We go deep on six specialties, behavioral health, fertility/IVF, cardiology, orthopedics, OB-GYN and primary care (internal and family medicine), and bring hands-on billing experience across a dozen more, inside 20+ EHR/PMS systems.
Every specialty has its own coding traps and payer behavior. Here's what we actually watch for in yours.
Chemo drugs, J-codes, infusion time units, prior auth on nearly every regimen.
Global maternity packages, antepartum/postpartum splits, ultrasound bundling. Learn more →
Injection modifiers, bilateral rules, medical-necessity documentation, LCD/NCD limits.
Surgical bundling, cystoscopy families, urodynamics, in-office procedure codes.
Fracture care coding, joint arthroplasty, global periods, RT/LT/50 modifiers, DME & RTM billing. Learn more →
Medically necessary extraction bundling, anesthesia units, surgical global periods.
Screening vs. diagnostic colonoscopy, PT modifier, polyp removal rules.
Bilateral procedures, allergy testing units, endoscopy families.
Professional/technical splits, modifier 26/TC, contrast codes, global billing.
Cath lab bundling, echo components, device monitoring, stress test rules. Learn more →
PFT component billing, sleep studies, bronchoscopy families.
MCP codes, dialysis MCP tiers, vascular access procedures.
CPT 58970-58976 cycle billing, ICSI, PGT split billing, global period tracking. Learn more →
Progyny, Maven, WINFertility billing rules and prior auth requirements.
CPT 89250-89280 lab codes, separately billable services within the global period.
State-mandated fertility coverage rules (NY, MA, and others) applied per plan.
E/M level selection, G2211, chronic and advanced primary care management, annual wellness visits. Learn more →
S-codes, POS 20 rules, payer-specific urgent care contracts.
8-minute rule, timed vs. untimed units, therapy caps, KX modifier.
Lesion destruction by count/size, Mohs stages, biopsy bundling.
Time-based E/M, add-on psychotherapy codes, telehealth POS/modifiers. Learn more →
Group vs. individual, H-codes, prior auth per session block. Learn more →
CGM billing, diabetes education, thyroid procedure codes.
Don't see yours?
Most billing companies run every specialty through the same process. That's why an oncology practice gets billed like a family clinic, and loses money on J-codes nobody understood.
Our founder has billed directly across 11 specialties, oncology, OB-GYN, pain management, urology, cardiology and more. That knowledge is built into how we scrub every claim.
Eligibility verification (EV), benefits verification (BV), prior authorizations, and denial management at no cost for your first 30 days.
No setup fee. No long-term contract.
