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• Tailored Solutions: We customize our billing services to suit the specific needs and preferences of each Family Medicine practice we serve. Whether you're a solo practitioner or part of a group practice, we tailor our approach to fit seamlessly into your workflow.
• Expertise in Family Medicine Coding: Our team of billing experts has extensive experience in handling the complexities of Family Medicine coding. From routine check-ups to chronic disease management and preventive care, we ensure accurate coding and documentation to maximize reimbursements.
• Streamlined Revenue Cycle: We streamline the entire revenue cycle process for Family Medicine practices, from claim submission to payment posting. By leveraging advanced technology and efficient workflows, we minimize claim denials and optimize cash flow.
• Proactive Denial Management: Denials can significantly impact the financial health of a practice. That's why we take a proactive approach to denial management, identifying and resolving issues before they escalate. Our team diligently reviews denials, appeals rejected claims, and implements corrective measures to prevent future denials.
• Transparent Reporting and Analytics: Transparency is key to our approach. We provide comprehensive reporting and analytics that give Family Medicine practitioners insight into their financial performance. From claim status updates to revenue trends and payer mix analysis, we empower our clients to make informed decisions about their practice.
• Dedicated Support: We pride ourselves on delivering exceptional customer service. Our dedicated support team is always available to address any billing-related inquiries or concerns. Whether you have questions about a specific claim or need assistance with payer negotiations, we're here to help.

Our Medical Billing Process

1. Patient Registration and Insurance Verification:
   • Patient Registration: We verify patient demographics, including name, date of birth, and address.
   • Insurance Verification: We verify patient insurance coverage, including the type of insurance, coverage limits, and any specific requirements or restrictions.
2. Medical Record Review and Coding:
   • Medical Record Review: We review medical records to identify all relevant services and procedures performed.
   • Coding: We assign relevant ICD-10 and CPT codes to ensure accurate billing.

Example Codes:

• Diagnosis Codes (ICD-10):
  • R00.0: Common cold
  • R00.1: Common cold, unspecified
  • R00.2: Common cold, with complications
• Procedure Codes (CPT):
  • 99213: Office visit, established patient, with examination and medical decision making
  • 99214: Office visit, established patient, with examination and medical decision making, with additional time
  • 99215: Office visit, established patient, with examination and medical decision making, with additional time and complexity

3. Claim Preparation and Submission:
   • Claim Preparation: We prepare claims using the coded information, including patient demographics, insurance information, and services and procedures performed.
   • Claim Submission: We submit claims to insurance providers electronically or on paper.
4. Claim Processing and Reimbursement:
   • Claim Processing: Insurance providers process claims, verifying services and procedures performed and patient insurance coverage.
   • Reimbursement: Insurance providers reimburse providers for services and procedures performed, based on insurance coverage and contracted rates.
5. Follow-up and Appeals:
   • Follow-up: We follow up with insurance providers to ensure claims have been processed and to address any issues or denials.
   • Appeals: If a claim is denied, we work with the provider to gather additional information and appeal the decision.

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At MZ Medical Billing Services, we're committed to helping Family Medicine practitioners thrive in today's challenging healthcare landscape. With our specialized billing solutions, you can focus on what you do best – providing high-quality care to your patients – while we take care of the rest.

CPT Codes for Family Care Billing

1. Evaluation and Management (E/M) Codes:
   • 99213: Office or other outpatient visit for evaluation and management of an established patient
   • 99214: Office or other outpatient visit for evaluation and management of an established patient
   • 99215: Office or other outpatient visit for evaluation and management of a new patient
   • 99381-99387: Preventive medicine services, initial comprehensive preventive medicine examination
   • 99391-99397: Preventive medicine services, comprehensive preventive medicine reevaluation
   • 99421-99423: Remote patient monitoring services
2. Preventive Medicine Codes:
   • G0402: Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment
   • G0438: Annual wellness visit; includes a personalized prevention plan of service (PPS), initial visit (second 12 months after enrollment)
   • G0439: Annual wellness visit, includes a personalized prevention plan of service (PPS), subsequent visit
3. Vaccination Codes:
   • 90460-90474: Vaccination administration
   • 90785: Interactive complexity, add-on code
4. Other Codes:
   • 99241-99245: Consultation codes
   • 99341-99350: Home visit for the evaluation and management of a new or established patient
   • 99490: Chronic care management services, first 20 minutes
   • 99491: Chronic care management services, first 30 minutes

ICD-10 Codes for Family Care Billing

1. General Symptoms and Signs:
   • R00-R99: Symptoms, signs, and abnormal clinical and laboratory findings, not elsewhere classified
2. Infectious and Parasitic Diseases:
   • A00-B99: Certain infectious and parasitic diseases
3. Endocrine, Nutritional, and Metabolic Diseases:
   • E00-E89: Endocrine, nutritional, and metabolic diseases
4. Mental, Behavioral, and Neurodevelopmental Disorders:
   • F01-F99: Mental, behavioral, and neurodevelopmental disorders
5. Diseases of the Circulatory System:
   • I00-I99: Diseases of the circulatory system
6. Diseases of the Respiratory System:
   • J00-J99: Diseases of the respiratory system
7. Diseases of the Digestive System:
   • K00-K95: Diseases of the digestive system
8. Diseases of the Skin and Subcutaneous Tissue:
   • L00-L99: Diseases of the skin and subcutaneous tissue

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