Specialty · Primary Care

The 15-minute visit, billed correctly the first time.

Built around the patterns primary care actually loses revenue on: AWV-plus-problem visits, CCM time tracking, HEDIS gap closure, and chronic care that should bill 99490 / 99439 but rarely does. Focus structures the documentation, applies modifier-25 when supported, and sends both lines clean.

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+$1,260/mo
Per provider, AWV+E/M recovery
98%
First-pass acceptance
2.1hrs/day
Saved on charting
11days
Median migration
The pattern primary care loses on

AWV + problem visit, billed both, every time.

The Annual Wellness Visit alongside a same-day problem-focused E/M is one of the most undercoded patterns in primary care. Most legacy EHRs bundle the two and bill only G0438/G0439 — leaving 99213/99214 on the table. Focus structures the documentation so both bill cleanly, with modifier-25 auto-applied when supported.

  • AWV pre-chart from mobile intake — PMH, meds, allergies, screenings populate before the patient walks in.
  • Problem-focused E/M captured live — AI Scribe separates preventive from diagnostic in the same encounter.
  • Modifier-25 auto-applied when the documentation supports a separate, significant E/M. Reviewable before signing.
  • Both claim lines submitted clean — first-pass acceptance, no bundling rejection.

We were leaving thousands on the table every month with AWV-plus-problem visits. Focus catches the modifier-25 in the room, and our coders stopped having to chase it down. Net: about $1,260/provider/mo recovered.

EL
Dr. Elena Lopez, MD
INTERNAL MED · BAYVIEW CLINIC
▲ Patterns built into the workflow
$ AWV + E/M

Modifier-25, auto-applied

Detect when documentation supports a separate, significant E/M alongside G0438/G0439. Apply -25, link diagnosis pointers, send both lines clean.

⌘ CCM 99490

Time tracked, audit-clean

Chronic Care Management time captured automatically across calls, messages, and care-plan updates. Documentation structured to clear audits.

▶ HEDIS & quality

Gaps closed at the visit

Care opportunities surface in the chart during the encounter. Your team closes them in real time, not three weeks later from a CSV.

See it on a real PCP visit. Bring your own chart.

Send a redacted patient case ahead of the demo. We'll run AI Scribe + AWV-plus-E/M coding live, end to end.

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