- +1 (773) 985-1869
- info@stream-rcm.com
- 14430 Ocean Point, El Paso, TX 79938
Stream RCM delivers enterprise-grade, HIPAA-compliant revenue cycle management exclusively for internal medicine. Our credentialed team of certified billers and coders brings specialized clinical expertise to every claim. We optimize coding accuracy and streamline claims adjudication at every stage. Denials are resolved with surgical precision to protect your revenue. The result is a frictionless billing system that drives growth and reduces overhead.
Here is what our internal medicine clients report on average:
Internal medicine billing requires specialized expertise distinct from other specialties. It encompasses MDM-based E/M coding, chronic care management, and precise hierarchical condition category (HCC) documentation. Each of these components demands meticulous attention, as coding errors or documentation gaps can significantly impact reimbursement and compliance. Our AAPC-certified coders adeptly navigate multi-condition encounters. They also manage preventive visits and transitional care management. This focus reduces E/M downcoding and maximizes legitimate reimbursement. We systematically identify CCM-eligible patients and track transitional care management (TCM) timeframes. We conduct rigorous HCC risk adjustment audits to protect Medicare Advantage revenue. Our proven legacy accounts receivable solutions have consistently recovered over 70% of aging claims for mid-sized practices within six months, delivering tangible financial recovery and long-term revenue stability.
According to reputable organizations such as the ACGME and the American College of Physicians, these are the five important subspecialties of internal medicine that Stream RCM specializes in for billing services:
We provide accurate ICD-10 codes for cardiac tests, interventions, and heart failure treatment in internal medicine to get optimal reimbursement and payer compliance.
Our experts provide EGD, colonoscopy, and liver disease coding in internal medicine with accurate modifiers and detailed documentation to ensure reimbursement and avoid denials.
Our team provides accurate coding for diabetes, thyroid, and metabolic problems with thorough HCC risk adjustment for optimal Medicare Advantage payments and risk scores.
Our experts code for CKD staging, ESRD documentation, dialysis, and transplantation with payer compliance to get accurate reimbursement for renal patients in internal medicine.
We manage COPD, asthma, PFTs, and critical care coding in internal medicine with accurate time-based documentation to avoid errors and get accurate reimbursement.
Our services make the process of billing and accounting for your practice more convenient and boost your revenues in the process.
Our professional team tracks denial trends to identify root causes, make appeals accordingly, and fix the system as a whole. This way, we can reduce the risk of future denials and guarantee that our recoveries are long-lasting.
We solve aging AR problems through targeted follow-up and recovery tactics. In a medium-sized practice, we managed to recover over 70% of total AR in 6 months time, the revenue that was deemed unrecoverable and was written off.
We perform both pre-submission and retrospective audits to detect any coding errors, missed charges, and potential compliance problems. By detecting problems prior to claim submission, we keep your revenue stream safe.
Our certified coders focus solely on internal medicine like MDM-based E&M, CCM, TCM, HCC. They bring in the necessary clinical expertise to your coding needs that prevents downcoding and captures full reimbursement for complex patient encounters.
We handle your provider credentialing process including re-credentialing and payer contracting to make sure you remain enrolled and in-network at all times, so claims are never delayed or denied due to lapsed provider status.
Our team meticulously matches ERA and EOB, records all patient payments, and log denial codes. Thus, we close the loop with full transparency to give you a clear and accurate view of your practice's financial position.
Our experts deliver a proven billing process with numbers you can track, trust, and grow.
