Specialty operations

Billing that follows
the clinical work.

Every specialty has its own modifiers, documentation, and payer habits. Teams specialize by discipline so revenue is not left on a generic playbook.

Pediatrician examining a young patient with mother present
Pediatrics & Primary Care Ops
Featured Clinical Specialty

Pediatrics, Family Medicine & Well-Child RCM

Pediatric and family practices face unique revenue complexities: high-frequency well-child exams, multi-antigen vaccine administration rules (CPT 90460/90471), developmental screenings (96110), and split-billed sick/well visits requiring rigorous Modifier -25 documentation.

99.1% Clean Claims on Well-Child Exams
< 21 Days Average Days in A/R for Medicaid/CHIP
Zero Rework Automated Vaccine Schedule Cross-Checks
Core Coding Focus CPT 99381–99385 (Preventive), 90460–90474 (Immunizations), 96110 (Developmental Screening), EPSDT & VFC Guidelines.
Primary Care

Internal Medicine & Family Practice

Maximize reimbursement for complex Evaluation & Management (E/M) coding, Chronic Care Management (CCM), Transitional Care Management (TCM), and Annual Wellness Visits (AWV).

Key Focus Areas CPT 99202-99215, 99490 (CCM), 99495/99496 (TCM), Modifier -25 audits.
Behavioral Health

Mental Health, Psychiatry & Therapy

Overcome strict session time limits, concurrent psychiatric/medical billing, add-on interactive complexity codes, and tele-mental health modifier compliance.

Key Focus Areas CPT 90832-90837, 90791/90792, 90833/90836, Modifier -95/GT telehealth.
Cardiology

Cardiology & Vascular Medicine

Comprehensive billing for diagnostic testing, echocardiograms, stress testing, cardiac catheterization, and remote patient monitoring (RPM) workflows.

Key Focus Areas CPT 93000, 93306, 93458, 99453/99454/99457 (Remote Patient Monitoring).
Musculoskeletal

Orthopedics & Physical Therapy

Expert handling of global surgical packages (10 vs 90-day global periods), surgical assistants, DME billing, and timed Physical Therapy 8-minute rule compliance.

Key Focus Areas CPT 29806-29881, 97110, 97140, Modifier -58, -59, -78, -79 audits.
Dermatology

Dermatology & Mohs Surgery

Eliminate denials for lesion destruction vs biopsy, multiple surgical procedures, pathology cross-coding, and complex reconstructive closures.

Key Focus Areas CPT 11102-11107, 17000-17004, 17311-17315 (Mohs), Modifier -51/-59.
Digital Health

Telehealth & Virtual Care Groups

Multi-state credentialing and compliant billing across state lines, POS 02/10 place-of-service rules, asynchronous consultations, and digital health subscription integration.

Key Focus Areas POS 02/10, Modifier -95, FQ, GQ, Multi-State Commercial Payer Enrolment.