Specialties
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Our Specialties
Pain Management
Pain Management billing often involves multi-modality care, including injections, nerve blocks, medication management, and interventional procedures. We verify authorizations, document medical necessity, and apply CPT and ICD-10 codes with anatomical specificity. Our team tracks global periods, modifiers, and drug/HCPCS requirements to prevent denials. Consistent follow-up ensures timely payment across commercial, Medicare, No-Fault, and Workers’ Compensation.
EMG/NCV Testing
EMG/NCV studies require precise coding for muscles tested, nerves examined, and study complexity. We align documentation with payer rules, including supervision/interpretation and technical vs. professional components where applicable. Modifiers are applied correctly to reflect bilateral services and multiple units. Clean electronic submissions reduce rework and speed reimbursements.
Orthopedics
Orthopedic billing spans fracture care, casting/splinting, joint injections, and DME, along with surgical and post-op global care. We ensure compliant bundling, correct use of global modifiers, and payer-specific fracture rules. Prior authorizations and implant documentation are coordinated when required. Our denial-prevention checks protect first-pass yield and steady cash flow.
Orthopedic Surgery
Surgical billing requires exact procedure coding, correct global periods, and meticulous operative report capture. We manage pre-authorizations, assistant surgeon designation, and implants/supplies documentation. Modifiers (58/78/79/59/XS) are applied accurately to reflect staged, related, or distinct services. Post-op claims are timed and documented per payer guidelines for consistent reimbursement.
Physical Therapy
Physical Therapy billing relies on accurate time-based coding (e.g., 8-minute rule), plan of care requirements, and visit authorizations. We align visit frequency and progress notes to payer policies to support medical necessity. Units and modifiers are validated for each session to avoid under- or over-billing. Our A/R follow-up keeps recurring visits on track for timely payment.
Chiropractic
Chiropractic claims demand diagnosis specificity, treatment plan documentation, and correct use of spinal region codes. We manage visit caps, maintenance vs. active care distinctions, and required AT/GA modifiers where applicable. Payer rules for imaging and adjunct therapies are incorporated to prevent denials. Our processes help maintain compliant, predictable reimbursement.
Acupuncture
Acupuncture coverage varies by payer and plan, often requiring clear documentation of diagnosis and response to treatment. We confirm benefits, manage visit limits, and apply correct time-based codes and units. Claims reflect clean place-of-service and modifier usage when multiple sets are performed. Regular follow-up keeps approvals and payments current.
Psychiatry
Psychiatry billing involves evaluation/management and psychotherapy codes, with attention to time, modality, and complexity. We reconcile documentation with coding requirements (e.g., psychotherapy with E/M, add-on services) and telehealth rules when used. Authorizations, parity rules, and plan limits are monitored per payer. Our workflows reduce rejections and support uninterrupted care.
Anesthesiology
Anesthesia billing requires accurate base units, time units, and physical status modifiers, plus documentation of start/stop times. We track concurrency rules, CRNA/physician oversight requirements, and add-on procedures. Facility and surgeon coordination ensures consistency across claims. Clean submissions minimize back-and-forth and accelerate payment.
Internal Medicine
Internal Medicine spans preventive and problem-oriented care, chronic condition management, and in-office procedures. We distinguish preventive vs. diagnostic services, apply appropriate modifiers, and capture annual wellness vs. E/M correctly. Labs, vaccines, and ancillary services are coded and linked to medical necessity. Clear documentation and timely filing keep cash flow steady.
Psychology
Psychology services are time-based and require documentation of therapeutic modality and goals. We verify benefits, manage authorizations, and track session counts and plan limits. Coding reflects individual vs. group therapy, testing, and behavior interventions. Our follow-up process keeps recurring sessions funded and current.
Diagnostic Imaging
Imaging claims depend on accurate modality coding, laterality, and contrast usage, plus professional vs. technical component distinctions. We align orders, reports, and payer rules to support medical necessity. Prior authorization and appropriate modifiers are handled upfront to prevent delays. Well-documented, clean claims reduce denials and speed reimbursement.
Urine Toxicology
Toxicology billing requires precise test classification (presumptive vs. definitive), units, and payer-specific policies. We ensure documentation supports medical necessity and that frequency/diagnosis linkage is correct. Compliance with coding and laboratory rules avoids recoupments and audit risk. Our workflows keep submissions accurate and defensible.
Primary Care
Primary Care billing covers preventive visits, acute care, chronic disease management, and in-office procedures. We distinguish preventive vs. problem-oriented services, capture vaccines and labs appropriately, and apply modifiers when services occur on the same day. Documentation is aligned to payer rules to support medical necessity. Consistent follow-up sustains predictable revenue.