Family Practitioner Medical Billing (PCP)

Family Practitioner Medical Billing (PCP)

Accurate, Compliant, and Timely Billing Solutions for Primary Care Practices

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What We Do:

Real-time eligibility and benefits verification.

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Comprehensive billing for preventive and chronic care management.

Proactive AR follow-up and denial handling.

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Seamless claim submission and payment posting.

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HIPAA-compliant workflows tailored for primary care providers.

Streamlined Billing Support for Family Medicine and Primary Care Physicians

  • Billing for Annual Wellness Visits (AWV) and Medicare checkups.
  • Reimbursement optimization for chronic care management (CCM) and transitional care.
  • Capturing and billing for preventive screenings and immunizations.
  • Support for split/shared visit billing between physicians and NPs/PAs.
  • Handling high-volume E/M coding with accuracy and compliance.

Family practitioners manage a broad range of patient care services, from acute illness treatment to chronic disease management and preventive care. This diversity makes their billing processes highly detailed, often involving multiple payer rules, visit types, and bundled services. At Horizon Healthcare Solutions, we’re equipped to handle these complexities with precision.

Our medical billing team specializes in coding and processing claims for primary care services including E/M visits, screenings, immunizations, CCM, and more. We ensure correct usage of modifiers, manage claim frequency rules, and handle payer-specific documentation requirements.

By leveraging our expertise and working within your existing EMR, we help PCPs reduce claim denials, lower administrative overhead, and ensure consistent revenue flow—all while staying fully HIPAA-compliant.

Challenges That Impact the Financial Health of PCP Practices

01

Incorrect E/M Level Billing
Frequent visits with varying complexity can lead to underbilling or overcoding, risking compliance issues or lost revenue.

02

Inconsistent Documentation for Preventive Services
Payers require clear documentation for annual exams and screenings; lack of it can result in denials or missed reimbursements.

03

Overlapping Services in Chronic Care & AWV
Bundling or unbundling errors between services like CCM and AWV can lead to payer rejections or audits.

04

Missed Opportunities for TCM and Remote Monitoring
Many PCPs provide services eligible for reimbursement but fail to bill them due to process gaps or lack of awareness.

05

Coordination of Benefits (COB) Delays
Incorrect primary/secondary insurance data can delay payments and complicate account receivables.

06

High Volume, Low Margin Model
The typical PCP model involves many claims with small amounts—demanding a fast, efficient, and error-free billing system to remain profitable.
Helping Family Practices Build Financial Stability Through Smarter Billing

Helping Family Practices Build Financial Stability Through Smarter Billing

At Horizon Healthcare Solutions, we understand that PCPs are the first point of care for most patients—and that their financial operations require scale, accuracy, and efficiency. That’s why we tailor our medical billing processes to accommodate the pace and diversity of family medicine.

From preventive screenings and E/M coding to chronic care billing and follow-up claims, we support every aspect of your revenue cycle. We also proactively monitor payer guidelines, so your practice stays compliant and audit-ready.

Let our experienced billing team handle the backend complexity, while you focus on delivering compassionate, continuous care to your patients. We’ll keep your claims clean, cash flow consistent, and operations fully HIPAA-compliant.

How We Add Value to Your Practice

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Up to 50% Cost Savings
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Clean Claim Submission Rate
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Reduction in Accounts Receivable
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Boost in Cash Flow
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Reduction in Denial Rates

Redefining Industry Excellence

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HIPAA Compliant

Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.

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Proven Results and Cost Efficiency

Our expert billing solutions deliver up to 50% cost savings with higher claim acceptance rates, driving reliable revenue growth for dental practices.
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Customized, Client-Centric Approach

Tailored to the unique needs of each practice, we enhance efficiency, streamline processes, and boost patient satisfaction through targeted billing and RCM solutions.
Committed to Your Success

Committed to Your Success

Our greatest satisfaction is helping a client increase their revenue, decrease expenses and bring their AR under control, and we celebrate these successes daily.

Comprehensive Claims Reviews

Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.

Ease and Simplicity

Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.

Reliable Support, When You Need It

Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.

Get started with Horizon Healthcare Solutions today

Elevate your revenue cycle management to new heights.

Connect with us today and see how our expertise can drive growth and efficiency for your practice!

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