Internal Medicine Billing Services
E&M coding precision, chronic care management, and preventive vs diagnostic distinction are where most internal medicine practices leave revenue on the table. We help you capture it.
26+
Years in billing
E&M
Coding audit specialists
CCM/RPM
Program setup & billing
All 50
States supported
The Internal Medicine Billing Challenge
Every specialty has coding landmines. Here are the ones costing internal medicine practices the most.
E&M Coding Precision
$30-70K/yr99213 / 99214 / 99215
Under the 2021 MDM-based guidelines, E&M level selection depends on problem complexity, data reviewed, and risk — not just time or number of diagnoses. Many practices undercode OR overcode because the rules are nuanced. We audit against your documentation and help ensure each visit is coded accurately for what the note actually supports.
Chronic Care Management
$100-300K uncaptured99490 / 99491 / 99487-99489
Most internal medicine practices have hundreds of patients who qualify for CCM but never enroll them. This is recurring monthly revenue that requires no additional face-to-face time — just proper enrollment and documentation workflows.
Remote Patient Monitoring
$60-180K uncaptured99457 / 99458 / 99453-99454
RPM codes for blood pressure, glucose, and weight monitoring generate significant monthly revenue for qualifying patients. Most practices either do not offer RPM or fail to bill it correctly when they do.
Preventive vs Diagnostic Separation
$30-50K missed99381-99397 / Modifier -25
When a preventive visit uncovers a new or existing problem requiring separate E&M work, both services are billable with modifier-25. Most practices bill only the preventive code, missing the additional E&M revenue.
Annual Wellness Visit
$25-60K/yr underbilledG0438 / G0439
Medicare Annual Wellness Visits are distinct from preventive exams and have their own documentation requirements. Many practices either do not offer AWVs or fail to bill them at the correct level.
Transitional Care Management
Missed 80%+99495 / 99496
Over 80% of eligible transitional care management services go unbilled. These high-value codes for post-discharge follow-up require specific timing and communication elements that most practices do not track.
What We Handle
Complete internal medicine billing coverage — every code, every payer, every claim.
E&M Services
- Office visits (all levels)
- New vs established patients
- Prolonged service add-ons
- Hospital follow-up visits
- Nursing facility visits
- Domiciliary & home visits
Value-Based Codes
- Chronic Care Management (CCM)
- Remote Patient Monitoring (RPM)
- Annual Wellness Visit (AWV)
- Transitional Care Management
- Principal Care Management
- Advance Care Planning
Preventive & Screening
- Preventive exams
- Medicare wellness visits
- Colonoscopy referral coordination
- Diabetes screening
- Depression screening (G0444)
- Tobacco cessation counseling
Administrative
- Prior authorization
- Referral management
- CCM enrollment & tracking
- Payer contract negotiation
- Appeals & reconsiderations
- Patient billing & statements
How It Works
Week 1
Free Analysis
We audit your internal medicine billing, identify the biggest revenue leaks, and show you the numbers.
Week 1-2
Your Team Gets to Work
Coders and billers trained in internal medicine connect to your system and start processing claims.
Day 30-90
Results Compound
Denial rates drop, clean claims climb, and revenue increases. You see it all in real-time dashboards.
“I highly recommend Everest A/R Management to anyone looking for a Revenue Cycle Management solution. Their team was able to dive into the mess that a previous billing company had left us in and they methodically worked through the problems and even captured what we had considered to be lost revenue. They work tirelessly through denials and appeals to make sure that we get paid for the work we’ve done. Our A/R is now accurate, and our cash flow has improved significantly. We no longer stress about our billing, and we can trust them to the point where we can focus on improving other areas of the business. Their communication is excellent, and they’ve integrated so well with our team that it feels like they are a department within our organization. We couldn’t have done it without them. Thank you to everyone on the Everest team!”
Chris Applewhite
Frequently Asked Questions
How do you identify E&M undercoding in our practice?
Can you help us launch a CCM program?
Do you handle Remote Patient Monitoring billing?
How do you separate preventive and diagnostic billing?
Do you integrate with our EHR?
How quickly can we get started?
Find out how much revenue your internal medicine practice is missing.
Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.