Your specialty does not fail like the others do.
Cardiology loses money on global periods. Behavioral health loses it on session limits. The coder on your account works your specialty every day, so they already know which of your payers does what.
- 50+Specialties covered
- 97%Coding accuracy on audit
- 98%First pass acceptance
Every specialty we bill
Grouped by how they get paid rather than alphabetically, because a surgical practice and a therapy practice have almost nothing in common at the claim level. If yours is not here, we almost certainly still bill it, so ask.
Primary and everyday care8
Primary Care Billing Services
Everyday visits, preventive care and ongoing conditions kept connected from check-in to payment.
Family Medicine Billing Services
Care across generations, with wellness visits, vaccines and chronic follow-up reviewed on their own terms.
General Practice Billing Services
A practical billing workflow for varied office visits, small teams and changing patient needs.
Internal Medicine Billing Services
Chronic care programs and E/M levels supported by the note every time.
Geriatric Medicine Billing Services
Billing support for older adults’ care, including complex visits, transitions and different care settings.
Preventive Medicine Billing Services
Wellness, screening and counseling claims reviewed against the benefit and purpose of each visit.
Pediatrics Billing Services
Vaccine administration codes and well visit bundles billed at volume.
Urgent Care Billing Services
Walk in volume where eligibility is confirmed after the visit has started.
Medical specialties12
Cardiology Billing Services
Cath lab, device and echo claims with high value codes payers audit closely.
Neurology Billing Services
EMG, EEG and long visits where time and unit coding decide the payment.
Endocrinology Billing Services
Follow-up visits, monitoring and endocrine testing connected to the documentation behind each claim.
Rheumatology Billing Services
Office visits, joint procedures and medication services reviewed with their coverage and documentation.
Hematology Billing Services
Blood-disorder visits, procedures and treatment claims followed at the individual service-line level.
Infectious Disease Billing Services
Office and hospital consultations, treatment follow-up and records shared across care settings.
Hepatology Billing Services
Liver-care visits, diagnostic work and treatment follow-up linked to the right records.
Gastroenterology Billing Services
Scope procedures with screening versus diagnostic rules payers test.
Nephrology Billing Services
Dialysis billing with monthly capitation payment (MCP) requirements and documented visit counts.
Dermatology Billing Services
Lesion counts, pathology charges and cosmetic carve outs kept clean.
Oncology Billing Services
Drug buy and bill with margins too thin for a single denied claim.
Allergy and Immunology Billing Services
Testing, immunotherapy preparation and administration reviewed as distinct billing work.
Hospital, respiratory and sleep care4
Hospital Medicine Billing Services
Professional claims reconciled with the hospital census, encounter record and responsible practitioner.
Critical Care Medicine Billing Services
Professional critical-care claims reviewed for documented services, time and practitioner roles.
Pulmonology Billing Services
Sleep studies and vent management with strict documentation requirements.
Sleep Medicine Billing Services
Sleep consultations and testing claims checked for authorization, setting and interpretation.
Surgery and procedural care12
General Surgery Billing Services
Global periods, assistants and co surgeons coded to survive payer review.
Orthopedics Billing Services
Surgical episodes with global periods and implant charges that must be split right.
Cardiothoracic Surgery Billing Services
Operative episodes reviewed for practitioner roles, procedure details and postoperative care.
Vascular Surgery Billing Services
Open and endovascular procedures reviewed with laterality, anatomy and episode details.
Plastic and Reconstructive Surgery Billing Services
Reconstructive claims and direct-pay services kept clear from the first benefit check.
Urology Billing Services
Office procedures, diagnostic studies and surgical episodes reviewed in one billing workflow.
Colorectal Surgery Billing Services
Surgical and endoscopic claims reviewed with the procedure purpose and postoperative record.
Bariatric Surgery Billing Services
Preoperative requirements, surgical claims and follow-up tracked across the bariatric care pathway.
Anesthesiology Billing Services
Time units, base units and medical direction modifiers done right.
Ambulatory Surgery Centers Billing Services
ASC facility and professional billing together, with implants on the claim.
Pain Management Billing Services
Injection series with authorization limits watched claim by claim.
Wound Care Billing Services
Wound assessment and procedure claims checked against location, measurements and treatment records.
Women’s health and fertility3
OB/GYN Billing Services
Global maternity split correctly across visits, delivery and postpartum.
Maternal Fetal Medicine Billing Services
High-risk pregnancy consultations and diagnostic services coordinated with the wider maternity episode.
