Family Practice Medical Billing Services in California
AMS Solutions provides specialized family practice medical billing for practices across California. From Los Angeles to San Diego and the rest of the state, our AAPC-certified billers handle the family practice code set including 99202-99215 (office E/M), G0438/G0439 (AWV), 99490/99491 (CCM), 99421-99423 (online digital E/M), 96127 (behavioral assessment) and the prior authorization for advanced imaging, specialty referrals (varies by plan), DME, and some specialty pharmacy items that California practices need to navigate.
California-specific payer landscape
We work with Medi-Cal (multiple plans: Anthem Blue Cross, Blue Shield Promise, Health Net, Kaiser, L.A. Care, Molina, Inland Empire, SCAN), plus all major commercial plans: Anthem Blue Cross, Blue Shield of California, Kaiser Permanente, HealthNet, Cigna, UnitedHealthcare. California operates under Noridian Healthcare Solutions as the Medicare Administrative Contractor. California is a Noridian Jurisdiction E state with detailed cardiac imaging LCDs and aggressive denial patterns from commercial plans.
Family Practice services we bill
Our family practice billing team handles office E/M visits, Medicare Annual Wellness Visits (AWV), Chronic Care Management (CCM), behavioral health assessments (96127), and telehealth. We’re particularly strong at managing the common E/M level coding (MDM-based vs time-based), AWV scope (G0438 initial vs G0439 subsequent), and modifier 25 with preventive visits.
Why California family practice practices choose AMS
- 33+ years handling Medicare billing across all 8 MAC jurisdictions including Noridian
- 95%+ clean claim rate on first submission, vs 85-90% industry average
- 100% U.S.-based billing team — no offshoring, all PHI stays domestic
- HIPAA-compliant with full BAA, encrypted data exchange, role-based access
- AAPC-certified coders — every chart is reviewed by a CPC, COC, or CRC
Frequently asked questions
Yes — every plan listed in multiple plans: Anthem Blue Cross, Blue Shield Promise, Health Net, Kaiser, L.A. Care, Molina, Inland Empire, SCAN. We verify benefits before each billing cycle.
We work the full 2021 MDM rules — three-element + time-based pathways — to bill correct E/M levels. Our coders pass AAPC E/M certification with 95%+ scores and document every level decision.
Yes — we handle G0438 (initial AWV) and G0439 (subsequent AWV) with proper risk-assessment documentation and split-bill any same-day problem visits using modifier 25.
Ready to talk? Call (214) 571-6317 or book a free 30-minute review with our team. We’ll audit a sample of your California family practice claims at no cost.