Internal Medicine Billing Services
Internal medicine is one of the most multifaceted specialties in healthcare, often covering multiple organ systems, chronic disease management, preventive care, and acute interventions, sometimes all within a single patient encounter. This complexity makes internal medicine billing services uniquely challenging: a single claim can involve multiple CPT codes, modifier usage, and diagnosis linkages that must be precise to avoid denials.
Our team of AAPC-certified coders and billers specializes in the nuances of internal medicine, ensuring accurate coding, strict compliance, and fast reimbursement for every claim.
Why Internal Medicine Billing Requires Expertise
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Broad range of E/M (Evaluation & Management) services across inpatient, outpatient, and telehealth settings
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Frequent use of multiple diagnosis codes for comorbidities
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Payer-specific rules for chronic care management (CCM) and transitional care management (TCM)
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Need for precise documentation linking medical necessity to CPT/HCPCS codes
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High patient volume leading to a large number of claims that must be processed quickly without errors
Core Internal Medicine Billing Services We Offer
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Eligibility Verification & Prior Authorization
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E/M Coding Optimization for outpatient, inpatient, and hospital consults
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Accurate CPT, HCPCS, and ICD-10 Coding for both acute and chronic care visits
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Chronic Care Management (99490, 99439, 99487, 99489) & TCM (99495, 99496) Billing
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Preventive Service Billing (e.g., 99381–99397) with correct modifier application
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Claim Scrubbing to detect and fix errors before submission
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Denial Management & Appeals for complex claims
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A/R Follow-Up & Recovery to reduce outstanding balances
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Audit & Compliance Monitoring for CMS and commercial payer rules
Common CPT & ICD-10 Codes in Internal Medicine
CPT Examples:
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99213 – Office/outpatient visit, established patient, low complexity
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99214 – Office/outpatient visit, established patient, moderate complexity
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99490 – Chronic care management services
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99496 – Transitional care management, high complexity
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93000 – Electrocardiogram, routine with interpretation and report
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36415 – Collection of venous blood by venipuncture
ICD-10 Examples:
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I10 – Essential hypertension
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E11.9 – Type 2 diabetes mellitus without complications
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J44.9 – Chronic obstructive pulmonary disease, unspecified
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M54.5 – Low back pain
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Z00.00 – Encounter for general adult medical examination without abnormal findings
Measurable Results & Financial Impact
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98.5% clean claim rate
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<5% denial rate across all payers
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24–48 hour claim submission from documentation receipt
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20–25% increase in collections for most practices in the first 6 months
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Reduction of A/R days to under 30 on average
Who We Serve
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Solo internal medicine physicians
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Group practices & multi-specialty clinics
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Hospital-based internists
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Concierge & direct primary care practices
Why Choose Us for Internal Medicine Billing in New York?
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Specialty-Certified Coders with real-world experience in internal medicine
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End-to-end revenue cycle management from eligibility to payment posting
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Seamless integration with EHR/EMR systems
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Proactive denial prevention and appeals support
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Transparent, real-time financial reporting
Book a Free Internal Medicine Billing Audit Today!
Frequently Asked Questions (FAQs)
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We use accurate ICD-10 coding and CCM-specific CPT codes to ensure complete reimbursement while meeting documentation requirements.
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Yes, we code and bill telehealth visits in compliance with current CMS and commercial payer rules, including place-of-service and modifier guidelines.
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Most practices see improved collections and reduced denials within the first 60–90 days.
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Yes, we work with most major EHR and practice management systems, ensuring a seamless workflow with minimal disruption.
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Our certified coders stay updated with each payer’s unique billing rules, apply correct modifiers, and conduct regular audits to prevent denials and optimize reimbursements.
