Your Family Practice Deserves Billing That Keeps Up With Everything You Do
Family medicine is one of the most complex specialties to bill. Every patient visit is different, payers keep changing their rules, and your front desk can only do so much. Theiatrics handles the billing — precisely, reliably, and without you having to think about it.
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Family Medicine Billing Looks Simple From the Outside. It Isn't.
Family practice physicians see everything — acute illness, chronic disease management, preventive care, minor procedures, pediatric visits, geriatric checkups, and telehealth follow-ups, sometimes all in the same afternoon. That variety is exactly what makes billing so difficult to get right.
E/M coding alone changed significantly with the 2021 AMA guidelines, and many practices are still leaving money on the table because their coding hasn't caught up. Preventive care mixed with a problem-oriented visit? That requires knowing when to bill both services and how to document them so insurance doesn't bundle them into one. Annual wellness visits under Medicare? A different set of rules entirely.
Add in prior authorizations for referrals and imaging, multiple payer contracts with different fee schedules, and the constant churn of Medicaid and Medicare policy updates — and it becomes clear why family practice billing needs more than a generalist approach. It needs a team that knows primary care inside and out.
We Bill for Every Type of Family Medicine Practice
Solo & Small Family Practices
Get enterprise-level billing expertise without the overhead. Perfect for practices of 1–4 physicians ready to stop managing billing in-house.
Multi-Provider Group Practices
Scalable billing operations that keep pace as your provider count and patient volume grow — with consistent quality across every claim.
Pediatric & Family Combo Practices
We handle the nuances of billing across age groups — well-child visits, developmental screenings, and adult chronic disease management, all in one workflow.
Community Health Centers (FQHCs)
FQHC billing has unique cost-reporting and encounter rate requirements. We understand the rules and help you maximize your federal reimbursements.
Telehealth-Forward Practices
If virtual care is a significant part of your practice model, we make sure every telehealth encounter is billed correctly — across every payer you work with.
Concierge & Direct Primary Care
Hybrid models with both membership and insurance billing? We handle the complexity so your model stays viable and your patients stay happy.
Complete Family Practice Billing Services, End to End
Insurance Verification & Eligibility
We check every patient’s insurance before their appointment — benefits, deductibles, copays, referral requirements, and plan exclusions. Your front desk saves hours, and billing surprises go away.
E/M Coding & Charge Capture
Our certified coders review clinical documentation and assign the correct E/M level every time — under the updated 2021 AMA guidelines. No undercoding. No upcoding. Just accurate billing that reflects the care you actually delivered.
Prior Authorization Management
We handle prior auth requests for referrals, imaging, procedures, and specialty medications. Our team follows up until authorizations are confirmed — so your patients aren’t stuck waiting and your revenue isn’t held up.
Claims Submission & Tracking
Every claim goes out clean and on time. We submit electronically to all major commercial payers, Medicare, and Medicaid — and track every claim from submission to payment, with proactive follow-up on anything that stalls.
Denial Management & Appeals
Denials happen. We don’t accept them and move on. Our team analyzes every denial, identifies the root cause, and submits a documented appeal. The result is a significantly higher collection rate and less revenue written off unnecessarily.
Medicare & Medicaid Billing
Government payer billing comes with its own rules — AWVs, CCM, RPM, quality reporting, and MIPS compliance. We handle all of it accurately, so you capture every Medicare and Medicaid dollar available to your practice.
Telehealth Billing
We apply the correct place-of-service codes, telehealth CPT modifiers, and payer-specific rules for every virtual visit. As telehealth policies continue to evolve, our team stays current so your billing doesn’t fall behind.
Provider Credentialing
New provider joining your practice? We handle payer enrollment and re-credentialing across commercial networks, Medicare, and Medicaid — so your providers can bill in-network from their very first patient visit.
Reporting & Revenue Analytics
Monthly reports that make sense — payer-by-payer collection rates, denial trends, average reimbursement per visit, and AR aging summaries. You’ll always know where your money is and where there’s room to improve.
Coding Expertise
Getting E/M Coding Right Is Where Most Family Practices Lose the Most Money
The 2021 AMA revisions to office-based E/M codes were the biggest change to primary care billing in decades. The old documentation requirements based on history, exam, and medical decision-making were replaced with a simplified MDM-focused or total time-based approach.
That's good news — when it's used correctly. Practices that updated their documentation and coding to reflect the new rules saw immediate reimbursement gains. Practices that didn't are still billing lower E/M levels than they should be, quietly losing revenue on every visit.
Our coders train specifically on family medicine documentation patterns. We know how to read your notes and assign the right code — whether it's a straightforward acute visit, a complex chronic disease management encounter, or a combined preventive and problem visit billed with modifier 25.
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Office & Outpatient E/M (99202–99215) We assign the correct level based on medical decision-making or total time — whichever produces the most accurate and defensible reimbursement.
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Preventive Care (99381–99397) Correctly separating or combining preventive and problem visits — and knowing when modifier 25 applies — is something we get right every time.
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Medicare Wellness & CCM Billing AWV, IPPE, Chronic Care Management, and Remote Patient Monitoring billing — captured accurately so your Medicare patients' covered services are fully reimbursed.
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Telehealth & Virtual Care Correct place-of-service codes, telehealth-specific CPT codes, and payer-by-payer billing rules — applied accurately to every virtual visit in your schedule.
Why Theiatrics
We Know Family Medicine Billing. Not Just Medical Billing in General.
Most medical billing companies handle dozens of specialties. That sounds like a strength, but in practice it often means your family medicine claims get handled by someone who's more familiar with orthopedic billing or cardiology coding than primary care documentation.
At Theiatrics, our family practice billing specialists know the CPT codes, the payer quirks, and the documentation patterns that matter in primary care. They know that a 99214 isn't just about how long the visit took. They know that billing a preventive visit and a problem visit on the same day requires specific documentation — and exactly what that documentation needs to say.
You get a dedicated specialist who knows your practice, not a rotating help desk. And you stay informed with real reporting every month, not vague "we handled it" updates.
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Primary Care Billing Specialists Our team trains on family medicine and primary care billing — not a generic pool of billers rotating across specialties.
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2021 AMA E/M Guideline Expertise We use the updated guidelines to code accurately and capture the revenue your documentation actually supports.
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Performance-Based Pricing We earn a percentage of what we collect — so our incentives are perfectly aligned with yours. You collect more; we earn more.
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Works With Your EHR We integrate with athenahealth, Epic, eClinicalWorks, Kareo, DrChrono, and most other primary care platforms.
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No Long-Term Contracts Month-to-month only. We believe you should stay because the results are good — not because you're locked in.
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A Dedicated Specialist, Not a Ticket Queue You have a named point of contact who knows your payer mix, your providers, and your billing history.
Find Out Exactly How Much Revenue Your Practice Is Leaving Behind
Our free revenue audit looks at your current billing performance and shows you — in plain language — where claims are falling through the cracks and what fixing them is worth.
Schedule My Free Audit →Answers to What Family Practices Providers Ask Us Most
We believe in full transparency — no jargon, no runaround.
📞 Call Our Charge Team
Find Lost Revenue Before Claims Are Filed
We review recent encounters, identify missed or undercoded charges, and show exact revenue impact — before you commit to anything.
90 days of encounters reviewed
Codes matched with documentation
Exact dollar value identified
From certified specialists
100% risk-free audit
5900 Balcones Drive Ste 7988, Austin, Texas, 78731, USA
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