Complete Billing Support for Every Specialty
From primary care clinics to surgical centers, NovaMed Billing provides end-to-end revenue cycle management across 50+ medical specialties. Whether it’s cardiology, psychiatry, or telehealth, our team knows the exact billing codes, compliance rules, and payer policies unique to your field — so you can focus on care while we maximize your reimbursements.
Family Medicine
Accurate billing solutions for preventive and routine care across all age groups.
Family Medicine Billing Coverage
- Annual wellness visits & preventive care billing
- Claims for immunizations and vaccine administration
- Billing for acute illness visits (e.g. URI, UTI, minor injuries)
- Chronic care management billing (hypertension, diabetes, asthma)
- Office procedure coding (lesion removal, sutures, minor procedures)
- Women’s and men’s health screenings billing
- Pediatric well-child and sick visit billing
- Telehealth and follow-up E/M billing with correct modifiers
Internal Medicine
Expertise in billing for complex adult care, chronic disease management, and diagnostics.
Internal Medicine Billing Coverage
- E/M visits and consults billing
- Chronic care management (CCM, PCM)
- Transitional care management (TCM)
- Annual wellness visits & preventive billing
- Risk adjustment (HCC) coding
- Diagnostics & lab billing with correct modifiers
- Medication management billing
- Telehealth E/M billing
General Practice
Streamlined billing processes for broad-scope clinical services and general patient care.
General Practice Billing Coverage
- Routine E/M services for all ages
- Preventive exams & immunization billing
- Minor procedures (I&D, cryotherapy, lesion removal)
- Musculoskeletal treatment billing
- Behavioral health screening codes
- Travel medicine & vaccine billing
- POC testing billing (strep, flu, glucose)
- Telemedicine visit billing
Geriatrics
Tailored billing support for elderly care, chronic conditions, and long-term treatment plans.
Geriatric Care Billing Coverage
- Comprehensive geriatric assessment billing
- Chronic care management (CCM, complex CCM)
- Transitional care management (TCM)
- Cognitive assessment & care planning billing
- Advance care planning (ACP) billing
- Long-term care / SNF rounds billing
- Home & domiciliary visit billing
- Preventive services & fall-risk assessment billing
Cardiology
Expert coding for cardiovascular diagnostics, interventions, and device procedures. We reduce denials and improve turnaround for high-value claims.
Cardiology Billing Coverage
- Cardiac diagnostics (ECG, ECHO, stress tests) billing
- Interventional cardiology (angioplasty, stents) coding
- Device procedures (pacemakers, ICDs) billing
- Cardiac catheterization & electrophysiology billing
- Modifiers & facility-based cardiology billing
- Risk adjustment (HCC) and chronic cardiac care coding
Endocrinology
Support for chronic care billing (diabetes, thyroid, hormone therapy), with precise coding and compliance to avoid underpayments.
Endocrinology Billing Coverage
- Diabetes management coding & billing
- Thyroid disorders and hormone therapy billing
- Insulin pump & CGM device billing
- Osteoporosis, adrenal & pituitary disorder coding
- Chronic care management billing for endocrine conditions
- Telehealth billing for follow-ups and consultations
Gastroenterology
Billing for endoscopies, colonoscopies, and advanced GI procedures with full attention to modifiers, sedation, and facility coordination.
Gastroenterology Billing Coverage
- Colonoscopy & endoscopy billing with correct modifiers
- Upper GI procedures billing & sedation documentation
- ERCP, EUS, and advanced GI procedures coding
- Facility and ASC gastro billing
- Chronic GI disorder billing (IBD, Crohn’s, hepatitis)
- Biopsy & pathology coordination billing
Hematology
Accurate claim submissions for blood disorders, infusions, and lab-based treatments. We ensure proper documentation for complex cases.
Hematology Billing Coverage
- Diagnostic testing & lab billing for blood disorders
- Chemotherapy & infusion billing for hematology
- Transfusion & bone marrow procedure billing
- Billing for anemia, clotting, and platelet disorders
- Compliance with oncology/hematology coding rules
Infectious Disease
Specialty billing for prolonged E/M visits, hospital consults, and antimicrobial therapies — with strong focus on payer-specific policies.