Reproductive Endocrinology & Infertility Billing Services
Fertility benefits, treatment-related claims and direct-pay arrangements kept separate and understandable.
Eye, ear and oral care5
Ophthalmology Billing Services
Per eye modifiers and injection billing under tight payer rules.
Optometry Billing Services
Routine vision and medical eye-care claims routed according to the service and benefit.
Otolaryngology Billing Services
ENT consultations, office procedures and surgery reviewed with their testing and documentation.
Dental Billing Services
CDT coding and medical crossover claims most general billers avoid.
Oral and Maxillofacial Surgery Billing Services
Medical and dental billing pathways reviewed against the procedure and applicable benefits.
Rehabilitation and movement6
Physical Medicine & Rehabilitation Billing Services
Physiatry visits and rehabilitation-related professional services reviewed by setting and provider role.
Physical Therapy Billing Services
Timed units under the 8 minute rule, with plan of care caps tracked.
Occupational Therapist Billing Services
Functional treatment plans, timed units and discipline-specific goals tied to every claim.
Speech Pathology Billing Services
Evaluation, treatment and AAC services billed with the right plan, units and diagnosis support.
Chiropractic Billing Services
AT modifiers and maintenance care denials handled correctly.
Podiatry Billing Services
Routine care exclusions and Q modifiers documented so claims pay.
Mental and behavioral health5
Behavioral Health Billing Services
Session limits, parity rules and authorizations managed ahead of time.
Psychiatry Billing Services
Psychiatric evaluations, medication-management visits and documented psychotherapy reviewed separately.
Mental Health Billing Services
Counseling and psychotherapy claims tracked by clinician, session record and benefit requirements.
ABA Therapy Billing Services
Applied behavior analysis billing organized around authorization, practitioner roles and delivered services.
Addiction Medicine Billing Services
Substance-use treatment claims reviewed by service, setting and provider arrangement.
Diagnostics and labs2
Home care, renal services and equipment4
Home Health Care Billing Services
Home-health agency billing reviewed with episode records, required orders and claim timing.
Hospice & Palliative Care Billing Services
Hospice agency and palliative professional billing separated by benefit, provider and care arrangement.
Dialysis / ESRD Services Billing Services
Dialysis facility and renal professional claims reviewed as separate billing responsibilities.
Durable Medical Equipment (DME/DMEPOS) Billing Services
Equipment and supply claims checked against orders, delivery evidence and the supplier’s billing role.
A general biller is not a cheaper specialist
Every specialty fails in its own way. These are the four kinds of failure, and they are the reason we assign coders by specialty rather than by whoever is free.
Time and units
Therapy, anesthesia, neurology and behavioral health all pay on measured time. Miscount the units and the claim pays, just for less than it should.
Global periods
Surgery, orthopedics and OB/GYN bundle weeks or months of care into one payment. Everything outside the bundle has to be identified or it is given away.
Authorization and coverage rules
Pain management, oncology and radiology need approval before the service. Afterwards is too late, and the cost has already been incurred.
Documentation that carries the code
Dermatology, podiatry and chiropractic are denied on what the note says, not on what was done. The fix is upstream of billing.
How a specialty account is set up
Four weeks from signature to steady state, with the audit first so you know what you are buying.
- Free 90 day audit
We read ninety days of your claims and tell you what your specialty is losing money on. If your billing is already healthy we will say so and there is no charge either way.
- Coder assigned
Somebody who works your specialty daily is named to your account, with a direct line and an email. Not a ticket queue.
- Payer rules loaded
Your specific payer mix, their edits and their authorization requirements are set up before the first claim goes out.
- Parallel run
We run alongside your current process for the first cycle so nothing is dropped in the handover.
- Steady state and reporting
Monthly numbers by procedure family, and the aged A/R worked oldest first from day one.
What practices ask before switching
We are a multi specialty group. Can you handle that?
Yes, and it is a good fit. Each specialty gets its own coder and its own reporting, so the cardiology numbers are not averaged into the family practice numbers.
Do we have to change practice management software?
No. We log into your existing system and work inside it. No migration, no new license and no retraining your front desk.
What happens to our current aged A/R?
We take it. The aging is worked oldest first, and we separate what is still inside filing windows from what is not before anyone spends time on it.
How long until we see a difference?
The first full cycle is the honest answer, because that is when clean claims submitted under the new process finish adjudicating. Denial turnaround changes immediately.
What if our specialty is not listed?
Ask. We would rather turn the work down than learn your specialty on your claims, and we will tell you plainly which it is.
Do not see your specialty?
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.