Specialties Background

MeBilling Specialties

Specialty Depth That
Changes Everything.

24 clinical specialties and facility types. Each one staffed by a dedicated billing team that works that specialty every single day - not a generalist queue that rotates between them. The difference shows in your clean claim rate.

15Professional Billing
Specialties
5Facility & Institutional
Billing Types
4Laboratory Revenue
Cycle Specialties
90+Payer Networks
Actively Managed
98+First-Pass Clean
Claim Rate

— Professional Billing

Physician & Specialty Group Billing

15 professional billing specialties - each with a dedicated team that codes exclusively within that clinical discipline. No rotations, no generalists, no shared queues.

01
Professional

Mental / Behavioral Health

Behavioral health billing sits at the intersection of clinical sensitivity and payer complexity. Session-based CPT coding, mental health parity compliance, telehealth reimbursement rules, and prior authorization requirements all carry payer-specific nuances - and errors here directly delay care access for vulnerable patients.

Session-based CPT codingMental health parityTelehealth billingCollaborative care models
02
Professional

Oncology

No specialty punishes coding errors more severely than oncology. J-code drug billing, infusion hierarchy sequencing, drug wastage documentation, and clinical trial billing compliance require a team that codes oncology exclusively. NCCN-aligned medical necessity documentation is built into every claim.

J-code drug billingInfusion hierarchiesDrug wastageClinical trial compliance
03
Professional

Pain Management

Interventional pain billing sits at the intersection of high payer scrutiny and complex procedure hierarchies. Nerve block coding, spinal injection billing, fluoroscopy add-ons, and payer-specific interventional pain policies all require active monitoring - our team tracks policy changes across your entire payer mix.

Nerve block codingSpinal injectionsFluoroscopy add-onsHigh-risk modifiers
04
Professional

Nephrology

Nephrology billing runs on two parallel tracks - the ESRD monthly capitation cycle and acute care E/M services billed alongside it. Getting both right across inpatient and outpatient settings, through the dialysis billing cycle, requires specialization that comes only from working in nephrology every day.

ESRD capitationDialysis billing cyclesAcute dialysis codingInpatient E/M
05
Professional

Cardiology

Cardiology claims carry high dollar values and equally high payer scrutiny. Echo and stress test coding, cardiac catheterization billing, device programming, and CMS coverage determination updates all require active monitoring. Preauthorization for high-cost cardiac procedures is built into our workflow - not treated as a step someone remembers to check.

Echo & stress testingCardiac cath billingDevice programmingPrior auth management
06
Professional

Pediatrics

Pediatrics practices operate on a Medicaid-dominant payer mix where EPSDT requirements, well-child coding, and immunization billing rules create a compliance layer most billing teams underestimate. Our team handles preventive care coding, vaccine administration billing, and the Medicaid-specific documentation standards that determine whether a claim pays or waits.

EPSDT complianceImmunization billingWell-child visitsMedicaid payer mix
07
Professional

Family Practice / Primary Care

High volume, tight margins, and E/M optimization as the primary revenue lever - primary care billing demands consistent precision at scale. Annual wellness visits, chronic care management, transitional care codes, and multi-provider group A/R management across a mixed payer environment all sit within our primary care team's daily scope.

E/M optimizationChronic care mgmtWellness visitsMulti-provider A/R
08
Professional

Dermatology

Dermatology billing spans medical, surgical, and cosmetic services - each with distinct payer rules and coverage determinations. Lesion excision coding, shave biopsy billing, Mohs surgery sequencing, and the medical-vs-cosmetic determination that governs payability all require a team that knows exactly where payers draw the line.

Mohs surgery billingLesion excision codingBiopsy CPT selectionMedical vs. cosmetic
09
Professional

Obstetrics & Gynecology

OB/GYN billing navigates global obstetric packages, surgical procedure coding, and the payer-specific split-billing rules that apply when care transitions mid-pregnancy. Antepartum visits, delivery billing, postpartum management, and gynecologic surgical coding all carry distinct documentation requirements our team manages with precision.

Global OB packagesDelivery billingSurgical GYN codingSplit-billing rules
10
Professional

Physical / Occupational Therapy

Therapy billing is shaped by Medicare therapy cap rules, functional limitation reporting, KX modifier requirements, and timed vs. untimed code distinctions that change how every session translates to a billable unit. Our team tracks CMS and commercial payer policy updates so therapy practices are never caught billing under rules that changed last quarter.

Therapy cap complianceKX modifier rulesTimed unit codingFunctional limitation
11
Professional

Urology

Urology billing encompasses a wide range of E/M, diagnostic, and surgical services - each with payer-specific coverage policies and prior authorization requirements. Cystoscopy coding, urodynamics billing, surgical modifier precision, and in-office procedure billing for urology practices all require the specialty familiarity that prevents claim-level errors before submission.

Cystoscopy codingUrodynamicsSurgical modifiersIn-office procedures
12
Professional

Psychiatry

Psychiatric billing requires navigating the boundary between E/M and psychotherapy add-on codes, understanding parity compliance obligations, and managing prior authorization workflows for both inpatient and outpatient psychiatric care. Our team handles medication management coding, psychotherapy time-based billing, and the documentation standards that keep psychiatric claims compliant.

