Specialty-Driven Billing & Coding Expertise
One size does not fit all in healthcare reimbursement. Our certified billing teams are structured into specialized clinical divisions to tackle your discipline's unique modifiers, carve-outs, and payer rules.
Behavioral & Mental Health
Specialized billing for psychotherapy, psychiatric evaluations, substance abuse, and telehealth sessions.
Frequent payer carve-outs, session frequency caps, and complex pre-authorization requirements.
Dedicated mental health billing team tracking policy carve-outs, ensuring 99.1% clean session submissions.
Cardiology & Vascular
High-complexity procedural coding for echocardiograms, catheterizations, and electrophysiology.
Heavy documentation burden, modifier -26 and -TC split rules, and severe pre-authorization scrutiny.
Subspecialty certified coders matching anatomical specificity to LCD criteria for zero unbundling penalties.
Orthopedics & Physical Therapy
Comprehensive surgical bundling, fracture care global periods, and physical therapy cap compliance.
Post-op global period exclusions, complex surgical assistant billing, and Medicare PT KX modifier thresholds.
Rigorous operative report scrubbing and proactive therapy KX modifier threshold tracking.
Ambulatory Surgery Centers (ASC)
Specialized facility fees, implant carve-outs, and multi-specialty surgical billing.
Strict payer-specific approved procedure lists, invoice requirements for high-cost implants, and rapid filing deadlines.
End-to-end ASC billing workflows ensuring maximum allowable reimbursement for both facility and implants.
Pediatrics & Family Medicine
High-volume preventive medicine, vaccine administration, and chronic care management billing.
High claim volume, frequent payer downcoding of combined preventive/problem encounters, and parent copay collection.
Bulletproof documentation templates for modifier -25 and automated parent patient portal billing reminders.
Neurology & Pain Management
Interventional fluoroscopic guidance, EMG/NCV nerve testing, and spinal injection reimbursement.
Aggressive payer audits on high-frequency interventional procedures and medical necessity requirements.
Continuous LCD tracking and verified medical necessity documentation prior to procedure submission.