Specialty Billing

Medical Billing Services
Built for Your Specialty

General billers miss the specialty-specific codes, modifiers, and payer rules that determine whether you collect 80 cents or 97 cents on every dollar billed. Our credentialed specialty teams don't.

๐Ÿฆด

Orthopedic Billing

13.2% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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โค๏ธ

Cardiology Billing

12.8% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿง 

Mental Health Billing

18.1% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฅ

Gastroenterology Billing

11.4% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฉบ

Dermatology Billing

10.8% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ’‰

Pain Management Billing

14.7% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿš‘

Emergency Medicine Billing

12.6% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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โšก

Neurology Billing

13.2% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐ŸŽ—๏ธ

Oncology Billing

13.8% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ‘๏ธ

Ophthalmology Billing

10.2% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿคธ

Physical Therapy Billing

11.4% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฆถ

Podiatry Billing

10.8% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฉป

Radiology Billing

10.4% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿซ˜

Urology Billing

11.9% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿง˜

Chiropractic Billing

12.6% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ‘ช

Family Medicine Billing

9.1% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿคฐ

OB/GYN Billing

12.9% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ’Š

Psychiatry Billing

15.4% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿง’

Pediatric Billing

9.8% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ‘‚

ENT Billing

12.4% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿšจ

Urgent Care Billing

11.8% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฅ

ASC Billing

Target โ‰ค5% denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿก

Home Health Billing

13.1% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฉธ

Vascular Surgery Billing

14.6% avg denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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โœจ

Plastic Surgery Billing

WHCRA mandated coverage

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฆฝ

DME Billing

ZPIC-targeted category

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ•Š๏ธ

Hospice Billing

4 levels of care, daily rates

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ›๏ธ

SNF Billing

$6,800 avg. RAC recoupment

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ’‰

Endocrinology Billing

95251 most underbilled code

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿซ˜

Nephrology Billing

Half-rate MCP risk

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿซ

Pulmonology Billing

Prior auth on nearly every sleep study

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฆด

Rheumatology Billing

$94Kโ€“$160K lost annually

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฉป

Spine Surgery Billing

40โ€“65% denial rate, expired auth

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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โš–๏ธ

Bariatric Surgery Billing

15-25% first-submission denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ’ง

Infusion Therapy Billing

#1 cause: hierarchy errors

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ”ฌ

Interventional Radiology Billing

23% unbundling error rate (OIG)

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿงช

Hematology Billing

18-28% infusion denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ’ค

Anesthesia Billing

4 max concurrent CRNA cases

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฆบ

Workers' Comp Billing

30-90 day filing window

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿจ

Hospital Outpatient Billing

$0 on packaged J1 services

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿงซ

Laboratory Billing

PAMA rate gaps compound

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ˜ด

Sleep Medicine Billing

90-day CPAP adherence window

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿฉน

Wound Care Billing

18-24% debridement denial rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿš‘

Ambulance/EMS Billing

13.2% CMS CERT improper payment rate

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿงฌ

Genetic & Molecular Testing Billing

Up to 80% denial on cancer panels

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿคง

Allergy & Immunology Billing

3 immunotherapy codes to get right

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐ŸŽง

Audiology Billing

$4M OIG settlement risk

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ—ฃ๏ธ

Speech-Language Pathology Billing

$2,400 KX modifier threshold

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ–๏ธ

Occupational Therapy Billing

GN modifier required on every claim

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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๐Ÿ†˜

Substance Use Disorder Billing

3 coding systems in play at once

Specialty-credentialed coders, payer-specific rules, and proactive denial prevention โ€” built for this specialty.

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