Internal Medicine Billing Services in Long Island, NY

Running an internal medicine practice on Long Island means packed schedules, medically complex patients, and a billing workload that never lets up. From our office in Melville, Long Island, Fast Billing Solutions gives internists across Nassau and Suffolk counties a billing partner that speaks internal medicine — accurate E/M leveling, chronic care management, transitional care management, and hospital follow-ups billed the way they should be, so you get paid fully for the work you do.

Internal Medicine Billing Is a Specialty of Its Own

Most billing companies treat every specialty the same. Internal medicine doesn’t work that way. Your revenue lives and dies on evaluation and management (E/M) coding — choosing the right level based on medical decision-making, documenting to support it, and avoiding the quiet revenue drain of downcoded visits. Add chronic care management (CCM), which requires a documented care plan, patient consent, and precise time tracking before you can bill 99490 or 99491. Add transitional care management (99495/99496), with its strict clock: patient contact within two business days of discharge and a face-to-face visit within 7 or 14 calendar days, depending on decision-making complexity. Layer in hospital follow-ups, discharge day management, annual wellness visits billed alongside problem-oriented visits, and incident-to rules — and you have a coding landscape that generalist billers routinely get wrong.

We bill for internists every day. Our team knows the difference between a level 3 and a level 4 visit, what payers require before they’ll pay for CCM, and how to sequence TCM claims so they don’t deny on technicalities. That’s what an internist billing company should do — and it’s what we do from right here on Long Island.

Billing Pain Points We Solve for Internal Medicine Practices

• E/M downcoding and documentation gaps. Medical decision-making drives your visit levels, but rushed notes invite downcodes and audits. We review documentation, flag gaps, and make sure every visit is leveled — and supported — correctly.
• CCM and TCM revenue left on the table. Many internists provide chronic care and transitional care work without ever billing for it. We help set up the time tracking, consent, and care-plan workflows so 99490, 99491, 99495, and 99496 actually get billed and paid.
• Prior authorizations and medical-necessity denials. Commercial payers scrutinize internists’ referrals, imaging, and procedures. We verify benefits up front, secure authorizations, and work every denial to resolution.
• Complex payer mix. Traditional Medicare, Medicare Advantage, NY Medicaid, Empire BlueCross BlueShield, UnitedHealthcare/Oxford, Aetna, Cigna, EmblemHealth, Healthfirst, Fidelis Care — each with its own rules for internists. We manage them all.
• Provider credentialing and enrollment. CAQH, NPI, Medicare (PECOS), NY Medicaid through eMedNY, and commercial payer credentialing — kept current so your claims never deny over an enrollment lapse.
• The cost of in-house billing staff. Hiring and retaining billing staff on Long Island is expensive, and turnover stalls cash flow. Outsourcing gives you a full revenue-cycle team for less than the cost of one experienced in-house biller.
• No visibility into your revenue cycle. Daily, weekly, and monthly reports show exactly what’s billed, paid, denied, and outstanding — no more guessing.

Full Revenue Cycle Services for Internal Medicine Practices

• Medical Billing & Coding — charge entry, clean claim submission, payment posting, and payer follow-up, with E/M-specialized coding.
• Credentialing & Enrollment — CAQH, NPI, Medicare and NY Medicaid enrollment, commercial payer credentialing, revalidation.
• Denial Management — every denial worked, appealed, and tracked, with root-cause fixes.
• Eligibility Verification & Pre-Authorization — benefits checked before the visit.
• AR Management — accounts receivable follow-up, EOB/ERA review, patient balance workflows.
• Medical Transcription — accurate, timely documentation support.
• HIPAA Security Risk Analysis — protect patient data and stay compliant.

Serving Internists Across Long Island

Our headquarters at 68 South Service Road, Melville, NY 11747 sits right off the Long Island Expressway near the Nassau–Suffolk border, minutes from the practices we serve. We work with internal medicine practices throughout Nassau County — Garden City, Great Neck, Mineola, Hempstead, Hicksville, Massapequa, Rockville Centre, Valley Stream, Freeport, Long Beach, and the Five Towns — and Suffolk County — Huntington, Smithtown, Commack, Hauppauge, Bay Shore, Islip, Brentwood, Patchogue, Stony Brook, Riverhead, and the Hamptons.

Learn more about our medical billing services across Long Island, including dedicated coverage in Nassau County and Suffolk County.

Why Long Island Internists Choose Fast Billing Solutions

• A local team, not a call center. We’re headquartered in Melville — close enough to meet in person and familiar with the payers and referral patterns your practice deals with daily.
• Internal-medicine-specific coding knowledge. E/M leveling, CCM, TCM, hospital follow-ups, annual wellness visits, incident-to — the codes that make up an internist’s day are the ones we know best.
• Denials worked to resolution. We don’t just resubmit and hope. Every denial gets investigated, appealed, and fixed at the root cause.
• Credentialing handled for you. New providers, new payers, revalidations — enrollment stays current without eating your staff’s time.
• Transparent reporting. Daily, weekly, and monthly reports keep you in control of your revenue cycle.
• HIPAA-compliant processes. Patient data protected at every step of the billing workflow.

Internal Medicine Billing FAQs

Can my practice bill for chronic care management (CCM)?

Very likely, yes — if you’re already managing patients with two or more chronic conditions. CCM codes 99490 and 99491 cover at least 20 minutes of non-face-to-face care management per month, but billing them requires a documented care plan, patient consent, and accurate time tracking. Many internists do this work without capturing the revenue. We help you set up compliant CCM workflows and bill every eligible month.

How does transitional care management (99495/99496) billing work?

TCM covers the work of transitioning a patient from a hospital or facility back to the community. The rules are strict: you must contact the patient within two business days of discharge, then see them face-to-face within 7 calendar days (99496, high-complexity decision-making) or 14 calendar days (99495, moderate complexity). Miss a window and the claim denies. We track your discharges and keep TCM claims compliant.

How do you make sure our E/M visits are leveled correctly?

We code to the medical decision-making documented in your notes — not up, not down. Our team reviews documentation for the elements payers look for (problems addressed, data reviewed, risk), flags gaps before claims go out, and keeps your leveling defensible if a payer ever audits.

Can we bill a sick visit on the same day as an annual wellness visit?

In most cases, yes — when the problem-oriented visit is separately documented and medically necessary, it’s billed with modifier 25 alongside the preventive visit. Payer rules vary, and some Medicare Advantage plans handle it differently, so we verify each payer’s policy and code accordingly.

Which payers do you bill for internal medicine practices?

Traditional Medicare, Medicare Advantage plans, NY Medicaid (eMedNY), Empire BlueCross BlueShield, UnitedHealthcare/Oxford, Aetna, Cigna, EmblemHealth (GHI/HIP), Healthfirst, Fidelis Care, and other commercial plans.

How long does it take to move our billing to your team?

Most practices are fully onboarded within a few weeks, starting with a review of your current revenue cycle and transitioning claims with no interruption to cash flow.

Get a Free Quote for Your Internal Medicine Practice

If you’re an internist anywhere on Long Island — from the Queens border to the East End — we’d like to show you what a local billing partner that understands internal medicine can do for your bottom line. Get a free, no-obligation quote, or call to talk through your revenue cycle.