25/02/2026
Is 99204 draining your revenue? 📉
The Reality:
A single denial for a New Patient Visit (99204) isn’t just a "clerical error"—it’s roughly **$160+ vanishing** from your practice's pocket. If this happens just 10 times a month, you’re looking at a $20,000+ yearly leak.
Why it’s happening (The 3 Red Flags):
1️⃣ **Medical Necessity:** Your documentation doesn't clearly support "Moderate" Medical Decision Making (MDM).
2️⃣ **The 3-Year Rule:** Accidentally billing 99204 for a patient seen by your practice in the last 3 years (it should be 99214).
3️⃣ **Time Thresholds:** Failing to document the required 45–59 minutes when billing by time.
The CRM Billing Solution:
Stop chasing payers and start focusing on patients. We specialize in **98%+ first-pass acceptance** for USA-based providers. We don't just submit claims; we audit them for compliance *before* they leave your desk.
Ready to stop the leaks?
📩 **DM us "AUDIT" for a free review of your top 5 denial codes.
RevenueCycle CRMBilling HealthcareAdmin USADoctors MedicalCoding CleanClaims
