Medical Billing · Nationwide
Complex adult chronic-care billing where risk-adjusted coding and care-management revenue are easy to under-capture.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to internal medicine practices across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical internal medicine CPT range we work: 99202–99215, 99495–99496, 99490.
E/M level selection on complex visits is frequently downcoded by payers
Chronic care and transitional care management revenue goes uncaptured
HCC/risk-adjustment diagnosis specificity affects long-term reimbursement
Coordination across multiple specialists complicates COB and duplicate edits
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Use these any time — no login required.
Do you capture chronic care management revenue?
Yes — we identify CCM (99490) and TCM (99495/99496) opportunities so care-management work between visits is billed instead of given away.
How do you support accurate E/M leveling?
We code E/M to the documented medical decision-making and time, and flag under-documentation, so complex visits are not routinely downcoded.