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Specialty Clinics billing

Billing for specialty clinics and multi-specialty groups

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.

Specialist meeting with a patient in a clinic

The problem

Where specialty clinics practices lose money

  • Specialty-specific coding and modifiers
  • Procedure authorizations
  • Multi-location, multi-provider complexity
  • Payer contract variance

How we handle it

What we put in place

Specialty pods

Dedicated teams trained in your specialty's coding and payers.

Multi-location reporting

KPIs broken down by provider, location, and service line.

Contract analysis

Payments compared with contracted rates to find underpayments.

Scalable onboarding

New providers and sites added without disruption.

Workflow

How a specialty clinics claim moves through our team

  1. 01Assessment
  2. 02Pod assignment
  3. 03Coding & submission
  4. 04Follow-up
  5. 05Underpayment review
  6. 06Reporting

Client example

Multi-specialty group, dermatology and GI

The situation. Procedure-heavy claims were under-coded and denied for bundling edits.

What we did. Specialty coders reviewed procedure notes and applied correct modifiers before submission.

net collections
98%
denials
-58%
days in AR
29

Client details anonymized. Results vary by practice.

Find out what your billing is really costing you

Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.

We sign a BAA before any patient data changes hands.