Medical billing services by specialty
Every specialty has its own codes, modifiers, authorization rules and common denial reasons. Here is what we watch for in the specialties we support most often.
Family & Internal Medicine
Preventive visits, chronic care management and annual wellness visit rules.
Behavioral & Mental Health
Time-based psychotherapy codes, telehealth modifiers and carve-out behavioral plans.
Cardiology
Diagnostic testing with professional and technical components, plus prior auth for imaging.
Urgent Care
High visit volume, fast eligibility checks and S-code versus E/M payer differences.
Physical & Occupational Therapy
Timed units, the 8-minute rule, KX modifier thresholds and plan-of-care certifications.
Chiropractic
Spinal manipulation codes, AT modifier documentation and visit limits by plan.
Pediatrics
Vaccine administration codes, VFC billing and Medicaid managed care plans.
OB/GYN
Global maternity packages, split billing when care transfers, and well-woman visits.
Dermatology
Biopsies, lesion destruction, modifier 25 with procedures, and cosmetic exclusions.
Orthopedics
Surgical global periods, DME dispensing and injection billing with drug units.
Pain Management
Interventional procedures, frequent prior authorizations and medical necessity reviews.
Telehealth
Place-of-service codes, modifier 95 and GT rules, and payer-specific telehealth policies.
Laboratory
CLIA requirements, panel bundling, and medical-necessity checks on lab orders.
DME
Certificates of medical necessity, rental versus purchase billing and Medicare supplier rules.
Don't see your specialty? Ask us. We support many more, including multi-specialty groups.
Get a billing review for your specialty
We will look at your claims through the lens of your specialty's payer rules and show you where revenue is being left behind.