Family Practice
Healthcare IT and billing built for a family practice
EHR, practice management and billing built for the volume, breadth and preventive-care demands of family medicine.
Why family practice is different
Family medicine covers more clinical ground than any other specialty: a well-child visit, a diabetic follow-up, a Medicare annual wellness visit and an acute respiratory complaint can all fall inside a single morning. That breadth makes documentation slow and coding unusually error-prone.
Healthcare SBC configures the platform around that reality: age- and problem-specific templates, preventive care prompts that fire at the right intervals, chronic care management built into the workflow, and coding intelligence that keeps annual wellness visits, preventive services and problem-oriented E/M correctly separated on the same claim.
Common challenges
Where family practice practices lose revenue
The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.
Preventive and problem visits on one claim
Modifier 25 usage on combined preventive and E/M encounters is one of the most audited patterns in primary care, and one of the most frequently denied.
Annual wellness visit requirements
Medicare AWV elements are specific and easy to miss, resulting in downcoding or denial of otherwise legitimate visits.
Chronic care revenue left unclaimed
Most family practices manage chronic conditions between visits but never bill the CCM and RPM codes that cover the work.
Quality reporting overhead
MIPS and value-based measures require year-round tracking that manual processes only surface at deadline.
How we address it
Built for family practice workflows
- Age- and condition-specific templates for the full primary care panel
- Automated preventive care and immunization gap alerts
- Turnkey chronic care management and remote patient monitoring programs
- Modifier 25 and preventive-visit coding logic built into claim scrubbing
- Continuous MIPS measure tracking with pre-deadline dashboards
Commonly billed codes in family practice
A sample of the codes our family practice coders work with daily.
- 99213Established patient office visit, low complexity
- 99214Established patient office visit, moderate complexity
- 99395Preventive visit, established patient, 18-39 years
- G0439Medicare annual wellness visit, subsequent
- 99490Chronic care management, first 20 minutes
Codes shown for reference only. Verify against current code sets and payer policy.
Other primary care specialties
Internal Medicine
Documentation, chronic disease management and risk-adjustment support tuned for adult primary and consultative care.
Urgent Care
Walk-in throughput, occupational medicine and rapid registration workflows for urgent care centers.
Pediatrics
Well-child schedules, immunization management and vaccine inventory billing for pediatric practices.
FAQ
Family Practice, frequently asked questions questions
- Can I bill a preventive visit and a problem visit on the same day?
- Yes, when the problem-oriented service is significant and separately identifiable from the preventive service. The E/M code carries modifier 25, and documentation must clearly support two distinct services. Healthcare SBC's claim scrubbing checks this pattern before submission because it is a frequent denial and audit trigger.
- Does Healthcare SBC support Medicare annual wellness visits?
- Yes. Our AWV templates prompt for every required element: health risk assessment, cognitive screening, care plan and preventive schedule, so the visit is complete, defensible and billed at the correct level.
- How do family practices add chronic care management revenue?
- Healthcare SBC runs the CCM program for you. We identify eligible patients, manage enrollment and consent, conduct the documented monthly outreach under your supervision, and bill the appropriate codes, creating recurring revenue without adding staff.
We're here to help
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