PGM: Primary Care Physician Billing Experts
Contact PGM today to discover why primary care practices across the country trust us with their physician billing services. Speak directly with one of our billing specialists to learn how we help practices increase collections, streamline operations, and reduce overhead, empowering physicians to focus more on patients and delivering care, and a lot less on paperwork.
Primary care practices have many options when it comes to outsourcing billing services — but more and more are choosing PGM for our expertise, technology, and results-driven approach.
What can smarter billing do for your practice? Let’s talk.
PGM Billing: The Physician Billing Company for Primary Care
Primary care is the foundation of the healthcare system, and billing for it requires more than just claims processing. From preventive services and chronic care management to annual wellness visits and same-day appointments, the scope and volume of services in primary care demand physician coding and billing solutions that are accurate, efficient, and adaptable.
At PGM Billing, we offer end-to-end physician medical billing services customized for the unique needs of today’s primary care practices. Our solutions are designed to minimize denials, improve cash flow, and enhance the overall physician revenue cycle management process, so your practice can grow sustainably while maintaining compliance with payer and federal requirements.
Why Primary Care Billing Requires Specialized Expertise
Primary care billing may seem straightforward, but beneath the surface lies a complex web of coding requirements, payer-specific rules, and ever-evolving regulations. Accurately coding services like E/M visits, chronic care management, telehealth, and annual wellness visits (AWV) is critical to ensuring timely and proper reimbursement.
Each insurer may have its own protocols for bundling, documentation, and reimbursement. For example, payers vary widely on how they handle prolonged services, preventive visits combined with sick visits, transitional care management codes, or physician assistant billing. Without deep experience in physician billing, these nuances can lead to costly denials, underpayments, regulatory risks, or clawbacks.
Medicare adds another layer of complexity. From its strict rules on AWV documentation to detailed billing for care coordination, staying compliant with Medicare’s expectations is essential to avoiding audits and penalties.
At PGM, we understand these intricacies, and we’ve built our physicians billing services to help primary care practices navigate them with confidence.
Comprehensive Primary Care Physician Billing Services by PGM
PGM specializes in physician billing services designed specifically for primary care. Our team brings deep expertise to every aspect of the billing process, ensuring full compliance, minimizing denials, and maximizing reimbursement. With decades of experience supporting primary care providers, we help your practice navigate the complex landscape of physician billing and revenue cycle management, so you can stay focused on delivering quality care.
Primary Care Coding & Billing: From E/M to CCM
Primary care billing involves a high volume of diverse services. Each of these services requires accurate CPT and ICD-10 coding and a clear understanding of payer-specific documentation rules.
At PGM, we provide physician billing solutions that ensure every service is properly coded and billed, reducing the risk of denials while ensuring your practice receives the full, correct reimbursement it deserves.
Modifier Management in Primary Care Billing
Modifiers are frequently required in primary care billing, especially when multiple services are performed during the same visit. Whether you’re billing a sick visit alongside a preventive exam or reporting prolonged services, correct modifier usage (e.g., -25, -59, -24) is essential.
PGM’s billing experts apply modifiers correctly to prevent denials and underpayments. We work proactively to ensure compliance across payers and help your claims get paid the first time.
ICD-10 Coding for Primary Care
From hypertension and diabetes to well visits and acute conditions, accurate ICD-10 coding is foundational to effective physician medical billing services. Our certified coders stay up to date on evolving guidelines and payer expectations to ensure diagnostic accuracy, reduce denials, and support clean claim submission every time.
The Results:
Increased Revenue, Fewer Headaches
PGM’s physician billing services have helped primary care practices across the country improve their performance. Our clients routinely see:
- 20–30% increase in collections
- 40% reduction in claim denials
- Faster reimbursement and fewer delays
- Greater overall physician revenue cycle efficiency
When you partner with PGM, you’re not just outsourcing billing — you’re gaining an expert team that understands the unique demands of primary health billing and is committed to improving your practice’s bottom line.
How PGM Delivers the Best Primary Care Physician Billing Services
PGM stands out among physician billing companies with our data-driven strategies, purpose-built technology, and experienced billing professionals. We consistently deliver results by focusing on what matters most to primary care practices:
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Complete Primary Care Billing Services
We offer comprehensive billing services for physicians, handling everything from charge entry to payment reconciliation with precision and efficiency — so your team doesn’t have to. -
Primary Care Billing Software Integration
Our physician billing software streamlines complex workflows, automates coding checks, and reduces errors, resulting in faster, more accurate reimbursements. -
Payer Relationship & Contracting Support
We partner with payers to secure fair reimbursement and help practices navigate contract negotiations that impact long-term physician revenue cycle performance. -
Tailored Billing for Primary Care Practices
PGM’s physician billing solutions are fully customized to meet the unique needs of primary care, from chronic care billing to preventive service documentation and coding. -
Compliance-First Billing Oversight
Our certified coders and billing experts stay current with Medicare, Medicaid, and private insurer regulations — helping your practice avoid compliance risks. -
Proactive Denial Prevention & Resolution
We don’t just react. We prevent. Our team monitors claims in real time to reduce denials, speed up reimbursements, and improve your practice’s cash flow. -
Full-Service Physician Revenue Cycle Management
From eligibility checks and coding to collections and analytics, we manage the full physician revenue cycle with transparency and accountability. -
Actionable Billing Analytics for Primary Care
Our advanced reporting tools give you visibility into your billing trends, identify performance gaps, and support data-driven decision-making that fuels practice growth.
