All provider types
We bring specialty knowledge to every account we manage.
Each specialty has distinct payer mixes, coding requirements, documentation needs, and denial patterns. Our teams are trained to handle the nuances that matter most for your practice type.
Independent physician practices need RCM support that keeps the front office light and cash flow predictable. We handle intake through collections so your team stays focused on patient care, not billing follow-up.
Common billing challenges we solve:
- Front-desk eligibility errors causing downstream denials
- Slow AR aging from inadequate payer follow-up
- Inconsistent charge capture and coding mismatches
- No visibility into denial trends until too late
Patient IntakeMedical BillingDenialsAR Follow-up
Multi-specialty groups require billing teams that understand different payer rules, coding requirements, and documentation standards across every specialty under the same roof. We manage the complexity so your billing stays clean across all service lines.
Common billing challenges we solve:
- Fragmented billing across specialties causing coordination errors
- Payer-specific rules varying by specialty not being applied
- AR aging siloed by department with no unified visibility
- Denial patterns from one service line not corrected across others
Patient IntakeMedical BillingDenialsAR Follow-up
Hospital billing involves high claim volumes, complex payer contracts, UB-04 forms, and stringent documentation requirements. Our teams bring disciplined workflow management, AR prioritization, and denial tracking scaled to hospital-level operations.
Common billing challenges we solve:
- High-volume claim processing with inconsistent clean claim rates
- Complex payer contract compliance and underpayment detection
- Large AR aging buckets without adequate follow-up capacity
- Denial management without root-cause prevention loops
Medical BillingDenialsAR Follow-upReporting
DME billing is among the most denial-heavy areas in healthcare billing. Prior authorizations, documentation requirements, and Medicare LCD policies create constant friction. We bring DME-specific expertise to intake, authorization tracking, and denial recovery.
Common billing challenges we solve:
- Prior authorization gaps causing claim denials at submission
- Incomplete CMN or documentation triggering medical necessity denials
- Medicare LCD and NCD compliance errors
- Slow reorder and resupply billing cycles impacting cash flow
Authorization TrackingDME BillingDenialsAR Follow-up
Eye care billing sits at the intersection of medical and vision insurance, creating complexity around coordination of benefits, surgical codes, and vision vs. medical benefit determination. We handle both sides of the billing equation with accuracy and speed.
Common billing challenges we solve:
- Medical vs. vision benefit determination causing claim misrouting
- Surgical eye procedure coding accuracy (cataract, LASIK, retina)
- Coordination of benefits between vision and medical plans
- Optical retail vs. professional service billing separation
Patient IntakeMedical BillingVision BillingDenials
Anesthesia billing uses a unique unit-based payment methodology with base units, time units, and qualifying circumstances. Errors in documentation, time recording, or modifiers translate directly into revenue loss. Our billers understand anesthesia billing rules across all major payers.
Common billing challenges we solve:
- Time unit calculation errors from inadequate documentation
- Modifier accuracy (AA, QZ, QX) for CRNA supervision billing
- Payer-specific anesthesia conversion factor management
- Concurrent procedure bundling and denial prevention
Anesthesia BillingModifier ReviewDenialsAR Follow-up
Behavioral health billing involves session-based coding, mental health parity compliance, prior authorization for ongoing services, and high denial rates from documentation gaps. We help behavioral health providers build consistent workflows that reduce payer friction and improve collections.
Common billing challenges we solve:
- Prior authorization management for ongoing therapy sessions
- Session note documentation alignment with CPT codes billed
- Mental health parity compliance and denial appeals
- Credentialing delays preventing billing for new providers
Patient IntakeMedical BillingAuth TrackingDenials
ASC billing requires coordinated facility and physician billing, implant cost reporting, and compliance with Medicare OPPS payment rates. We support ASC billing teams with claim accuracy, denial management, and the high-value follow-up work that impacts facility revenue.
Common billing challenges we solve:
- Facility vs. professional fee coordination and unbundling risks
- Implant and supply billing documentation requirements
- Outpatient prospective payment system (OPPS) compliance
- High-value surgical claim denial recovery and appeals
Facility BillingImplant BillingDenialsAR Follow-up
Telehealth billing rules have evolved rapidly post-pandemic, with payer-specific policies around GT/95 modifiers, place of service codes, audio-only billing, and state-specific coverage mandates. We stay current on telehealth billing rules so your virtual visits get paid without unnecessary rework.
Common billing challenges we solve:
- Telehealth modifier and place-of-service code accuracy by payer
- Audio-only visit billing compliance and coverage verification
- Remote patient monitoring (RPM) billing and documentation
- Rapidly changing payer telehealth policies causing claim errors
Telehealth BillingRPM BillingDenialsAR Follow-up
Chiropractic and physical therapy billing is driven by visit limits, medical necessity documentation, functional outcomes reporting, and complex prior authorization management. We help these practices maximize collections within payer-allowed limits while managing documentation requirements that protect every billed visit.
Common billing challenges we solve:
- Visit limit tracking and authorization renewal before lapses
- Functional outcomes documentation tied to billed procedures
- Medicare therapy cap management and KX modifier usage
- No-fault and workers compensation billing complexity
Patient IntakeMedical BillingAuth TrackingDenials