Infectious Disease Billing Coverage
- Billing for HIV/AIDS management
- Billing for hepatitis, TB, and chronic infections
- Infusion therapy & long-term antibiotic billing
- Hospital consults and inpatient billing
- Telehealth infectious disease billing
- Lab testing & microbiology billing
Nephrology
Billing for dialysis services (in-center & home), CKD management, and transplant-related care, optimized for bundled payments and MACRA.
Nephrology Billing Coverage
- Dialysis billing (inpatient, outpatient, home)
- Chronic kidney disease management billing
- Kidney transplant evaluation & follow-up billing
- Billing for electrolyte & metabolic disorder management
- Modifiers for dialysis facility billing
- Telehealth billing for nephrology follow-ups
Pulmonology
We handle billing for sleep studies, lung function tests, and ventilator management — reducing under-coding in high-complexity care.
Pulmonology Billing Coverage
- Billing for sleep studies & polysomnography
- Lung function & pulmonary function test coding
- Ventilator management billing (inpatient & outpatient)
- Asthma & COPD chronic care billing
- Bronchoscopy & advanced pulmonary procedures billing
- Facility & hospital-based pulmonology billing
Rheumatology
RCM for biologic infusions, joint injections, and chronic autoimmune disease care. Prior auth, code sets, and modifiers handled end-to-end.
Rheumatology Billing Coverage
- Infusion therapy billing (biologics, DMARDs)
- Joint injections & aspiration procedure billing
- Chronic autoimmune disease management billing
- Prior authorizations & biologic coding support
- Modifiers & specialty drug billing
- Hospital consults & follow-up billing
Allergy & Immunology
Expert billing for allergy testing, immunotherapy, and biologics, with attention to frequency limitations and local payer rules.
Allergy & Immunology Billing Coverage
- Allergy testing billing (skin prick, intradermal)
- Immunotherapy & desensitization billing
- Biologics billing with payer frequency limits
- Chronic asthma & allergic rhinitis billing
- Billing for environmental & food allergy testing
- Telehealth allergy visit billing
General Surgery
We handle billing for inpatient and outpatient procedures — from hernia repairs to laparotomies — ensuring correct use of global periods and surgical modifiers.
General Surgery Billing Coverage
- Inpatient & outpatient surgical procedure billing
- Hernia repair, laparotomy & appendectomy billing
- Modifier usage for global periods & staged surgeries
- Emergency surgical billing & trauma procedures
- Biopsy, excision & wound care coding
- Facility & ASC billing for general surgery
Orthopedic Surgery
Billing for joint replacements, spine procedures, and fracture care with clean modifier usage (e.g., 58/78/79) and accurate surgical coding to avoid denials.
Orthopedic Surgery Billing Coverage
- Joint replacement billing (hip, knee, shoulder)
- Spine procedure billing & coding compliance
- Fracture care coding with correct modifier usage
- Sports injury & arthroscopic surgery billing
- Cast, splint & DME billing
- Trauma & emergency orthopedic surgery billing
Neurosurgery
Neurosurgical billing demands precision. We manage complex claims for spine, brain, and peripheral nerve procedures with detailed documentation review.
Neurosurgery Billing Coverage
- Complex spine surgery billing
- Brain tumor & cranial surgery coding
- Peripheral nerve procedures billing
- Intraoperative monitoring billing
- Detailed documentation & compliance review
- Modifier usage for staged neurosurgical care
Cardiothoracic Surgery
From open-heart procedures to thoracoscopies, we manage bundled services, device billing, and surgical assistants with high accuracy.
Cardiothoracic Surgery Billing Coverage
- Open heart surgery billing (CABG, valve replacement)
- Lung & esophageal procedure coding
- Thoracic trauma & emergent surgery billing
- Use of intraoperative & postoperative modifiers
- Facility & inpatient surgical billing
Plastic & Reconstructive Surgery
We differentiate between cosmetic vs reconstructive procedures, ensuring claims meet medical necessity for insurers and pre-authorization is handled.