PGM Revenue Cycle Management
Primary Care Billing Software Solutions
PGM leverages robust physician billing software built to automate key workflows, reduce claim errors, and accelerate reimbursement for primary care practices. Our technology enables providers to manage patient data efficiently, track claims in real time, and stay ahead of complex payer requirements with ease.
Proof in Numbers
With deep experience in primary care billing outsourcing, PGM helps practices increase operational efficiency, improve collections, and reduce administrative strain. When you partner with PGM, your team can focus on delivering exceptional patient care while we manage the details of your revenue cycle.
Why Choose PGM for Primary Care Billing Outsourcing?
Primary care billing comes with unique challenges. At PGM, we deliver expert physician billing services that streamline the revenue cycle, cut administrative costs, and help maximize practice revenue. As a leading physician billing company, our solutions are built for accuracy and financial growth.
Proven, Extensive Expertise in Physician Billing
With decades of experience providing physician billing services, PGM understands the nuances of billing for primary care. We handle everything from comprehensive E/M coding and preventive care to transitional care management and telehealth services. Our team works diligently to reduce denials, prevent underpayments, and improve cash flow for your practice.
Certified, Reliable Billing Professionals
Our team is made up of certified billing experts who specialize in physician medical billing services. We stay current on the latest CPT, ICD-10, and HCPCS updates, ensuring full compliance with payer rules and CMS regulations. We have extensive experience billing for:
- Annual wellness (AWV) and physical exams
- Chronic care management (CCM)
- Preventive services and immunizations
- Telehealth and virtual visits
- Behavioral health integration (BHI)
- Same-day sick and wellness visits
- Prolonged services and complex patient encounters
Custom Physician Billing Solutions
Unlike generalist billing companies, PGM delivers physician billing solutions tailored specifically to the primary care setting. Our billing software integrates seamlessly with your existing EMR, streamlining workflows and reducing manual tasks. Our services include:
- Automated charge capture to avoid missed revenue
- Real-time financial dashboards for data-driven decisions
- Integrated eligibility checks to prevent claim denials
- HIPAA-compliant electronic claims processing for faster payment
Maximized Reimbursement for Primary Care Providers
PGM’s physician billing services are designed to help primary care practices capture every dollar they earn. Through clean claims, accurate coding, and denial prevention strategies, we deliver results that matter. Our services include:
- Proper coding for same-day visits and bundled services
- Documentation guidance to support medical necessity
- Appeals and follow-ups on denied or underpaid claims
- Contract negotiation support to improve payer reimbursement
Outsourcing your physician billing services to PGM means improved cash flow, quicker reimbursements, and a lighter administrative load for your staff. Let us handle the billing — so you can stay focused on delivering outstanding primary care.
Exceptional Customer Service for Primary Care
Primary care practices deal with a wide range of services. This requires a physician billing company that understands the complexity and demands of front-line care. At PGM, we offer physician billing solutions that reduce administrative burden, improve accuracy, and enhance financial performance for your practice.
Dedicated, Personalized Support
Unlike large-scale billing providers that offer generic services, PGM takes a tailored approach specific to physician medical billing services. Your dedicated account manager works hand-in-hand with your team, providing fast answers, proactive updates, and a responsive point of contact for all your billing needs.
Expertise in Primary Care Billing
Our team specializes in primary health billing and is deeply familiar with E/M coding, preventive care guidelines, CCM, TCM, and telehealth billing. We stay current on the latest payer policies and CMS updates to reduce denials and help ensure every service is billed and reimbursed correctly.
Efficient Claims Processing & Denial Management
We don’t just submit your claims. We review, validate, and optimize every single one. PGM’s physician billing software and review process help eliminate common errors before submission. When denials occur, our team responds quickly to appeal correctly and resubmit, protecting your revenue and avoiding delays.
Compliance and Regulatory Support
With payer rules and CMS regulations constantly changing, staying compliant is vital. PGM provides ongoing guidance to ensure your billing processes meet all Medicare, Medicaid, and commercial insurance requirements, reducing audit risk and ensuring peace of mind.
Improving the Financial Health of Primary Care Practices
We go beyond billing tasks to help our partner primary care practices thrive financially. Our physician revenue cycle management services include transparent reporting, analytics, and strategic insights, enabling you to make informed decisions to strengthen profitability while continuing to focus on patient care./p>
With PGM as your billing partner, your primary care practice benefits from industry-leading expertise, seamless revenue cycle management, and a customer-first approach that drives long-term success.
LLearn More About Our Physician Billing Services
Ready to simplify your billing and increase revenue? Schedule a complimentary consultation to see how PGM’s physician billing company solutions can support your primary care practice.