Care for Every Age. Revenue Without Friction.

Family Medicine RCM that keeps your clinic moving

High-volume visits, preventive care, same-day sick slots, and chronic care deserve clean, fast reimbursement. We handle eligibility, charge capture, E/M leveling, preventive services, vaccines, labs, and payer-specific edits—so your team spends less time on billing and more time with patients. Expect fewer denials, faster payments, and steadier cash flow across your entire family medicine panel.

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  • Preventive & E/M Optimization
  • Vaccines/Labs & Same-Day Visits
  • Fewer Denials, Faster Pay

Why Family Medicine Needs Specialized Billing?

Family Medicine is the front door of healthcare. High visit volumes, same-day preventive and problem services, in-office procedures, and frequent payer rule changes create complexity that generic billing teams miss.

We align documentation with 2021+ E/M guidance (MDM/time), apply correct modifiers (especially 25 and 59 when appropriate), separate AWV/IPPE from routine physicals, and pair vaccine administration with the correct product codes. Our editors catch NCCI edits, place-of-service mismatches, and missing diagnoses before claims go out—so you experience fewer reworks and faster payments.

When denials happen, we tag root causes, appeal quickly with payer-specific language, and close the loop with coaching for providers and staff to prevent repeat issues.

Family Medicine Billing Expertise
Clinical Revenue Support

What We Handle for Family Medicine Practices

Precision-built workflows, coders, and automation keep your chronic care programs, preventive services, and day-to-day visits clean so your team can stay in front of patients—not paperwork.

01

E/M Leveling (2021+)

Accurate time versus MDM selection, smart split/shared handling, and documentation prompts that keep visits coded correctly the first time.

Time & MDM Guardrails
02

Preventive + Problem Same Day

Confident use of modifier 25 with proactive NCCI edit checks and distinct diagnosis validation so dual-visit claims sail through.

Modifier 25 Expertise
03

Vaccines & VFC

Product and administration coding aligned to inventory, with counseling add-ons captured whenever payer rules allow.

Inventory Aligned
04

Chronic Programs

Full support for CCM, TCM, RPM, and BHI codes—tracking touches, tying documentation, and automating recurring eligibility checks.

CCM • TCM • RPM • BHI
05

Screenings & Counseling

Built-in reminders for depression, alcohol, tobacco, obesity, fall risk, and lifestyle counseling to capture preventive revenue.

Preventive Triggers
06

In-Office Services

Procedure-ready workflows for injections, cryo, lesion removal, laceration repair, POCT labs, and more without payer pushback.

Procedure Ready
07

Eligibility & Prior Authorization

Eligibility verification, benefits checks, and payer-specific PA routing handled before the visit so your front desk stays in sync.

Front Desk Aligned
08

Clean Claims & Payment Posting

Claims scrubbed for payer requirements, ERA/EFT posting, zero-balance audits, and secondary submissions in one clean queue.

99% Clean Claims
09

Denial Management

Expert follow-up on medical necessity, bundling, modifier, and place-of-service denials with fast resubmission playbooks.

Appeal Playbooks
10

Quality & Programs

Dashboards and campaigns to support MIPS/QPP, close HEDIS gaps, and drive AWV completion so value-based revenue keeps rising.

Value-Based Wins
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Our Process Works - Aquila Billing Solutions

How We Work?

We believe billing shouldn't be a mystery. With Aquila Billing Solutions, you'll always know what's happening with your claims and your revenue. Our workflow is clear, efficient, and designed to keep your practice running smoothly.

1

Chart & Coding Review

We analyze notes for E/M leveling, modifier support, vaccine pairs, and payer documentation standards; provide feedback loops to providers.

2

Clean Claim Submission

Automated edits catch common PCP issues (duplicate services, missing diagnosis link, POS/TOB errors) before transmission.

3

Denial Management & Appeals

We tag root cause, submit payer-specific appeals with supporting evidence, and track overturn rates by reason.

4

Revenue Analytics & Reporting

Monthly dashboards: first-pass %, denial categories, days in A/R, net collections, CCM/RPM enrollment, and AWV completion.

EHR, PM & Clearinghouse Integrations

We work within your environment—athenahealth, eClinicalWorks, NextGen, Elation, AdvancedMD, Kareo/Tebra, DrChrono, Practice Fusion, and more. Connections may include 837/835 EDI, HL7/CCD, secure SFTP, or portal workflows. Our playbooks document roles, edits, and handoffs so your team always knows what to expect.

