BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM CARC
🟢 Internal Medicine Service
Reliable Internal Medicine Billing Services for Primary Care Practices
Primary-Care Revenue, Handled by Primary-Care Specialists
Schedule a Call$9.1M
Total Payer & Patient Collections
23 Days
Avg Time for E/M Code Claim Processing
$6.5M
Denial Rate
Overview
Internal Medicine RCM That Keeps Your Practice Clinically Focused and Financially Fit
Manual chart reviews align visit levels with regularly AMA guidelines, eliminating down-coding and audit exposure.
Evaluation & Management (E/M) Coding Precision
From complex, multi-problem E/M visits to chronic-care add-ons, we capture every legitimate dollar while guarding against payer audits.
Chronic-Care & Preventive Program Billing
Accurate CCM, TCM, AWV, and Principal Care Management coding boosts revenue without burdening clinicians.
Risk Adjustment & HCC Accuracy
Line-item reviews ensure persistent conditions are documented and coded each year, driving fair RAF scores.
Denial Prevention & AR Recovery
Root-cause analysis, same-day refiling, and seasoned phone appeals cut the denial rate and shrink days-in-AR.
Compliance & Provider Education
Quarterly coding audits and 1:1 physician feedback keep the team current on CMS, MAC, and LCD policy shifts.
Operations
How We Streamline Your Internal Medicine Billing
Our AAPC-certified coders, former practice managers, and denial specialists breathe internal medicine.
Payer Credentialing & Fee Schedule Review
We lock in contracts, update CAQH, and negotiate fee bumps.
Charge Capture & Coding
Certified coders match ICD-10 + CPT + HCPCS to each encounter—no “EHR autopilot.”
Clean Claim Submission
Manual scrubs catch modifier misfires, NCCI edits, and CCI bundling issues before files hit the clearinghouse.
Denial Management & Appeals
Dedicated reps call payers, cite policy, and push appeals until the check clears.
Month-End Reporting & Strategy
Executive KPI packet, action plan to review net collection %, denial reasons, payer lag—and map next-step fixes.
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have safely received your patient and encounter data, we code, review, and send claims to payers. We also manage appeals and denials, track payments, and provide frequent updates. Our procedure is designed to be effective and open.
Our qualified coders and billing specialists evaluate every claim stringently. We employ quality control procedures, coding audits, and cross-referencing with payer requirements to guarantee accuracy and lower the possibility of denials.
Our denial management team examines every refused claim to identify the underlying reason. We quickly fix any problems and submit claims again, and where needed, we collaborate with payers on appeals to ensure you get the most money back.
Our pricing policy is adaptable and customized to meet every customer's demands. Usually, we charge a set fee based on volume or a portion of collections. Contact us for a quote tailored to your clinic's particular needs.
Indeed. Our specialty is smooth transfers from internal procedures or other billing businesses. To guarantee that all data is moved safely, our staff will collaborate closely with you and offer training as required.
Resources
Your Go-To Source for Resources, Industry Updates, and Expert Insights
Ready To Get Started
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