Plastic & Reconstructive Surgery Billing Coverage
- Reconstructive surgery billing (trauma, burn, cancer)
- Cosmetic vs. medically necessary coding compliance
- Skin grafts & flap procedures billing
- Breast reconstruction & reduction billing
- Prior auth & documentation support for procedures
Vascular Surgery
Billing for stents, bypasses, and access creation (e.g., for dialysis) with detailed ICD/CPT coding and vascular-specific compliance checks.
Vascular Surgery Billing Coverage
- Peripheral vascular procedure billing
- Endovascular & bypass surgery coding
- Dialysis access (fistula, graft) billing
- Carotid endarterectomy billing
- Hospital & facility vascular billing
Colorectal Surgery
Support for colorectal procedures like resections, hemorrhoidectomies, and scopes, with attention to facility vs office-based rules.
Colorectal Surgery Billing Coverage
- Resection & colectomy billing
- Hemorrhoidectomy procedure coding
- Colonoscopy & sigmoidoscopy billing
- Anal fistula & fissure surgery billing
- Facility vs. office-based colorectal billing compliance
Otolaryngology (ENT)
Billing for sinus surgeries, tonsillectomies, and in-office laryngoscopies, with audiology and allergy service integration when needed.
ENT Billing Coverage
- Sinus surgery & endoscopy billing
- Tonsillectomy & adenoidectomy coding
- In-office laryngoscopy billing
- Ear tube insertion & audiology service billing
- Allergy testing & immunotherapy billing
- Sleep study & airway procedure coding
Urology
We manage billing for cystoscopies, prostate procedures, lithotripsy, and hormone therapy — optimizing code selection and bundling rules.
Urology Billing Coverage
- Cystoscopy & bladder procedure billing
- Prostate procedures (TURP, biopsy) billing
- Kidney stone & lithotripsy billing
- Incontinence & urodynamic study coding
- Male infertility & vasectomy billing
- Hormone therapy & oncology-related urology billing
Obstetrics & Gynecology (OB/GYN)
Billing support for prenatal visits, deliveries, surgical procedures, and GYN care — including global billing and complex OB scenarios.
OB/GYN Billing Coverage
- Obstetric global package billing (prenatal, delivery, postpartum)
- Gynecologic surgery billing (hysterectomy, laparoscopy)
- Ultrasound & fetal monitoring billing
- Pap smear & cervical cancer screening coding
- Family planning & contraceptive device billing
- Preventive & annual well-woman exam billing
Maternal-Fetal Medicine
High-risk pregnancy billing handled with precision — including detailed documentation, fetal procedures, and consult-based coding.
Maternal-Fetal Medicine Billing Coverage
- High-risk pregnancy management billing
- Advanced ultrasound & fetal diagnostics coding
- Genetic counseling & testing billing
- Antepartum surveillance & non-stress test billing
- Hospital-based maternal-fetal consult billing
Pediatrics
We manage well-child visits, vaccinations, E/M coding, and subspecialty billing with payer-specific rules for dependent coverage.
Pediatrics Billing Coverage
- Well-child visits & preventive exam billing
- Immunization & vaccine administration billing
- Acute & sick visit billing
- Pediatric chronic disease management billing (asthma, diabetes)
- Developmental screening & counseling billing
- Telehealth pediatric billing
Pediatric Subspecialties
From pediatric cardiology to endocrinology, we tailor billing processes to age-specific CPT coding and bundled care models.
Pediatric Subspecialties Billing Coverage
- Pediatric cardiology, neurology & GI billing
- NICU & PICU service billing
- Pediatric oncology & hematology billing
- Pediatric surgery & specialty consult coding
- Complex chronic care management billing
Neonatology
Billing for NICU services, resuscitation, and critical newborn care — including time-based billing and place-of-service alignment.
Neonatology Billing Coverage
- Newborn critical care & resuscitation billing
- NICU level I–IV coding
- Ventilator & intensive care procedure billing
- Prematurity & congenital condition billing
- Hospital consults & daily newborn care billing
Psychiatry
Billing for diagnostic evaluations, medication management, and psychotherapy — ensuring proper use of time-based and add-on codes.
Psychiatry Billing Coverage
- Psychiatric diagnostic evaluation billing
- Medication management billing
- Inpatient & outpatient psychiatric consult billing
- Psychotherapy with E/M coding
- Telepsychiatry billing with modifiers
- Care coordination & behavioral health integration billing
Psychology
Support for therapy sessions, behavioral assessments, and testing services — coded with accuracy for clean reimbursement cycles.