E/M + psychotherapyParity complianceMedication managementInpatient psych billing
13
Professional

Ophthalmology

Ophthalmology billing spans routine vision exams, medical eye care, and surgical procedures - each with distinct coverage rules across medical and vision payers. Cataract surgery billing, intravitreal injection coding, ophthalmic E/M selection, and the medical-vs-routine determination that governs which payer receives which claim all require specialty-specific expertise.

Cataract surgeryIntravitreal injectionsOphthalmic E/MMedical vs. routine
14
Professional

Orthopedic Surgery

Orthopedic billing carries high claim values and equally high denial risk. Global surgery period rules, implant billing, fracture care coding, joint replacement DRG accuracy, and the 51/59 modifier framework all require a billing team that understands the clinical context behind each procedure - not just the code numbers associated with it.

Global surgery periodsImplant billingFracture care codingModifier 51/59 logic
15
Professional

Infectious Disease

Infectious disease billing encompasses complex inpatient consultation coding, HIV/AIDS chronic care management, antimicrobial stewardship documentation, and the evolving coverage landscape for newer antiretroviral and antifungal drug regimens. Our team ensures that the clinical complexity of ID care translates into the coding specificity that maximizes reimbursement.

Inpatient consultsHIV/AIDS care mgmtAntimicrobial stewardshipDrug regimen billing

— Specialty Expertise in Practice

See how specialty-exclusive billing changes the numbers.

When oncology coders only code oncology, the difference is measurable - in claim accuracy, payer compliance, and revenue captured.

— Facility & Institutional Billing

Part A & Institutional Specialties

Five facility and institutional billing types - UB-04 claims, OPPS compliance, DRG validation, and the regulatory framework that governs every Part A dollar your facility bills.

Emergency Medicine
Institutional

Emergency Medicine

Emergency medicine facility billing demands coding accuracy under high-volume pressure. Acuity-based E/M level selection, observation vs. inpatient status determination, trauma activation coding, and split billing management across professional and facility components all require an institutional team that understands both the clinical and financial dimensions of emergency care.

Acuity-based E/M codingMental health parityObs vs. inpatient statusTrauma codingSplit billing management
Micro Hospitals
Institutional

Micro Hospitals

Micro hospitals require UB-04 claims, OPPS compliance, and cost reporting - our team manages the full hospital RCM workflow in a compact facility setting.

Acuity-Based E/M CodingObs vs. Inpatient StatusDiagnostic/InterventionalIntermediate SurgeriesMinor Surgeries
Surgical Centers (ASCs)
Institutional

Surgical Centers (ASCs)

ASC billing is governed by the CMS ASC payment schedule, covered procedure lists, and packaged payment rules that have no equivalent in professional billing. Implant billing, device reporting, and modifier precision in the ASC context require a team that monitors CMS ASC annual updates and applies them on day one.

Acuity-Based E/M CodingObs vs. Inpatient StatusGastroenterologyPain Management & SpineGeneral Surgery
Nursing Homes
Institutional

Nursing Homes

Nursing home billing includes MDS coding, Part A PPS, Medicare A/B billing, and therapy cap management - each with specific documentation requirements.

Acuity-Based E/M CodingRN (Registered Nurse) ServicesSpeech TherapyInfusion & Drug AdministrationDevice & Catheter Care
Inpatient Acute Care
Institutional

Inpatient Acute Care

Inpatient acute care billing requires DRG validation, transfer DRG rules, and medical necessity documentation - our team ensures accurate MS-DRG assignment and compliant billing.

Acuity-Based E/M CodingSubsequent Hospital CareObservation CareConsultation ServicesDiagnostic & Imaging Services

— Laboratory Revenue Cycle

Lab Billing Specialties

Four laboratory billing specialties - each one navigating a distinct coding framework, payer policy environment, and medical necessity documentation standard.

Medical necessity

Toxicology

Toxicology is one of the most scrutinized segments in laboratory medicine. Correctly distinguishing presumptive from definitive testing, documenting medical necessity at the ordering provider level, and constructing claims that survive payer review requires a team that understands the regulatory environment around tox as well as the HCPCS codes that govern it.

Presumptive vs. definitiveMedical necessityHCPCS codingPayer audit-readiness
HCPCS coding

Pathology

Pathology billing splits across technical and professional components, surgical pathology CPT tier selection, cytopathology, and molecular pathology - each with its own coding hierarchy and global vs. component billing decision points. Getting the TC/26 split right on every claim, across every ordering setting, is a precision task our team handles without shortcuts.

TC/PC split billingSurgical pathology CPT tiersCytopathologyMol
Payer audit-readiness

Genetic Labs

Genomic and genetic testing billing is the fastest-evolving segment in laboratory revenue cycle. CPT and MAAA code accuracy, real-time payer coverage policy tracking for specific panels, prior authorization requirements, and medical necessity appeals for high-cost genomic testing all require active policy intelligence - not a quarterly code lookup.

CPT/MAAA code accuracyPrior authorization for panelsMedical necessity appealsCoverage policy tracking
Medical Radiology

Radiology

Radiology billing spans diagnostic imaging and interventional procedures - each with distinct TC/PC split billing rules, contrast and guidance add-on codes, and payer-specific prior authorization requirements. Interventional radiology coding carries additional complexity with imaging guidance documentation, conscious sedation billing, and the procedure-specific.

TC/PC split billingContrast/guidance add-onsPrior authorization for high-cost imagingInterventional radiology coding