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Powering the Backbone of Everyday Healthcare
Reliable Billing Services Designed To Support Sustainable Growth & Consistent Cash Flow.
Comprehensive, Accurate billing for preventive & chronic care visits.
Streamlined Faster reimbursements with claim automation tools.
Proactively reduce errors and maximize allowable payments.
Transparent Monthly KPI reports and collection performance insights.
Streamlined Medical Billing Solutions
Designed To Maximize Your Practice Revenue
Our Experienced Team Delivers Accurate, Compliant, & Efficient Billing Services, Helping Healthcare Providers Reduce Denials, Improve Cash Flow, & Focus On Patient Care.
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Stronger Primary Care Revenue Through Smarter,
More Efficient Billing & Faster Collections
Primary Care Billing That Works Nationwide
Primary care billing covers preventive care, chronic care management, and diagnostics, requiring accurate coding and documentation. With strict regulations in states like California, Florida, and Ohio, compliance errors can cause denials and delayed reimbursements. Evocare provides end-to-end primary care medical billing by automating claims, applying real-time claim scrubbing, and ensuring compliance across Medicare, Medicaid, and commercial payers. Our optimized revenue cycle management improves clean claims, accelerates cash flow, and reduces billing stress nationwide. With Evocare managing your billing, practices can focus on delivering quality patient care while maximizing revenue.
Stop Primary Care Billing Errors
Denied claims often result from missed chronic condition codes, outdated visit modifiers, or incomplete documentation at the point of care. In Texas, Illinois, and New Jersey, these common billing errors frequently lead to revenue delays, rework, and increased administrative burden. Evocare maintains a 98% clean claim rate through proactive error prevention, real-time claim scrubbing, and payer-specific rule validation. Our specialists align billing workflows with evolving payer expectations nationwide, ensuring accuracy, compliance, and consistency. With us, primary care practices achieve stronger financial stability, faster reimbursements, and reduced billing-related stress.
Simplify Billing Across Your Primary Care Services Quickly & Seamlessly
We provide expert coding for chronic care and preventive visits, helping reduce denials for annual exams and screenings. Our automated eligibility and prior authorization checks streamline billing for both telehealth and in-office services. With precise coding for CCM and RPM programs, we ensure accuracy, maximize reimbursements, and minimize administrative burdens for your practice.
Primary Care RCM Process
Overcome Financial & Operational Challenges With a Workflow Designed For Preventive Care, Chronic Disease Management, & General Practice Needs.
Comprehensive Primary Care Revenue
Optimization Management
Delivering Accurate Claim Submissions Every Time To Ensure Faster, More Reliable Reimbursements.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Strengthen Revenue For Your Primary Care Practice
Primary care billing involves a wide range of services, from preventive visits to chronic care management. Our team of AAPC-certified billing professionals & Certified Professional Coders (CPCs) ensures accurate coding for annual exams, screenings, CCM, and RPM programs while handling prior authorizations and eligibility verification.
We streamline billing for both in-office and telehealth visits, reducing denials and improving collections across payers. By optimizing workflows and maintaining strict compliance standards, we help primary care practices achieve stronger financial outcomes and stay focused on delivering quality patient care.
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Frequently Asked Questions By
Primary Care Physician
If You Can’t Find The Answer You’re Looking For, That’s No Problem. Schedule a Demo, & We’ll Work To Answer Your Question.
Why do E/M claims often downcode in primary care?
E/M claims in primary care are often downcoded when documentation does not fully support the billed level (e.g., 99213 vs. 99214). Missing details in history, exam, or medical decision-making trigger payer adjustments. Accurate documentation aligned with CPT guidelines ensures proper reimbursement.
How can I optimize patient scheduling to reduce wait times?
Implement structured appointment slots and stagger high-demand visits, while using automated reminders to prevent no-shows. Efficient workflow planning and real-time schedule adjustments can further minimize patient wait times.
Why do telemedicine codes reject?
Telemedicine claims often are rejected when modifiers or POS codes are missing or incorrect, such as the 95 modifier for synchronous telehealth or the appropriate POS code (e.g., 02). Other common reasons include incomplete documentation, missing patient consent, billing non-covered services, or using a provider type not eligible for telehealth reimbursement. Ensuring all coding, documentation, and payer requirements are met is essential for successful claim acceptance.
How do wellness exams overlap with sick visits?
Wellness exams can overlap with sick visits when a patient presents with an acute issue during a preventive visit. In such cases, documentation must clearly separate the preventive services (e.g., 99385–99387) from the problem-focused care (e.g., 99213–99215). Proper coding and use of modifiers like 25 ensure both services are reimbursed without conflicts.
Why are depression screening codes underused?
Depression screening codes (e.g., G0444, 96127) are often underused because providers may overlook billing for brief screenings during visits or fail to document the screening process adequately. Lack of awareness of eligible patient populations and appropriate coding guidelines also contributes. Proper documentation and routine integration into preventive care can increase utilization and reimbursement.
Should I use modifiers, and which ones are most relevant for primary care?
Yes, using modifiers correctly is essential to ensure accurate billing and prevent claim denials. In primary care, common modifiers include 25 (significant, separately identifiable E/M service), 59 (distinct procedural service), and 24 (unrelated E/M service during a post-op period). Proper use aligns documentation with payer requirements and maximizes reimbursement.
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