Psychology Billing Coverage
- Psychological testing & evaluation billing
- Individual & group psychotherapy billing
- Neuropsychological testing coding
- Behavioral health counseling billing
- Family & couples therapy billing
- Telehealth psychology visit billing
Substance Abuse Treatment
Expert billing for detox, inpatient/residential programs, and MAT — with attention to payer requirements and visit limits.
Substance Abuse Treatment Billing Coverage
- Detoxification service billing
- Residential & inpatient treatment billing
- Medication-assisted treatment (MAT) coding
- Group & individual counseling billing
- Urine drug screen & lab billing
- Compliance with payer rules for SUD treatment
Mental Health Counseling
Credentialing support and billing for LPCs, LCSWs, and LMFTs — covering sessions, assessments, and group therapy billing.
Mental Health Counseling Billing Coverage
- Individual & family therapy billing
- Group counseling billing
- Assessment & treatment plan coding
- Telehealth counseling session billing
- Integration with primary care billing
Behavioral Therapy
Billing for ABA and other behavioral interventions — including progress reporting, supervision time, and multi-unit claims.
Behavioral Therapy Billing Coverage
- Applied Behavior Analysis (ABA) billing
- Autism spectrum disorder therapy coding
- Behavior modification therapy billing
- School-based behavioral health billing
- Telehealth behavioral therapy billing
Neurology
Billing for EEGs, EMGs, stroke management, and cognitive evaluations — with attention to time-based codes and bundled services.
Neurology Billing Coverage
- EEG & EMG diagnostic procedure billing
- Stroke & seizure management coding
- Multiple sclerosis & Parkinson’s care billing
- Neuromuscular & movement disorder billing
- Inpatient & outpatient neurology consult billing
- Tele-neurology billing
Pain Management
Procedure-heavy billing including injections, nerve blocks, and implants — optimized for frequency limits and prior authorization.
Pain Management Billing Coverage
- Injection & nerve block billing (epidural, facet, SI joint)
- Spinal cord stimulator billing & compliance
- Radiofrequency ablation procedure coding
- Opioid therapy & chronic pain management billing
- Modifiers & documentation for ASC vs office billing
- Telehealth pain management visit billing
Sleep Medicine
Support for sleep studies, CPAP therapy, and consult billing — including home-based testing and payer-specific compliance rules.
Sleep Medicine Billing Coverage
- Polysomnography & sleep study billing
- Home sleep test coding & compliance
- CPAP & BiPAP device billing
- Insomnia & circadian rhythm disorder billing
- Facility vs. office-based sleep procedure billing
- Telehealth sleep consultation billing
Physical Medicine & Rehabilitation (PM&R)
Billing for functional evaluations, therapeutic modalities, and post-acute care — using accurate modifiers and timed code tracking.
PM&R Billing Coverage
- Inpatient rehabilitation facility billing
- Spinal cord & traumatic brain injury rehab billing
- Musculoskeletal rehab & therapeutic exercise billing
- Prosthetics & orthotics coding
- Physical performance testing billing
- Chronic pain & disability management billing
Oncology (Medical, Surgical, Radiation)
Billing support for chemotherapy, radiation, and surgical oncology — including infusion codes, J-codes, and prior authorizations.
Oncology Billing Coverage
- Chemotherapy & infusion billing (drug, admin, wastage)
- Oral oncolytics & specialty pharmacy coordination
- Radiation oncology planning & treatment billing (IMRT, SBRT, proton)
- Surgical oncology procedures & global period modifiers
- Staging, tumor registry & HCC/Risk coding support
- Prior auths, NCCI edits & payer policy compliance
- Hospital/OP facility and ASC oncology billing
- Tele-oncology follow-ups and symptom management billing
Hematology-Oncology
We manage claims for blood cancers, transfusions, and bone marrow procedures — ensuring accurate diagnosis linkage and cycle tracking.
