Running a primary care, internal medicine, or pediatrics practice means long hours caring for patients—from well-child visits and flu shots to chronic disease management and annual physicals. But when Healthcare Billing errors delay payments or claims get denied, that hard work doesn’t translate to steady cash flow. Scriptem specializes in Healthcare Billing for primary care providers, internal medicine specialists, and pediatricians, helping you maximize reimbursements while you focus on patients.
As a trusted Healthcare Billing partner, we handle everything from accurate coding for routine office visits (99213-99215) to credentialing new providers and chasing down denials. Whether you’re a solo family doctor in Texas, a busy internal medicine group in California, or a pediatrics practice in New York, our streamlined Healthcare Billing process delivers 97% clean claims and payments in 30 days or less.
Common Healthcare Billing Challenges for Primary Care, Internal Medicine & Pediatrics
Primary care practices face unique Healthcare Billing hurdles that steal time and revenue. Here’s what we solve every day:
1. Coding Errors on Routine Visits and Preventive Care
The Challenge: 25-30% of claims denied because E/M codes (99213-99215) don’t match documentation, or preventive visits mix up G0438 (initial wellness) with 99395 (established patient). Vaccines like 90658 flu shots trigger rejections for missing administration codes. Internal medicine practices lose revenue on chronic care management (99490), while pediatric well-child visits (99381-99385) get flagged for age-specific rules.
Our Healthcare Billing Solution: Certified CPC coders review every chart pre-submission, ensuring time-based documentation supports code selection. We specialize in pediatrics age breakdowns, Medicare wellness G-codes, and CCM billing—boosting clean claim rates to 97%. A Texas family practice recovered $85K in denied claims after we fixed their coding.
2. Credentialing Delays for New Providers
The Challenge: New physicians or NPs wait 90-120 days for CAQH, Medicare PECOS, and payer paneling. Your practice sees patients but can’t bill, creating cash flow gaps.
Our Healthcare Billing Solution: End-to-end credentialing in 30-45 days with 98% approval rates. We handle CAQH updates, state licenses, and payer apps. A California internal medicine group onboarded five providers fast, saving $120K in lost revenue.
3. AR Aging and Denial Management Overload
The Challenge: 35% of accounts receivable age past 90 days from ignored appeals or payer-specific rules. Pediatrics vaccine claims and internal medicine E/M levels pile up fastest.
Our Healthcare Billing Solution: AI-driven aging reports prioritize high-dollar denials. We appeal with payer-specific documentation, collecting 85% within 30 days. New York pediatrics office cleared $200K backlog in 90 days.
4. MIPS Reporting and Quality Measure Penalties
The Challenge: Up to 9% Medicare payment cuts for missing diabetes control, hypertension screening, or child immunization measures.
Our Healthcare Billing Solution: Automated EHR data extraction and MIPS submission targeting 80th+ percentile scores. Clients earn $60K+ incentives annually.
5. Eligibility Verification Gaps and Patient Surprises
The Challenge: 15% of patients arrive with lapsed coverage or surprise deductibles, leading to write-offs.
Our Healthcare Billing Solution: Nightly eligibility checks via Availity and payer portals flag issues pre-visit.
Why Scriptem Delivers Superior Healthcare Billing Results
Nationwide Expertise: Serving primary care, internal medicine, and pediatrics practices coast-to-coast with local payer knowledge.
Proven Results: 97% clean claims, 30-day payment cycles, 35% average revenue increase.
Specialized Teams: Dedicated coders for family medicine, internal medicine chronic care, and pediatrics vaccine/wellness billing.
Full Revenue Cycle: From credentialing and coding to denials and patient payments.
Transparent Reporting: Real-time dashboards show claims status, AR aging, and collections.
Ready to Simplify Your Healthcare Billing?
Contact Scriptem today for a free AR audit and discover lost revenue in your primary care, internal medicine, or pediatrics practice. Get paid faster with America’s trusted Healthcare Billing partner.
Frequently Asked Questions About Healthcare Billing
1. How fast can Scriptem improve our claim denial rates?
Most primary care and pediatrics practices see denials drop from 25-30% to under 5% within 60 days. Our coders catch errors before submission, and denial experts recover 90% of rejected claims.
2. What makes your Healthcare Billing different for pediatrics?
We master age-specific well-child codes (99381 newborn to 99385 1-4 years), vaccine administration bundles, and EPSDT screening billing—common pain points for pediatric Healthcare Billing.
3. Do you handle credentialing for internal medicine specialists?
Yes! We complete CAQH, Medicare enrollment, and payer paneling in 30-45 days vs. industry 90-120 days, so new internists bill from day one.
4. What happens to our existing accounts receivable?
We audit AR over 90 days free and create a recovery plan, typically collecting 85% within 90 days through targeted appeals and payer negotiations.
5. Can you integrate with our EHR for Healthcare Billing?
Absolutely. We connect seamlessly with Epic, Cerner, eClinicalWorks, and most EHRs for automated charge capture, MIPS reporting, and eligibility verification.