compliance
We apply appropriate telehealth codes, modifiers (95 or GT), and place of service (POS) codes.
✅ Clean Claim Submission & Payment Posting
Submit claims daily and track every EOB for underpayments or denials.
✅ Denial Resolution & A/R Recovery
Aggressive follow-up on unpaid claims, rejections, and appeals for maximum reimbursement.
Frequently Used CPT & HCPCS Codes in General Practice Billing
| Code | Description |
|---|---|
| 99202–99215 | Office or outpatient E/M visits (new & est.) |
| G0438/G0439 | Annual wellness visits (initial & subsequent) |
| 99395–99397 | Preventive medicine (adult patients) |
| 90471–90474 | Immunization administration |
| 99490 | Chronic care management (CCM) |
| 99441–99443 | Telephone E/M (as payer allows) |
| 99406–99407 | Tobacco cessation counseling |
Who We Help
🩺 Independent General Practitioners
👨⚕️ Group Primary Care Practices
🧑⚕️ Family Medicine & Internal Medicine Clinics
🌐 Telehealth & Concierge Medicine Practices
🏥 Multi-specialty groups with primary care divisions
We adapt our services to your practice size, software, and payer mix—including Medicare, Medicaid, and commercial payers.
Why Choose Smart RCM Solutions for Your General Practice?
✅ Specialized Primary Care Billing Expertise
We know how to balance volume, preventive services, and chronic care codes effectively.
✅ Same-Day Claim Submissions
Keep your revenue cycle moving fast with minimal delays or errors.
✅ Compliance-Driven Processes
Our team follows CMS guidelines to help you stay audit-ready and reduce denials.
✅ EHR Integration & Chart Review Support
We work with your existing EHR (like Kareo, Athenahealth, or Practice Fusion) to extract accurate billing data.
✅ Patient Billing & Support Services
Need us to handle patient statements and billing queries? We can take care of that too.
✅ Performance Reports & Insights
Get monthly analytics on visit volume, denial causes, reimbursement rates, and CPT trends.
FAQs – General Practice Billing Services
Q: Can I bill a preventive and sick visit on the same day?
Yes, but both services must be clearly documented. We apply Modifier 25 when appropriate.
Q: How do you handle CCM billing?
We track time logs, ensure patient eligibility, and submit CPTs 99490/99439 with required documentation.
Q: What if a claim is denied for missing diagnosis codes?
We audit the visit note, correct the issue, and resubmit promptly with appeal if necessary.
Q: Can you help with telemedicine billing?
Absolutely. We stay current with payer policies and apply correct modifiers and codes.
Q: What if I don’t have an in-house biller?
No problem. We become your virtual billing department with full RCM coverage.
Focus on Patients. Let Us Handle the Billing.
Running a successful general practice requires time, energy, and clinical focus. Let Smart RCM Solutions take care of your billing—accurately, efficiently, and compliantly—so you can care for your patients without worrying about revenue.
📞 Call us: +1-725-245-5971
📧 Email: [email protected]
🌐 Website: www.SmartRCMSolutions.com