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Specialties

Billing teams organized by specialty

Most denials come from rules that are specific to a specialty. That's why each client works with a pod that bills for practices like theirs every day.

Get a specialty billing audit
Physician consulting with a patient in her office
Therapist working with a young child during a play-based session

ABA Therapy

ABA billing has its own rules: unit-based CPT codes, strict authorization limits, supervision rules, and frequent re-assessments. We specialize in it, so your BCBAs and RBTs can stay focused on clients.

Problems we fix

  • Authorization unit limits exceeded without anyone noticing
  • Complex 97151 to 97158 code and modifier combinations
  • Medicaid and commercial payer rules that differ by state
ABA Therapy billing details
Counselor listening to a client during a session

Behavioral Health

Behavioral health billing combines carve-out payers, level-of-care authorizations, revenue codes, and strict documentation rules. Our team knows that landscape well.

Problems we fix

  • Carve-out behavioral health payers and networks
  • Level-of-care authorizations and concurrent reviews
  • Revenue code and HCPCS billing for IOP/PHP
Behavioral Health billing details
Therapist in conversation with a client

Mental Health

Whether you're a solo therapist or a multi-state telehealth group, we handle the details: time-based codes, add-ons, telehealth modifiers, and payer-specific rules.

Problems we fix

  • Time-based psychotherapy codes and add-ons
  • Telehealth POS and modifier rules that keep changing
  • Credentialing for LCSWs, LPCs, LMFTs, and psychologists
Mental Health billing details
Primary care physician talking with a patient

Primary Care

High visit volume means small errors add up quickly. We make sure E/M levels, preventive services, chronic care management, and quality measures are all captured and paid.

Problems we fix

  • E/M level accuracy under 2021+ guidelines
  • Preventive + problem-oriented same-day visits
  • CCM, RPM, and TCM program billing
Primary Care billing details
Clinician checking a patient's blood pressure

Cardiology

Cardiology billing has component billing, heavy authorization needs, and complex procedure bundling. We handle all of it.

Problems we fix

  • Professional/technical component billing
  • Imaging and nuclear stress test authorizations
  • Cath lab bundling and NCCI edits
Cardiology billing details
Physician consulting with a patient

Orthopedics

From surgical global periods to DME and workers' comp claims, orthopedic billing needs specialists. We provide them.

Problems we fix

  • Surgical global periods and modifiers
  • DME billing and documentation
  • Workers' comp and auto claims
Orthopedics billing details
Care team reviewing a treatment plan on a tablet

Physical Therapy

Timed codes, plans of care, KX thresholds, and visit limits: PT billing depends on precision, and we deliver it.

Problems we fix

  • 8-minute rule and timed-unit calculation
  • Plan-of-care certification deadlines
  • KX modifier thresholds
Physical Therapy billing details
Home health nurse taking an older patient's blood pressure

Home Health

PDGM changed home health billing completely. We manage NOAs, 30-day periods, OASIS-driven coding, and Medicare compliance so your agency gets paid correctly and on time.

Problems we fix

  • PDGM 30-day billing periods
  • Notice of Admission (NOA) deadlines and penalties
  • OASIS-to-claim coding alignment
Home Health billing details
Laboratory technician working between rows of analyzers

Laboratories

Labs process high volumes with thin margins and complex medical necessity rules. We bring the automation and expertise to get those claims paid.

Problems we fix

  • Missing or invalid ordering-provider data
  • Medical necessity (LCD/NCD) denials
  • Molecular and genetic test coding (PLA, Z-codes)
Laboratories billing details
Specialist meeting with a patient in a clinic

Specialty Clinics

Every specialty has its own codes, payers, and pitfalls. Our specialty pods bring focused expertise to dermatology, gastroenterology, urology, pain management, OB/GYN, podiatry, and more.

Problems we fix

  • Specialty-specific coding and modifiers
  • Procedure authorizations
  • Multi-location, multi-provider complexity
Specialty Clinics billing details

Don't see your specialty?

We bill for many specialties beyond the ones listed here. Tell us about your practice and we'll tell you honestly whether we're a good fit.

Talk to our team Or call (800) 555-0199

We sign a BAA before any patient data changes hands.