Hematology-Oncology Billing Coverage
- Infusion & injection therapy billing (biologics, growth factors)
- Bone marrow biopsy/aspiration & transfusion billing
- Anemia, coagulation & platelet disorder coding
- Complex chemo regimens with correct JW/JZ and wastage rules
- Supportive care (antiemetics, hydration) billing
- Lab/pathology coordination & molecular testing billing
- Inpatient consults, rounds, and transitional care billing
- Prior auths, denials/appeals, and documentation review
Dermatology
Billing for biopsies, cryotherapy, and acne treatments — including modifier usage for lesion counts and same-day E/M coding.
Dermatology Billing Coverage
- Evaluation & management visit billing
- Biopsy, shave, punch & excision procedure coding
- Destruction (cryotherapy, electrosurgery, laser) billing
- Pathology coordination & specimen handling billing
- Phototherapy & acne treatment billing
- Modifier usage for multiple lesions/sites
Mohs Surgery
Precise coding for staged excisions and reconstruction — with support for documentation and multi-site procedural billing.
Mohs Surgery Billing Coverage
- Layer/stage-based Mohs coding and documentation
- Complex closure, flap & graft billing
- Pathology interpretation & same-day services billing
- Multiple lesions & anatomic site modifiers
- Facility vs. office-based Mohs billing compliance
Cosmetic Surgery
Support for medically necessary cosmetic claims — including pre-approval workflows, clear documentation, and denial prevention.
Cosmetic Surgery Billing Coverage
- Medically necessary vs. cosmetic distinction & documentation
- Reconstruction after trauma/burn/oncology billing
- Injectables & aesthetic procedure billing (when eligible)
- Prior authorization & medical necessity support
- Self-pay workflows & financial transparency setup
Ophthalmology
Billing for cataract surgery, glaucoma care, and retina procedures — with global periods, modifier use, and imaging code accuracy.
Ophthalmology Billing Coverage
- Cataract surgery billing (IOLs, global periods, modifiers)
- Glaucoma testing & treatment (OCT, VF, lasers) billing
- Retina procedures (injections, PRP, vitrectomy) billing
- Cornea & external disease procedure coding
- Pre-/post-op care, co-management & modifier usage
- Diagnostic imaging (OCT, fundus photos) billing
- Facility vs office-based ophthalmology billing
Optometry
Support for vision exams, medical eye care, and contact lens fittings — ensuring clean separation of routine vs medical billing.
Optometry Billing Coverage
- Medical eye exam billing (red eye, injury, disease)
- Diabetic eye exams & chronic condition management
- OCT, visual fields & special testing billing
- Contact lens fitting & follow-up billing (when eligible)
- Refraction handling (non-covered vs. covered workflows)
- Dry eye therapies & procedure coding
- Tele-optometry visit billing
Otolaryngology (ENT)
Billing for sinus surgery, scopes, and allergy services — with specialty coding for procedures often bundled or denied.
ENT Billing Coverage
- Sinus surgery & nasal endoscopy billing
- Tonsillectomy & adenoidectomy coding
- Laryngoscopy & stroboscopy billing
- Ear tube insertion & tympanoplasty billing
- Allergy testing & immunotherapy billing
- Sleep apnea & airway surgery billing
- Inpatient consults & hospital ENT procedure billing
Oral & Maxillofacial Surgery
Claims support for extractions, implants, and trauma cases — bridging medical vs dental billing with proper documentation.
Oral & Maxillofacial Surgery Billing Coverage
- Tooth extraction & surgical removal billing
- Impacted wisdom tooth procedure coding
- Jaw reconstruction & fracture management billing
- Orthognathic surgery billing
- Bone grafts, implants & maxillofacial prosthetics billing
- Hospital-based OMFS billing & anesthesia coding
Dentistry
We handle medically necessary dental billing — such as pre-op clearances, trauma, or surgery linked to systemic conditions.
Dental Billing Coverage (Medical Necessity)
- Oral trauma & fracture repair billing
- Infection & abscess drainage billing
- Sleep apnea oral appliance billing
- Surgical extractions with medical necessity documentation
- Cleft palate & craniofacial repair billing
- Coordination with medical insurance for cross-coverage
Physical Therapy
Billing for therapeutic exercises, manual therapy, and evaluations — with correct unit tracking and time-based CPT coding.
