Specialty billing · Family Medicine
One practice, every age — and every age has its own rulebook.
Get more of every age band paid the first time with family practice billing services from 247 Medical Billing Services, running the full revenue cycle across Medicaid, CHIP, commercial, Medicare, and Medicare Advantage. A dedicated account manager and a free 360° reporting dashboard keep every claim visible, all HIPAA-compliant and SOC 2 Type II secured, with certified family-medicine coders working your claims since 2005.
Plenty of billing shops can shepherd a straightforward office visit through a clearinghouse. Family medicine asks for something harder, because one practice bills the entire human lifespan under a single tax ID — and each age band carries its own rules, its own payer, and its own way of quietly losing money.
Age-banded preventive coding with developmental and behavioural screening captured alongside.
99381–99384Established preventive schedules that change with every birthday.
99391–99394A routine physical that commercial plans cover on their own terms.
commercialMedicare does not pay for a routine physical at all, so the AWV or IPPE is billed instead.
G0438 · G0439 · G0402Vaccines carry two lines — the product and its administration — and the administration code changes with the patient. Miss the counselling code, forget the component add-on, or fumble Vaccines for Children reporting, and you give away money on the highest-volume service in the practice.
Children on Medicaid or CHIP, parents on commercial coverage, and grandparents on Medicare move through the same schedule. Coverage churns as kids age off a plan or a patient turns 65, and a stale eligibility check turns a routine visit into a denial.
The chronic conditions you document and re-capture each year drive your risk score and your shared-savings revenue. Undercode and you're underpaid; document without clinical support and you invite a recoupment audit.
Here is how we code and defend each revenue layer of an all-ages practice, so nothing payable slips by unbilled and nothing filed goes unsupported:
99381–99394 · 96110G0438 · G0439 · G040290460 · 90461 · 90471–90474G2211modifier 2599490 · 99495 · 99496+ modifierFamily medicine runs on volume and thin margins — a full waiting room, dozens of encounters a day, and a payer mix that shifts from the first patient to the last.
One person cannot master pediatric preventive schedules, adult E/M leveling, Medicare wellness rules, vaccine administration coding, and geriatric care management all at once — and when that person is out sick or leaves, the entire revenue cycle stalls with them.
When you outsource to 247MBS, you trade a fixed salary — plus benefits, software, and coverage risk — for a transaction-based model that scales with your volume instead of against it. Denials get worked the day they land, immunization and well-child revenue stops leaking, and you gain a certified coding bench, a named account manager, and a live dashboard in place of a single point of failure.
For a small or rural practice, that is often the difference between billing that keeps pace and billing that quietly costs you a quarter of your preventive revenue.
Revenue review
A certified family-medicine specialist reviews the well-child visits, immunization administrations, same-day sick-and-well encounters, and undercoded chronic diagnoses your practice is leaving on the table.
A family-medicine billing specialist will reach out within one business day.
A family-medicine billing specialist will reach out within one business day.
Everything needed to carry a family-medicine encounter from the exam-room note to a posted payment — handled by one certified team on one shared record, not passed between vendors:
Coverage and preventive-benefit rules verified before every visit, so nothing denies for a lapsed Medicaid case, an aged-off dependent, or a non-covered routine physical.
Well-child and adult wellness visits kept distinct from physicals and from each other, vaccines coded on the correct administration and counselling codes, office visits leveled correctly, and the continuity add-on captured wherever it's earned.
Encounters reconciled, scrubbed, and filed within 24 hours so preventive, immunisation, procedure, and problem-visit revenue all leave the door on the first pass.
Every denial worked and appealed inside the payer's window, from vaccine-administration bundling to non-covered wellness visits, with aging claims pursued until they pay or resolve.
Physicians, NPs, and PAs enrolled and re-credentialed, Vaccines for Children and Medicaid enrollment included, so nothing rejects on provider eligibility.
The whole cycle run as a single system, from eligibility to posting, with a live dashboard over every claim, denial, and dollar.
If you'd rather keep your family practice billing and coding services under one roof, that's exactly the model — certified coders and billers on the same team, sharing the same record, instead of your claims changing hands between companies.
You're partnering with a family practice billing services company that already knows where all-ages revenue drains away — and how to plug each leak before it opens:
Each preventive schedule is coded to its own age band and its own payer rule, so a well-child visit never pays like a problem visit and a Medicare wellness visit never gets billed as a physical Medicare won't cover.
Every vaccine is billed with the correct administration code — including the higher-value counselling codes for children and every component add-on — and your Vaccines for Children pediatric panel is reported cleanly.
When a problem is addressed at a wellness check, we apply the same-day modifier and split the documentation, so the practice is paid for the two distinct services it actually delivered.
Transitional care after a discharge and chronic care management for older patients are stood up with the consent, time logs, and discharge-window discipline that keep them payable — revenue a generalist routinely lets expire.
A named account manager owns your account and a live dashboard shows every claim, denial, and dollar — with no long-term lock-in holding you in place.