Effective pain management billing processes need sophisticated financial infrastructures that are able to cope with intricate coding systems, changing insurance policies, and procedures-driven billing methods. Stream RCM provides expert pain management medical billing services for physicians that surpass those of regular in-house billing systems due to automation technology, certification in coding, and specialty-oriented billing strategies. This method improves payment accuracies, reduces waste in operations, and shields pain management practices from risks of non-compliance. By integrating insurance information, denial analyses, and account management, Stream RCM allows physicians to attain sustainable financial performance without any distractions from their patients.
| CPT | ICD-10 | Description |
|---|---|---|
| 99214 | I10, E11.9 | We code 99214 for hypertension and diabetes follow-ups, verifying MDM supports moderate complexity to confirm proper reimbursement for these common internal medicine encounters. |
| 99215 | J44.9, N18.9 | For high-acuity chronic obstructive pulmonary disease or chronic kidney disease visits, we assign 99215 and rigorously audit medical decision-making documentation to justify the level and prevent downcoding. |
| 99490 | E11.9, I10, J44.9 | Our coders track staff time to meet the 20-minute chronic care management threshold, manage consent and documentation, and secure monthly reimbursement for every eligible patient. |
| 99495 | Z48.8, Z51.89 | We handle post-discharge follow-up with 99495, coordinating care within 7 days while tracking timeframes and documentation to reduce readmission risks. |
| G0439 | Z00.00 | We code G0439 for subsequent annual wellness visits, distinguishing preventive visits from problem-focused E-M to prevent bundling and capture separately identifiable services. |
Social determinants like food insecurity, housing instability, and transportation barriers significantly impact chronic disease management and healthcare costs. CMS and commercial payers increasingly recognize SDOH coding (Z55-Z65) as essential for risk adjustment and value-based reimbursement. Stream RCM trains internal medicine providers to document social needs that affect conditions like diabetes, hypertension, and COPD. Proper SDOH coding helps justify higher E/M levels, supports care management programs, and improves HCC risk scores, potentially increasing capitation payments by 8-12%. Our coders audit charts to identify missed SDOH opportunities, confirming you capture both clinical complexity and social context. This comprehensive approach positions your practice for emerging value-based payment models.
Stream RCM integrates seamlessly with your existing EMR/EHR systems, eliminating redundant data entry and reducing errors. Our platform connects effortlessly to streamline workflows, guarantee accurate data capture, and enhance care coordination.
Two new remote physiologic monitoring codes are introduced in the 2026 CPT manual, and CMS intends to cover both. Telehealth flexibility continues to expand, with Medicare reimbursing for phone check-ins, medication consultations, and follow-up care under detailed care management. Internal medicine practices must train staff to document virtual encounters accurately, including place-of-service coding and modifier 95 compliance. RPM device setup and data transmission codes offer additional revenue streams when coordinated with remote monitoring vendors. The Stream RCM is up to date with all the regulations related to telehealth by CMS and commercial payers. That way, the clinic will receive its due payment for each virtual care session provided.
Unique challenges exist for internal medicine practices; this is how we address them.
From the moment a patient encounter is documented to the final payment posted in your ledger, Stream RCM controls every step of the billing workflow with specialty-trained teams and structured quality checkpoints.
Our team collects encounter data, verifies that all billable services are captured, and identifies documentation gaps before the coding stage begins.
Our certified coders assign CPT and ICD-10 codes based on clinical documentation, applying correct modifiers, sequencing primary and secondary diagnoses properly.
We combine automated scrubbing with manual quality reviews to target denial drivers, achieving a consistent 97% first-pass acceptance rate across clients.
We route denials to specialists who appeal within 48 hours with supporting documentation. Monthly reports track success rates and financial recovery impact.
We apply current AMA E&M guidelines using Medical Decision Making or total time, verifying every claim reflects accurate documentation before submission.
Most internal medicine practices are fully onboarded within 10 to 14 business days, including payer setup and parallel billing verification.
Yes. We maintain plan-specific policy files for every major Medicare Advantage plan, managing prior authorizations, coverage rules, and claim requirements separately.
Every E&M claim undergoes documentation-to-code validation before submission. We also run monthly bell-curve analysis comparing each provider against specialty benchmarks.
Yes. We credential new providers across all contracted payers simultaneously, minimizing enrollment delays and preventing revenue gaps during the transition period.
We helped internal medicine practices increase net collections by 35%. Your practice could be next in line.