Savings Calculator - Aquila Billing Solutions

See How Much Revenue You’re Missing

Our Savings Calculator helps you uncover the potential revenue your practice may be leaving on the table. Simply enter a few details about your patient volume and billing processes, and instantly see estimated savings you could recover each month. This tool is designed to give you transparency, insight, and a clearer picture of how professional medical billing can positively impact your bottom line.

15%
5%

Your Potential Savings

Estimated Monthly Savings
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Estimated Annual Savings
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Benefits Of Choosing Aquila Billing Consultation Service

KPI Dashboard

Get visibility into key performance indicators such as copays collected and accounts receivable per payer.

Revenue Monitoring

Track your practice's revenue by monitoring patient and insurance payments, as well as identify trends and track financial progress.

Patient Balancing

Send reminder notices to patients with overdue payments and collect outstanding balances to reduce owed money.

Automated Validation

The system checks a patient's insurance benefits at check-in to avoid billing surprises. Patients are prompted to pay co-pays at this time.

Performance Metrics

Get a quick overview of your practice's financial performance and create performance initiatives to improve your practice at scale.

Bills Collection

Get a summary of your medical bills, including status (paid, denied, in process, rejected). Our experts will follow up on these bills for you and provide one-click support for any billing problems.

AI Workflow

An AI-powered billing rules engine automatically detects & corrects errors in medical claims, ensuring faster payments and higher reimbursement rates.

Intelligent Billing

Smart billing with a well-defined charge coding means accurate and compliant superbills with zero chances of up/down coding.

Compliance Driven

AI-charged algorithms recommend the appropriate E&M level, and identify and prevent medical fraud abuse to eliminate the need for a separate coder.

Aquila vs Others – Comparison

Why Aquila Billing Beats Other Solutions

When it comes to your practice's revenue, the details matter. Here's how Aquila Billing Solutions stacks up against typical billing firms — and why the difference directly impacts your bottom line.

Feature Other Billing Companies Aquila Billing Solutions Why It Matters for You
Claim Approval Rate 85–90% on average Needs work 98%+ acceptance ✓ Best-in-class Every denied claim is lost time and money. With fewer rejections, you get reimbursed faster and keep your cash flow steady.
Support Hours 9–5, weekdays only Limited 24/7 expert support Revenue questions don't stop at 5 p.m. Neither do we. Get answers and support whenever you need them.
Specialties Covered Limited (often just primary care) Gaps 15+ specialties supported From pediatrics to cardiology to telemedicine, our expertise fits your practice — not the other way around.
Transparency Generic monthly reports Low visibility Custom analytics & real-time insights Know exactly where your revenue stands, with reports that actually make sense for your practice.
Revenue Impact Slow, incremental improvements Slow ROI Up to 30% increase in collections We don't just manage billing — we actively help you grow revenue and reduce leakage.

Claim Approval Rate

Others
85–90% on average
Aquila
98%+ acceptance
Why it matters
Fewer rejections mean faster reimbursement and steady cash flow.

Support Hours

Others
9–5, weekdays only
Aquila
24/7 expert support
Why it matters
Get answers anytime—revenue questions don't stop at 5 p.m.

Specialties Covered

Others
Limited (often just primary care)
Aquila
15+ specialties supported
Why it matters
Expertise tailored to your practice—not the other way around.

Transparency

Others
Generic monthly reports
Aquila
Custom analytics & real-time insights
Why it matters
Always know where your revenue stands.

Revenue Impact

Others
Slow, incremental improvements
Aquila
Up to 30% increase in collections
Why it matters
Grow revenue and reduce leakage.
Your Trusted Partner

We're your partners in success.

Aquila Billing is here to help you achieve practice success. Our billing experts have deep knowledge of the medical billing and coding regulations for all specialties, and we use the latest technology to ensure accurate claim processing with quick payments.

24/7 Medical Billers Support

Our dedicated account managers are available 24/7 to provide you with personal attention and support. They work with you to ensure that your claims are processed correctly and on time.

Out of State Medicaid Billing

We understand the complexities of billing out-of-state Medicaid. And can help you navigate the process to ensure you get paid. We have experience billing out-of-state Medicaid for specialties like family medicine, pediatrics, and oncology.

Clearinghouse Support

Our medical coding consultants have engineered a high-performance clearinghouse connecting seamlessly to top insurers such as Aetna, UnitedHealthcare, and Blue Cross Blue Shield. This direct integration empowers rapid claim submission and prompt reimbursement.

Ready to strengthen your Family Medicine revenue?

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