Primary Care
Family and Internal Medicine
We handle E/M coding, chronic disease management, annual wellness visits, and preventive care billing with full capture of care management CPT codes like 99490 and 99487.
Cardiovascular
Cardiology
From diagnostic ECGs and Holter monitors to stress testing and interventional procedures, we navigate bundling rules, modifier 26/TC splits, and cath lab billing with precision.
Musculoskeletal
Orthopedics
Accurate fracture care coding, global surgery tracking, and precise modifiers for bilateral and staged procedures. We handle joint injections, DME coordination, and pre-authorizations.
Digestive Health
Gastroenterology
We code colonoscopies, upper endoscopies, ERCP, capsule endoscopy, and liver biopsies with exact screening vs. diagnostic modifiers and payer-specific bundling rules.
Neurological
Neurology
EEG interpretations, EMG/nerve conduction studies, lumbar punctures, and botulinum toxin injections. We apply correct technical vs. professional splits and track evolving payer policies.
Pediatric Care
Pediatrics
Age-specific E/M coding, well-child visit schedules, immunization administration, and developmental screening tools. We manage newborn, sick visit, and pediatric telehealth claims.
Mental Health
Behavioral Health
Psychotherapy codes, psychiatric evaluations, medication management, and coordinated care billing across commercial and Medicaid payers, including FQHC encounter rates.
Women's Health
OB/GYN
Global maternity packages, high-risk pregnancy coding, ultrasound, colposcopy, hysteroscopy, and minimally invasive GYN surgery. We split antepartum/postpartum services when needed.
Skin and Aesthetics
Dermatology
Benign vs. malignant lesion removals, excision sizing, Mohs micrographic surgery staging, phototherapy, and medically necessary cosmetic procedure billing.
Immediate Care
Urgent Care
Fast-turnaround E/M level selection, facility fee billing, X-ray and lab coding, laceration repair, splinting, and I&D procedures under payer-specific urgent care policies.
Respiratory
Pulmonology
Spirometry, bronchoscopy, sleep study interpretations, CPAP/BiPAP equipment coding, and pulmonary function testing with technical and professional component splits.
Kidney and Renal
Nephrology
Dialysis is billed monthly with a composite rate model. We accurately report in-center and home dialysis visits, ESRD services, kidney biopsy, and AV fistula management.
Autoimmune
Rheumatology
Complex infusion and injection coding for biologics, joint aspiration, and detailed E/M documentation. We handle prior authorizations, incident-to billing, and drug sequences.
Hormonal Health
Endocrinology
Diabetes management, thyroid procedures, adrenal disorders, bone density testing, CGM device coding, insulin pump management, and fine-needle aspiration billing.
Interventional
Pain Management
Image-guided injection coding, nerve block documentation, spinal cord stimulator trial and implant billing, and radiofrequency ablation with correct bundling of guidance.
Rehabilitation
Physical Therapy
Timed vs. untimed procedure coding, functional limitation reporting, therapy cap management, therapeutic exercise, manual therapy, and progress note documentation.
Chiropractic
Chiropractic Care
Spinal manipulation codes by region, maintenance vs. active care distinction, Medicare acute-phase rules, ABN issuance, and ancillary billing for massage and acupuncture.
Head and Neck
ENT (Otolaryngology)
Sinus endoscopy, tonsillectomy, myringotomy, hearing testing, vestibular evaluations, and laryngoscopy. We navigate global period rules and immunotherapy billing.
Urological Care
Urology
Cystoscopy, lithotripsy, prostate biopsy, vasectomy, UDS testing, and robotic-assisted surgery. We split technical/professional components and code TURP/TURBT correctly.
Cancer Care
Oncology
Infusion drug administration sequencing, chemotherapy hierarchies, radiation therapy, port access, and concurrent drug coding. We manage prior authorizations and Medicare reimbursement policies.
Diagnostic Imaging
Radiology
Professional and technical component modifiers, laterality coding, contrast vs. non-contrast rules. We bill MRI, CT, PET, ultrasound, interventional radiology, and mammography.
Surgical Care
General Surgery
Laparoscopic and open abdominal procedures, hernia repairs, appendectomy, cholecystectomy, and wound care. We track global periods and apply assistant surgeon modifiers.
Podiatry
Podiatry
Foot and ankle E/M, nail avulsion, debridement, diabetic foot care, and surgical corrections. We align with Medicare's foot care coverage and routine vs. therapeutic distinctions.
Wound Care
Wound Care
Debridement types, graft applications, hyperbaric oxygen therapy, and wound measurement documentation. We ensure correct coding under payer-specific advanced wound therapy policies.
