Internal Medicine Billing That Maximizes Every E/M.

Internal medicine sees the most complex patients with the broadest diagnosis mix. Our IM billing team optimizes E/M levels, captures HCC codes, and ensures chronic care management programs generate the revenue they should.

Where IM Revenue Gets Left Behind.

Internal medicine practices are frequently undercoding their most complex visits. Under the 2021 E/M guidelines, MDM-based coding for 99214 and 99215 requires proper documentation of complexity — not just time. Our billers are trained on the 2021 AMA revisions and audit documentation to ensure you’re capturing the level of service you actually delivered.

99215

The most underbilled E/M code in internal medicine — often replaced by 99214 when MDM documentation would justify the higher level

HCC

Hierarchical condition category codes drive risk adjustment payments — most IM practices leave significant HCC revenue uncaptured

CCM

Chronic care management (99490/99491/99487) is billable monthly for qualifying patients — often not billed at all

Revenue Programs We Manage for IM Practices.

E/M Level Optimization

2021 AMA-aligned E/M coding using both MDM and time-based methods. We review documentation to ensure every 99213, 99214, and 99215 is supported and defensible.

HCC Risk Adjustment Coding

Hierarchical condition categories captured in every encounter for Medicare Advantage patients — ensuring accurate annual risk scores and appropriate premium payments.

Chronic Care Management

CCM program billing (99490/99491/99487/99489) — including patient consent, monthly care plan documentation, and time-tracking integration.

Hospital Billing

Initial hospital (99221–99223), subsequent (99231–99233), discharge (99238–99239), and observation codes — coordinated with your hospital system’s billing.

Annual Wellness Visits

G0438/G0439 AWV billing distinct from problem-focused visits — often billable same day as E/M with proper documentation and modifier.

Medication Management

Medication reconciliation codes, TCM (99495/99496) following discharge, and remote therapeutic monitoring for complex medication regimens.

All Services

Full RCM, billing, AR, credentialing

All Specialties

Billing for 20+ medical specialties

Pricing

Transparent, performance-based

Stop Losing Revenue to Billing Inefficiencies.

Get a free revenue cycle audit. We’ll review your last 90 days of claims, denials, and AR — and show you exactly where your practice is losing money. No commitment. No sales pressure. Just a clear report you can act on.

No setup fees · No long-term contracts · HIPAA compliant · U.S.-based team