Physical Therapy Billing Coverage
- Evaluation & re-evaluation billing
- Therapeutic exercise, manual therapy, neuromuscular re-ed
- Gait training, therapeutic activity, HEP instruction
- Modalities billing (e.g., e-stim, ultrasound, heat/cold)
- Timed vs. untimed code compliance & units calc
- Authorization, plan of care, and documentation review
Occupational Therapy
Claims support for ADL training, splinting, and rehab — ensuring payer compliance for functional progress reporting.
Occupational Therapy Billing Coverage
- Eval levels & re-eval coding
- Therapeutic activities, ADL training, cognitive therapy
- Sensation, coordination & fine motor training billing
- Orthotic management & training
- Modifier, unit, and visit-limit compliance
- Auths, progress notes, and medical necessity support
Speech Therapy
We manage billing for speech, language, and swallowing disorders — with focus on medical necessity and plan-of-care alignment.
Speech Therapy Billing Coverage
- Speech/language and swallow evals billing
- Dysphagia therapy & cognitive-communication treatment
- Voice therapy & fluency disorder billing
- Pediatric speech therapy coding & documentation
- Telepractice visit billing & payer rules
- Plan-of-care and progress report compliance
Chiropractic
Specialized billing for spinal manipulation and therapeutic modalities — including Medicare documentation compliance.
Chiropractic Billing Coverage
- Spinal manipulation (CMT) billing with correct regions
- Modalities & therapeutic procedures billing
- Medicare AT/GA/GY modifier compliance
- Maintenance vs. active treatment documentation
- X-ray and imaging coordination billing
- Medical necessity and visit-frequency compliance
Laboratory Medicine
Billing for clinical labs, molecular testing, and panels — optimized for accurate coding, documentation, and timely claim cycles.
Laboratory Medicine Billing Coverage
- Routine chemistry, hematology, and microbiology billing
- Molecular & genetic testing (PLA/MAAA) coding
- Specimen collection & handling billing
- CLIA-waived tests and POCT billing
- Medical necessity & frequency-limit checks
- Denial management for lab-specific edits
Podiatry
Billing for foot care, wound debridement, and diabetic management — with proper use of Q modifiers and frequency guidelines.
Podiatry Billing Coverage
- Debridement & nail procedures billing (mycotic, avulsion)
- Ulcer/wound care & debridement levels
- Orthotics, strapping & DME billing
- Foot/ankle injections & minor procedures
- Routine foot care vs. covered services compliance
- Diabetic foot exam & risk level coding
Anesthesiology
Support for anesthesia billing across specialties — with time units, modifiers, and facility/provider coordination handled smoothly.
Anesthesiology Billing Coverage
- Base units + time units calculation & concurrency
- MAC, regional, and general anesthesia coding
- Modifiers (AA, QK, QZ, QS, 59) and supervision rules
- Post-op pain blocks & catheter management billing
- OB anesthesia & procedural sedation billing
- Facility vs. professional component compliance
Radiology & Imaging
Support for diagnostic X-rays, CT, MRI, and ultrasound billing — ensuring authorization, contrast code use, and global/TC split.
Radiology & Imaging Billing Coverage
- Global, technical, and professional component billing
- X-ray, CT, MRI, ultrasound coding
- Interventional radiology procedure billing & modifiers
- Contrast, guidance, and supervision/interpretation rules
- Facility vs. office-based imaging compliance
- NCCI edits and documentation review
Pathology
Billing for biopsies, cytology, and surgical pathology — with attention to specimen types, units, and bundled service pitfalls.
Pathology Billing Coverage
- Specimen processing & surgical pathology levels
- Cytology, histology & immunohistochemistry billing
- Molecular pathology & special stains coding
- Professional vs. technical component billing
- Multiple specimen & site modifier usage
- Documentation and medical necessity validation
Emergency Medicine
Billing for ED services, critical care, and trauma evaluations — with proper E/M leveling, modifiers, and time-based tracking.
Emergency Medicine Billing Coverage
- ED E/M levels (facility & professional) billing
- Critical care time billing & documentation
- Laceration repair, fracture care & splinting billing
- Point-of-care labs & imaging billing with modifiers
- Observation services, admits & transfers billing
- Trauma activations & procedural sedation coding
Urgent Care Centers
Support for high-volume walk-in billing — from acute visits to procedures, with rapid claim cycles and front-end coding accuracy.
