BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM Medical coding
🟢 Internal Medicine Service
Reliable Internal Medicine Billing Services for Primary Care Practices
Primary-Care Revenue, Handled by Primary-Care Specialists
Schedule a Call$9.1M
Total Payer & Patient Collections
23 Days
Avg Time for E/M Code Claim Processing
$6.5M
Denial Rate
Overview
Internal Medicine RCM That Keeps Your Practice Clinically Focused and Financially Fit
Manual chart reviews align visit levels with regularly AMA guidelines, eliminating down-coding and audit exposure.
Evaluation & Management (E/M) Coding Precision
From complex, multi-problem E/M visits to chronic-care add-ons, we capture every legitimate dollar while guarding against payer audits.
Chronic-Care & Preventive Program Billing
Accurate CCM, TCM, AWV, and Principal Care Management coding boosts revenue without burdening clinicians.
Risk Adjustment & HCC Accuracy
Line-item reviews ensure persistent conditions are documented and coded each year, driving fair RAF scores.
Denial Prevention & AR Recovery
Root-cause analysis, same-day refiling, and seasoned phone appeals cut the denial rate and shrink days-in-AR.
Compliance & Provider Education
Quarterly coding audits and 1:1 physician feedback keep the team current on CMS, MAC, and LCD policy shifts.
Operations
How We Streamline Your Internal Medicine Billing
Our AAPC-certified coders, former practice managers, and denial specialists breathe internal medicine.
Payer Credentialing & Fee Schedule Review
We lock in contracts, update CAQH, and negotiate fee bumps.
Charge Capture & Coding
Certified coders match ICD-10 + CPT + HCPCS to each encounter—no “EHR autopilot.”
Clean Claim Submission
Manual scrubs catch modifier misfires, NCCI edits, and CCI bundling issues before files hit the clearinghouse.
Denial Management & Appeals
Dedicated reps call payers, cite policy, and push appeals until the check clears.
Month-End Reporting & Strategy
Executive KPI packet, action plan to review net collection %, denial reasons, payer lag—and map next-step fixes.
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have securely received your patient and encounter data, we code, review, and submit claims to payers. We manage appeals and denials, track payments, and provide regular updates. Our process is designed to be efficient and transparent.
Our certified coders and billing specialists review every claim carefully. We use quality‑control checks, regular coding audits, and payer‑specific validation to reduce coding errors and the risk of denials.
Our denial‑management team reviews each denied claim to identify root causes. We correct issues, resubmit claims promptly, and, when needed, pursue appeals with payers to maximize reimbursement.
We offer flexible pricing tailored to client needs — including fixed fees, per‑claim pricing, or percentage‑of‑collections models depending on volume and services required. Contact us for a custom quote.
Yes. We specialize in seamless transitions from in‑house systems or other vendors. To ensure secure data migration, our team works closely with you and provides training as needed.
Resources
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Ready To Get Started
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