Your patients are complicated and your coding should reflect it. Helix captures complex E/M, chronic and transitional care, and HCC risk so your reimbursement matches the medicine you actually practice.
Clean-claim rate
Avg. collections lift
Days in A/R
Denials overturned
Internists carry the most complex outpatient panels in medicine, yet that complexity often gets lost between thin E/M leveling and unbilled chronic-care and risk capture. The result is reimbursement that lags the actual work.
Helix codes the full picture — accurate complex E/M, chronic and transitional care, and HCC specificity — so both fee-for-service and value-based revenue reflect your panel's true acuity.
High-MDM visits leveled accurately to documentation.
Chronic conditions coded to full specificity for RAF accuracy.
CCM, PCM and TCM billed with required timing and contact.
Correct bundling, modifiers and interpretation codes.
Complexity that isn't coded is complexity that isn't paid. We capture the high-acuity E/M, care-management and risk codes that reflect your panel.
| 99215 | Office E/M, established, high MDM | +G2211 |
| 99496 | Transitional care management, high complexity | post-DC |
| 99491 | CCM by physician, first 30 min | time-based |
| 99487 | Complex CCM, first 60 min | +99489 |
| 93000 | ECG, 12-lead with interpretation | -25 |
| 99497 | Advance care planning, first 30 min | add-on |
Transitional care management billed without the required interactive contact within two business days of discharge.
Helix fix: discharge-triggered TCM tracker enforces the contact and visit windows.
Chronic conditions coded to unspecified ICD-10, eroding HCC capture and triggering necessity denials.
Helix fix: specificity prompts drive each chronic dx to its highest supported code.
CCM and TCM (or two care-management codes) billed in the same period without the correct precedence.
Helix fix: care-management calendar prevents disallowed same-period overlaps.
A significant separate E/M on a procedure day bundled away for missing modifier 25.
Helix fix: same-day procedure logic applies modifier 25 to supported E/M.
Benefit checks plus pre-visit chronic-condition prompts.
Complex E/M, care management and HCC specificity captured.
TCM/CCM windows and overlap rules validated.
Specificity-driven appeals and aged-A/R workdown.
"Our Medicare Advantage numbers were soft because we coded everything as 'unspecified.' Helix fixed the specificity and the risk capture followed."
An internal medicine group with high-acuity Medicare patients, under-leveled visits, almost no transitional-care billing, and weak HCC capture hurting their value-based contracts.
Helix introduced complexity-aware E/M coding, specificity prompts for chronic conditions, a discharge-triggered TCM workflow, and a CCM program — all scrubbed for timing and overlap.
Clean-claim rate reached 98.9%, A/R fell to 18 days, average RAF improved by 0.21, and fee-for-service collections rose 19%.
Representative composite based on Helix engagement outcomes. Individual results vary.
"We were eligible for transitional care on most discharges and billing almost none of it."
Result: $84K new annual TCM collections.
"Specificity coding cut our medical-necessity denials and steadied cash flow."
Result: +13% net collections in two quarters.
Representative composites based on Helix engagement outcomes. Individual results vary.
Get a free audit of your E/M leveling, care-management capture and HCC specificity, and a clear picture of the revenue you could be recovering.