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What We Do
Billing That Knows Your Specialty
Every specialty has its own codes, modifiers and payer rules. Here is what our revenue cycle team watches closely for each.
Specialties
Specialties We Support
Primary care and internal medicine
Medicare Advantage and commercial denials, E/M levels, annual wellness visits and chronic care management codes.
Family medicine
Preventive and problem visits on the same day, vaccine administration and Medicaid MCO eligibility.
Pediatrics
Vaccine and administration coding, well-child visits and month-to-month Medicaid eligibility changes.
Urgent care
High claim volume, front-desk eligibility checks, E/M downcoding and in-office tests.
Behavioral health and psychiatry
Time-based therapy codes, telehealth rules, credentialing new clinicians and Medicaid MCO authorizations.
Endocrinology
Prior authorizations for CGMs and GLP-1s, chronic care management and remote monitoring codes.
Cardiology
Echo, stress test and monitoring authorizations, professional and technical components and underpayments.
Neurology
EEG and EMG/NCS testing, infusion authorizations and bundling edits.
Orthopedics and spine
Surgical global periods, modifiers 25, 59 and 79, DME and imaging authorizations.
Dermatology
Modifier 25 with same-day procedures, pathology billing and cosmetic versus medical rules.
Podiatry
Medicare routine foot care rules and class findings, Q modifiers and DME.
Ophthalmology and optometry
Cataract global periods, injectable drug J-codes and medical versus vision plans.
Allergy and immunology
Immunotherapy units, testing codes and multi-location authorizations.
Physical therapy and rehab
The 8-minute rule, visit limits, plan-of-care certifications and the KX modifier.
Laboratory and toxicology
Drug testing G-codes, PCR and PGx, CLIA requirements and Medicaid-specific rules.
Telehealth providers
Place-of-service and modifier rules, multi-state payer policies and audio-only visits.
See where your specialty is losing revenue
A free A/R review shows which payers and claim types are stalling for your practice.