Billing companies that work internal medicine claims every day. Describe your practice once and compare their proposals.
A few questions about the practice, then billing companies that fit send proposals. You are not committing to anything.
Hand off all of it or just the parts that are breaking. Say which in the form so the proposals match.
Charges entered, claims checked against payer edits, and sent daily so clean claims go out the first time.
Every denial worked, appealed, or corrected, with the root cause tracked so the same denial stops repeating.
Old balances called on and worked by payer and by age until they are paid, adjusted, or written off on purpose.
Certified coders assign CPT, ICD-10, and modifiers from your notes, or audit the codes your providers pick.
New providers enrolled with payers, CAQH kept current, and revalidations handled before they lapse.
Statements, online payment, payment plans, and the phone calls that come with them, handled in your name.
Eligibility checks, prior authorizations, and old AR cleanup go through the same request. If you only need one piece, say so.
There is no right answer for every practice. The usual tradeoffs:
Internal medicine looks simple on a claim and is not. Most visits are an office E/M, so everything rides on whether the level you bill is the level the note supports. Under-code out of caution and you give away a day's work every week. Over-code on a template that auto-fills the exam and you invite a payer audit. A good biller reads a sample of your notes and tells you which way you lean. Ask for that before you sign anything.
The rest of the denials live around the edges. A preventive visit and a problem visit on the same day need a modifier 25 and a note that shows two separate pieces of work. Annual wellness visits get mixed up with physicals, and on a Medicare claim they are not the same thing. Transitional care codes need a call within two business days of discharge that someone documented, and chronic care management needs consent and time logs, plus a care plan the patient can actually be handed. Remote monitoring and prolonged service add-ons are real revenue, and they are also the first claims a payer pulls back. In-office labs, ECGs, and spirometry carry their own rules, and venipuncture gets bundled in ways that surprise people.
Payer mix matters more here than in most specialties. Medicare Advantage plans run risk adjustment, so a missed chronic condition diagnosis shows up later as a gap, and your plan partners will ask about it. Plenty of internists have a panel that is mostly on those plans, and each one has its own prior authorization list for imaging and specialty referrals. Hospital employment has pulled a lot of internists off their own billing, which is why the independents that remain often have the most to gain from a sharper outside team. Outsourcing makes sense when your in-house person is also answering phones, when AR over ninety days keeps growing, or when you add a provider and the denials double. Put your provider count and biggest payers on the form, and say which EHR you run.
Three steps. Most practices hear from the first billing company within a business day.
Specialty, providers, claim volume, your software, and what you want handled.
Your request goes to billing companies that work your specialty and take on practices your size.
Compare fees, scope, reporting, and contract terms side by side. Pick one, or none.
What practice managers usually ask before they fill out the form.
Describe the practice once and compare proposals from billing companies that fit. No obligation.
Request proposals