Primary Care Billing Services – Powering the Heart of Everyday Healthcare
Cure Core Solutions
Introduction to Primary Care Billing
Primary care providers are the first point of contact in the healthcare system, offering preventive care, chronic disease management, and treatment for common illnesses. However, primary care billing is often a complex and time-consuming task that involves accurate coding, payer-specific guidelines, and continuous compliance with regulatory updates.
To ensure timely reimbursements and sustainable revenue, medical practices must adopt efficient billing practices—and that’s where expert support becomes essential
Why Is Primary Care Billing So Complex?
Primary care physicians see a wide range of patients and conditions every day. This leads to:
- A high volume of encounters
- Multiple insurance types, each with unique requirements
- Complexity in coding evaluation and management (E/M) services
- Regular need for referrals and prior authorizations
- Frequent denials due to minor coding or documentation errors
Without a solid billing strategy, revenue leakage becomes inevitable.
Customized RCM for Primary Care
We offer a tailored revenue cycle process, optimized specifically for the high-volume, fast-paced nature of primary care practices.
Expert E/M Coding & Compliance
We ensure accurate coding of E/M visits based on new 2021 guidelines (time-based or MDM-based), improving claim acceptance and compliance.
Eligibility & Benefits Verification
Before services are rendered, our team verifies insurance benefits, reducing rejections and improving patient satisfaction.
Chronic Care & Preventive Services Support
We support billing for chronic care management (CCM), transitional care management (TCM), and annual wellness visits (AWV).
Dedicated Account Management
Our dedicated billing team works as an extension of your practice, offering transparency, speed, and consistent communication
Role of Cure Core Solutions in Primary Care Billing
At Cure Core Solutions, we help primary care providers eliminate billing challenges and maximize reimbursement through intelligent, end-to-end solutions.
Common CPT Codes Used in Primary Care Billing
E/M Office Visit (Established patient, low) |
E/M Office Visit (Established patient, moderate)
Periodic preventive visit (18-39 years)
Chronic Care Management
Transitional Care Management
Initial preventive exam (new patient, infant) |
Smoking cessation counseling
Minimized claim denials
Improved collections and cash flow
Compliance with E/M and CMS guidelines
Time savings for your clinical staff
Better financial visibility and reporting
Benefits of Outsourcing Primary Care Billing to Cure Core Solutions
Cure Core Solutions ensures that your revenue grows while your administrative burden shrinks
Insurance Payers We Work With for Primary Care Practices
We process claims for all major government and commercial insurance providers including:
- Medicare & Medicaid
- Blue Cross Blue Shield
- UnitedHealthcare
- Aetna, Humana, Cigna
- TriCare & Workers’ Compensation
Our billing experts are trained in payer-specific policies, helping avoid delays and maximize reimbursements
1. Patient Registration & Demographics
2. Eligibility & Authorization Checks
3. Medical Coding (ICD-10, CPT, Modifiers)
4. Claims Creation & Submission
5. Payment Posting
6. Denials & Appeals Management
7. Patient Statements & Support
Primary Care Billing Process We Follow
Each step is handled with care, precision, and compliance, ensuring a 98%+ clean claim rate.
Frequently Asked Questions
Answer: E/M coding affects both revenue and compliance. Accurate E/M coding prevents audits and ensures fair compensation. Cure Core Solutions has certified coders who specialize in applying these codes correctly based on 2021 CMS guidelines.
Answer: We optimize the full billing cycle—right from eligibility verification to denial appeals—leading to faster payments, reduced errors, and higher revenue
Answer: Yes, with proper documentation and modifier usage. Our team ensures compliant billing for services like CCM and AWV, often missed by in-house staff.
Answer: Common reasons include missing modifiers, outdated codes, eligibility issues, and lack of documentation. Cure Core Solutions proactively audits and resolves such issues to reduce denials
Answer: Absolutely! Outsourcing reduces payroll, training, and software costs while increasing collections. With Cure Core Solutions, you get a full expert team at a fraction of the cost.
Why Choose Cure Core Solutions for Your Primary Care Billing?
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- Experts in family medicine, internal medicine & pediatrics
- 10+ years of RCM experience across the US healthcare system
- Real-time reports and analytics dashboards
- 24/7 support for your front and back-office staff
- Transparent pricing and high ROI
- Fully HIPAA-compliant processes
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Partner With Cure Core Solutions Today!
If you're a primary care provider struggling with claims denials, low collections, or administrative overload, let Cure Core Solutions step in and transform your revenue cycle.
Schedule a free consultation today!
Let’s grow your practice together with precision billing and consistent cash flow.
