Specialty-Specific Billing Teams
Generic billers miss specialty-specific modifiers, documentation triggers, and bundling rules. Our coders are dedicated by specialty to ensure complete reimbursement.
Family Medicine
Navigating high encounter volumes with intricate medical decision making (MDM) leveling. We optimize preventive medicine codes (99381–99397), annual wellness visits (G0438/G0439), Chronic Care Management (CCM 99490), and modifier 25 same-day problem encounters.
Behavioral Health
Addressing stringent commercial payer medical necessity audits. We manage individual psychotherapy (90834, 90837), diagnostic intake evaluations (90791, 90792), interactive complexity (+90785), and telehealth parity modifier 95/GT claims.
Laboratory Billing
High-throughput claims processing for clinical chemistry, molecular diagnostics, and toxicology labs. We verify CLIA certification linkage, enforce Advance Beneficiary Notice (ABN) compliance, and audit requisitions against LCD medical necessity policies.
Internal Medicine
Mastering multi-system chronic condition coding and Transitional Care Management (TCM 99495, 99496). We capture Remote Patient Monitoring (RPM 99453, 99454, 99457) and prolonged service codes (+99417) without triggering payer downcodes.
Pediatrics
Handling state Vaccines for Children (VFC) program reporting, vaccine counseling administration codes (90460/90461), developmental screenings (96110), and EPSDT preventive guidelines to prevent common pediatric underpayments.
Cardiology
Navigating high-cost diagnostic procedures, echocardiograms (93306), cardiac catheterizations (93458), and SPECT nuclear imaging (78452). We ensure accurate technical and professional modifier 26/TC splits and prior authorization links.
Urgent Care
Rapid-cycle billing for walk-in acute visits, minor surgical lacerations, splinting, and rapid point-of-care lab tests. We capture S-codes (S9088) where contracted and rapidly verify insurance to prevent walkout uncollectible debt.
Mental Health
Dedicated billing support for solo practitioners, LCSWs, LPCs, and outpatient clinics. We handle out-of-network superbills, sliding scale balance posting, group therapy (90853), and family counseling (90847) reimbursements.
Physical Therapy
Strict enforcement of Medicare’s 8-minute rule and timed therapy units (97110, 97140, 97112). We track therapy threshold caps, attach KX modifiers accurately, and verify plan-of-care recertification intervals to eliminate denials.
Chiropractic Care
Managing spinal manipulation codes (98940–98942) and modalities. We defend against maintenance vs. active care denials, apply Medicare AT modifiers correctly, and manage private health, auto personal injury (PIP), and workers’ comp billing.
Your Practice, Our Priority
Don't See Your Specialty Listed?
We service over 50 healthcare specialties including Oncology, Neurology, Orthopedics, and Dermatology. Reach out to discuss your specific fee schedules and coding needs.