Specialized Expertise
for Complex Disciplines.
Generalist billing companies fail when complexity scales. We deploy specialized, siloed teams who are absolute masters of your specific medical domain.
DME & HME Billing
DME billing is arguably the most complex revenue cycle in healthcare. Our specialized DME division masters the labyrinth of Medicare guidelines, Certificates of Medical Necessity (CMNs), capped rentals, and precise modifier usage (KX, EY, GA) to ensure your equipment dispensing is actually profitable.
- CMN & DIF Document Tracking
- Capped Rental Management
- Prior Authorization Procurement
Cardiology
Cardiology codes change constantly, and the risk of downcoding is severe. We navigate complex electrophysiology, interventional cath lab procedures, and peripheral vascular coding with surgical precision to ensure complex interventions are reimbursed at their true value.
- Cath Lab Procedure Coding
- Device Implant Compliance
- Modifiers 26 & TC Splitting
Urgent Care
Urgent care demands high-velocity, rapid-turnaround RCM. We optimize E&M coding for fast-paced walk-in environments, ensuring that diagnostic tests, laceration repairs, and rapid flu/strep tests are perfectly bundled or unbundled according to payer-specific S-codes.
- E&M Leveling Optimization
- S-Code Payer Compliance
- 24-Hour Claim Turnaround
Orthotics & Prosthetics
O&P requires highly descriptive L-code expertise and narrative justification. We excel at securing high-dollar authorizations, managing custom fabrication billing logic, and appealing medical necessity denials with robust clinical documentation.
- Master L-Code Application
- Custom vs. Prefabricated Proof
- Medicare Proof of Delivery