What CCM and AWV Undercoding Is Costing California Primary Care Practices Entering Q3?

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As California primary care practices enter Q3, many are preparing for increased patient volume, preventive care visits, and chronic disease management. However, while physicians focus on delivering quality care, many practices continue to lose substantial revenue due to CCM (Chronic Care Management) and AWV (Annual Wellness Visit) undercoding. Undercoding occurs when services are billed at a lower level than documentation supports or when eligible CCM and AWV services are not billed at all. Although these errors may appear minor, they can significantly reduce reimbursement over time, creating hidden revenue leaks that impact cash flow, profitability, and practice growth. As payer scrutiny increases in 2026, accurate coding and documentation are more important than ever. Many providers are turning to specialized Primary Care Billing Services , medical billing services , and comprehensive RCM services to improve coding accuracy, reduce denials, and maximize reimbursement. Why CCM and ...
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ASC Coding And Billing: Knowing What’s Important

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The basics of ASC Coding And Billing aren’t hard to master, but they do differ from physician and facility requirements. The following overview will help you know what’s most important in the ASC setting. ASCs use a combination of hospital and physician billing. Although ASCs use CPT and HCPCS Level II codes to bill most of their services (as do physicians), some payers will allow an ASC to bill ICD-10-CM procedure codes (like a hospital). Some payers even base implant reimbursement on revenue code classification.

One of the most fundamental differences between billing for professional services and billing for ambulatory surgery center services is the concept of the global surgical package. The global package applies to the professional component of a surgical service that is performed when using a surgical CPT code. On the professional side, this typically encompasses a 90-day follow-up. In the ASC billing methodology, no such surgical package exists.

Therefore, each time a patient enters the operating room represents a unique and separate encounter and has no historical economic relationship to previous encounters. This is a very important difference and very often leads to the need for qualifying modifiers. Those modifiers tend to clarify a situation such as returning to the operating room on the same day or returning to the operating room by another doctor on a different date.

To know more about ASC Coding And Billing: Knowing What’s Important click here: bit.ly/3EFQc8y Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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