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Primary Care

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    Opening Hours

    Monday - Tuesday:9am - 6pm

    Friday - Sunday:8am - 5pm

    Sunday: Closed

    Primary Care

    Primary care physicians, including family medicine and internal medicine, handle a broad spectrum of services, from preventive care to chronic disease management. QuantumX provides:

    QuantumX provides:

    • Comprehensive Billing: Coding for office visits, vaccinations, and preventive screenings with precision.
    • Chronic Care Management (CCM): Billing for CCM services to support patients with multiple chronic conditions.
    • Insurance Follow-Up: Managing claims with Medicare, Medicaid, and commercial payers to ensure timely payments.
    • Patient-Centric Billing: Simplifying patient billing to improve satisfaction and reduce outstanding balances.

    Primary care billing includes office visits (CPT 99202-99215 for new and established patients), preventive services (e.g., CPT99381-99397), and lab services. Charges are based on visit complexity and time, as outlined by the AMA, with higher complexity visits receiving higher reimbursement. CMS’s Primary Care First model, effective from 2021, emphasizes value-based payments, requiring at least 50% of practice revenue from primary care services. quantumX can support accurate coding, insurance verification, and participation in these models, reducing A/R days and improving financial efficiency, as noted by BillingFreedom. QuantumX helps primary care practices achieve seamless billing processes and significant improvements in cash flow.

    Billing Challenge QuantumX RCM Solution
    Diverse Visit Types Precision coding for office visits, labs, and preventive screenings.
    CCM Documentation Gaps Supports chronic care billing (CPT 99490-99489) with consent tracking and time logs.
    Payer Mix Complexity Expert handling of Medicare, Medicaid, and private payers.
    High A/R Days Insurance follow-ups to speed up payments and reduce patient balances.
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