Speciality Medical
Billing & Coding
Healthcare is not one-size-fits-all, and neither is medical billing. Our billing experts are sub-specialized in your discipline from dental and mental health to ophthalmology and chiropractic mastering the specific modifiers and rules that drive full reimbursement.
Domain Specificity
Billed by teams who know your specialty's exact modifiers, global periods, and bundling rules.
Deep Expertise Tailored for Your Practice
We eliminate revenue leakage caused by generic billing teams who do not understand your specialty's clinical nuances, complex modifiers, or payer policies.
Dental Specialty Billing & Coding
Maximize collections with CDT coding and medical-dental cross-coding for oral surgery, TMJ therapy, dental sleep medicine, and periodontics.
CDT to CPT/HCPCS cross-coding for medical billing Dentrix, Eaglesoft, & Open Dental workflows Dental pre-authorizations & narrative preparation Frequency limitation & missing tooth clause checks
Mental & Behavioral Health Billing
Flawless billing for psychologists, psychiatrists, LCSWs, LPCs, addiction facilities, and intensive outpatient programs (IOP/PHP).
Psychotherapy add-on coding (+90833, +90836, +90838) Telehealth modifiers (95, GT, FQ) & place of service (02, 10) TherapyNotes, SimplePractice, & Kareo navigation Mental health parity & pre-authorization tracking
Optometry & Ophthalmology Billing
Navigate the sharp boundary between routine vision plans (VSP, EyeMed) and major medical insurance for eye disease, cataract surgery, and glaucoma.
Medical vs. vision plan coordination & billing Eye code (920xx) vs. E/M code (992xx) optimization Surgical global periods & co-management modifiers (-54/-55) Eyefinity, Compulink, & RevolutionEHR compatibility
Chiropractic Specialty Billing
Ensure proper modifier application and documented medical necessity for spinal manipulation, physical modalities, and neuromuscular re-education.
Active treatment AT modifier compliance Modifier -59 & -X{EPSU} for distinct therapy services Medicare PART B spinal manipulation limits ChiroTouch, Genesis, & ECLIPSE billing expertise
Cardiology & Surgical Billing
High-value procedure coding for catheterizations, stent placements, electrophysiology, general surgery, and ambulatory surgery center (ASC) facility billing.
Complex operative report extraction Component coding vs. comprehensive bundling rules Modifiers -22, -78, -79 for surgical complications Facility and professional fee split billing
Orthopedics & Pain Management
Accurate billing for joint replacements, arthroscopy, fracture care casting, epidural injections, and DME brace supply fulfillment.
Fracture care global period management Fluoroscopic guidance & imaging bundled validation DMEPOS HCPCS coding & certificate of medical necessity Workers' comp & motor vehicle accident (MVA) claims
We Master Both General & Specialty PM Platforms
Whether you use general hospital EHRs or niche specialty platforms, our certified billers log in remotely and work natively inside your system.
Full coverage across specialized EHR and clearinghouse systems.
Why Specialized Billing Outperforms General Billing
Stop losing 10-20% of your revenue to generic billing oversights and incorrect modifier applications.
Dedicated Discipline Specialists
Your account is staffed by billers who work exclusively within your discipline and understand your procedures at an intimate clinical level.
Modifier & Bundling Precision
Accurate application of complex modifiers (-25, -59, -X{EPSU}, -51, -78, -79) eliminates bundle-denials and captures legitimately separate services.
Medical-Specialty Cross-Billing
For dental, optometry, and chiropractic, we expertly bill medical insurance policies whenever coverage criteria are satisfied, saving patients out-of-pocket costs.
Fee Schedule Benchmarking
We benchmark your specialty's charge master against regional prevailing rates, ensuring your fee schedules are neither under-billing nor leaving cash on the table.
Prior-Authorization Mastery
Specialty-specific pre-authorizations (MRI, CT, surgery, behavioral therapy, complex dental) managed with fast payer turnaround and clear clinical charts.
Transparent Specialty Analytics
Weekly reports broken down by specialty code volume, modality collections, denial reasons, and provider productivity benchmarks.
Common Specialty Billing Questions
Answers about our sub-specialized medical coding and reimbursement services.
Ready to Maximize Your Specialty Practice Reimbursements?
Connect with a dedicated billing lead in your specialty today. We will analyze your recent claim remittances and show you where specialized billing will unlock trapped revenue.