That discipline shows up as:
Numbers that hold month after month, which is why 98% of our clients stay.
Hire a generalist and they learn family medicine at your expense, one denied claim at a time. We arrive already fluent in every age the specialty touches:
Nearly every family-medicine loss traces to the same short list of failure points. We close each one at the front of the claim — before it becomes a denial, a downcode, or a clawback:
Routine physical (99381–99397) billed to Medicare
Non-covered denial — Medicare pays no routine physical
We bill the Medicare AWV (G0438/G0439) or IPPE (G0402) instead, matched to the patient's history
Well visit plus sick problem same day without modifier 25
Bundling denial — one service pays, the other is lost
We append modifier 25 to the E/M so both the wellness visit and the problem visit pay
Vaccine counselling administration (90460/90461) miscoded
Underpayment on pediatric immunizations, every visit
We apply the counselling administration code with each component add-on where documentation supports it
Continuity add-on (G2211) omitted
Lost complexity revenue on eligible longitudinal visits
We append G2211 wherever ongoing care of the patient supports it
Chronic or transitional care (99490, 99495/99496) without consent, time, or the discharge window
CCM/TCM denial or recoupment
We document consent, log time, and manage the post-discharge window so the service holds
Stale eligibility as coverage churns (child aging off, patient turning 65)
Eligibility denial and rework
We re-verify coverage before every visit across Medicaid, CHIP, commercial, and Medicare
Every one of these is preventable before submission rather than argued after the fact. Request a revenue review and we'll show you which of them is hitting your remits right now.
Family medicine wears many forms, and we bill each one to the level of detail it demands:
Full-spectrum practices where every missed well-child code, undercoded vaccine administration, and bundled sick-and-well visit is felt immediately.
What decides the moneyEvery preventive layer captured on every encounter
Physicians, nurse practitioners, and physician assistants across a full roster, with well-child, adult, and geriatric schedules running side by side.
What decides the moneyA multi-payer mix billed consistently across the roster
Scope-of-practice and supervision billing done right, plus the whole-family preventive and chronic-care work these clinics carry.
What decides the moneyScope and supervision billed correctly
Often the only clinician for miles, billing across every age and every payer at once; we make sure Medicaid, CHIP, and Medicare all pay what the visits earned.
What decides the moneyEvery payer paying what the visit earned
Chronic-condition capture, annual re-documentation, and quality reporting run as a discipline so shared-savings and risk revenue reflect the panel you actually manage.
What decides the moneyDiagnoses documented and re-captured each year
Switching billing partners should never punch a hole in your cash flow, and with 247MBS it doesn't.
We work inside the electronic health record and practice-management system you already use, so no one has to relearn a platform.
Credentialing and payer-enrollment review — Medicaid and Vaccines for Children included — run in parallel while your claims keep going out the door.
Most family practices are fully live within a few weeks, and because we run the entire revenue cycle you can add providers, sites, or care-management lines without outgrowing your billing partner.
The lower denial rate, the recovered well-child and immunisation revenue, and the faster A/R turn up in the first cycles, not a quarter down the road.
Your practice starts collecting all of its preventive and immunisation revenue instead of a fraction of it.
We take every age band — the newborn well-child check, the adolescent sports physical, the adult wellness exam, the Medicare wellness visit — and bill each to its own payer rule, so the four different services you deliver in one afternoon all pay at full value. The result: denials down by up to 40%, days in A/R under 25, and the well-child and vaccine dollars that quietly leak stopped at the source. Request a revenue review
The right provider stops your preventive revenue from leaking within the first cycles — and because we live in the full lifespan of family-medicine rules, you skip the months a generalist spends learning them on your remittances.
What outsourcing looks like with us
Outsource family practice billing to 247MBS and one in-house biller expected to master every age at once becomes a dedicated certified bench that never calls in sick. Your team keeps charting in the same EHR.
The lasting payoff is resilience — the entire lifespan of family-medicine rules stays a specialist team's daily work, and your cash flow never pauses through the switch.
Ready to hand it off? or call +1 888-502-0537.
RESILIENCEA certified bench that never calls in sickDASHBOARDEvery claim and denial in motionMODELScales with your volume, not against itWhere we bill
Every state pays this specialty differently, and that difference lands on the lines that decide the month. Each state page carries its own programs, authorities and rules — and links on to the 290 city pages beneath it.
Browse all 50 states on the Family Practice billing by state index.
Browse 290 local markets on the Family Practice billing by city index.
Whether you're a solo family physician, a multi-provider group, an NP-led clinic, or the only practice serving a rural community, our family practice billing services protect every layer of your revenue across every age you treat — the well-child check, the immunization, the same-day sick visit, the adult wellness exam, and the geriatric care behind it. Outsource family practice billing services to a team that treats all-ages preventive rules, immunization administration, and a shifting payer mix as routine — and put the revenue you're leaving on the table back where it belongs.
Related pages: primary care billing · physician billing services