General Practice Physicians (MD, DO) Medical Billing & Credentialing Services

Elevate Your General Practice with End-to-End Medical Billing, Credentialing & RCM Solutions

General Practice Physicians—whether MDs or DOs—are the primary touchpoint for millions of patients each year. Your role spans preventive care, acute treatment, chronic disease management, and even behavioral health assessments. But behind every patient encounter lies a complex network of coding intricacies, payer rules, documentation requirements, and evolving billing regulations that can drain time, energy, and most importantly—revenue.

At Oakview Medical Billing Solutions, we provide specialized medical billing, credentialing, and revenue cycle management (RCM) services tailored specifically for General Practice physicians. Whether you're running a solo clinic, group practice, urgent care center, or integrated family care network—we handle the financial backend so you can focus on delivering exceptional patient care.

Why Billing for General Practice is One of the Most Complex in Healthcare

General practitioners handle a wider range of services than nearly any other specialty. This comes with challenges that demand highly specialized billing knowledge:

1. Multi-Service, Multi-Code Complexity

From vaccinations to laceration repair, chronic care to behavioral screenings, your coding spans E/M visits, preventive services, procedures, and time-based care. Incorrect pairing of CPTs or modifiers leads to denials or underpayments.

2. Modifier Mastery is Mandatory

Modifiers like 25, 59, 95, 33, and XE are essential in GP billing—but are also the top denial reasons if used incorrectly. We apply payer-specific modifier logic based on encounter type, documentation, and claim history.

3. Preventive vs Problem-Based Visit Confusion

Payers often bundle wellness visits and sick visits, denying one unless documentation clearly separates both. We review documentation in real-time to defend dual claims using modifiers like 25 with 99396 + 99213, for example.

4. Chronic Care Underbilling

CCM codes like 99490, 99491, 99487 are often left unused due to lack of workflow integration. We implement CCM programs for eligible patients, track time, obtain consent, and ensure recurring revenue.

5. Prior Auths, Visit Caps & Medical Necessity Denials

Insurers cap services like smoking cessation counseling (99406/99407), depression screening (G0444), and obesity counseling (G0447) unless medical necessity is proven and documented precisely.

Most Common CPT Codes Used in General Practice Billing

Our certified coders ensure all time-based, risk-based, and preventive services are accurately coded and billed to avoid denials and audits.

Ready to Increase Collections and Reduce Headaches?

Let Oakview Medical Billing Solutions become your trusted RCM partner. We’re not just your billing vendor—we’re your practice growth partner.

Call us for a free consultation or click the button below to get started today.