Urgent Care Billing Coverage
- Urgent care E/M billing (new/established patients)
- After-hours, weekend & holiday visit modifiers
- Minor procedures (I&D, sutures, splints) billing
- Vaccines, meds & injections billing
- POCT/CLIA-waived testing & in-house x-ray billing
- Workers’ comp & occupational medicine workflows
Walk-In Clinics
Billing for episodic care, diagnostics, and basic procedures — streamlined for speed, clean claims, and minimal rejections.
Walk-In Clinic Billing Coverage
- Same-day E/M visit billing (acute & follow-up)
- Immunizations & therapeutic injections billing
- Simple procedures & wound care billing
- POCT labs (strep, flu, glucose) billing
- Telehealth quick consults with correct POS/modifiers
- Cash-pay & out-of-network superbill support
Bariatric Medicine
Claims for weight-loss programs, counseling, and surgery clearances — ensuring documentation meets payer requirements.
Bariatric Medicine Billing Coverage
- Medically supervised weight-loss visit billing
- Nutrition counseling & MNT billing (when covered)
- Anti-obesity pharmacotherapy billing & PA support
- Pre/post-op bariatric surgery program documentation
- Comorbidity management (DM, HTN, OSA) coding
- Medical necessity & payer policy compliance
Sports Medicine
Billing for injury care, rehab, and joint injections — tailored for orthobiologics, DME, and physical therapy coordination.
Sports Medicine Billing Coverage
- Ortho-focused E/M & injury evaluation billing
- Joint/tendon injections (US-guided when applicable)
- Concussion assessment & management billing
- DME/supplies billing (braces, boots, tapes)
- Rehab/therapy coordination & referral coding
- Procedural modifiers & documentation review
Genetic Counseling
Billing support for risk assessments and test reviews — using time-based codes and payer-specific pre-authorization rules.
Genetic Counseling Billing Coverage
- Time-based genetic counseling visit billing
- Test ordering, PA & medical necessity documentation
- Panel, MAAA & molecular testing code selection
- Family history & risk assessment documentation
- Lab coordination & payable vs. non-payable workflows
- Telehealth genetic counseling billing
Telemedicine & Telehealth Providers
Billing for virtual visits with correct POS and modifiers (video and audio-only). We manage RPM, RTM, CCM, and PCM programs, handle cross-state payer rules, and cut denials for remote care.
Telehealth Billing Coverage
- Correct POS & modifiers (e.g., 95) for video visits
- Audio-only codes & payer-specific policies
- RPM, RTM, CCM & PCM program billing
- Time-based visit documentation compliance
- Cross-state payer rules & credentialing checks
- Denials/appeals for telehealth-specific edits
Concierge Medicine
Hybrid billing support for retainer-based care — handling labs, consults, and insurance-facing claims within a membership model.
Concierge Medicine Billing Coverage
- Membership/retainer vs. billable service separation
- Insured services (E/M, preventive) billing setup
- Superbills & out-of-network claim support
- Cash-pay workflows & transparent pricing
- Medical necessity & compliance guardrails
- Hybrid concierge + insurance model guidance
Sleep Studies
Billing for in-lab and home sleep testing, CPAP titration, and diagnostics — with global/TC/PC splits and strict documentation.
Sleep Study Billing Coverage
- Polysomnography (PSG) & titration study billing
- Home sleep apnea testing (HSAT) coding
- MSLT/MWT daytime study billing
- CPAP/BiPAP setup & compliance documentation
- Professional vs. technical component billing
- Facility vs. office-based sleep service compliance
LGBTQ+ Care
Support for gender-affirming services, preventive screenings, and mental health care — with billing expertise around payer-specific policies and sensitive coding requirements.
LGBTQ+ Care Billing Coverage
- Gender-affirming hormone therapy billing
- Surgical procedures: top surgery, bottom surgery, and related aftercare
- Mental health counseling & psychotherapy sessions
- HIV prevention & treatment services (PrEP, PEP, ART)
- STI testing, screenings, and preventive care
- Prior authorization & payer-specific compliance for gender-affirming care
- Telehealth LGBTQ+ service billing