Billing built around your specialty, not around a generic template.

Orthopedics is a global period specialty. Almost every claim is tied to a surgical package, and the money is won or lost on what falls inside that package and what is separately reportable. Fracture care, injections and post-operative visits are the three places practices leak the most.

Nephrology billing is not simple. From dialysis sessions and chronic kidney disease management to transplant-related claims, every procedure demands precise coding and payer-specific documentation. Missing a modifier, misplacing a code or missing a billable opportunity can mean thousands in lost revenue, or worse, compliance penalties.

PT billing is complex, with authorisations, modality-specific codes, time-based billing, frequent documentation requirements and payer-specific rules. Most first-pass denials trace back to a missing modifier or an incorrectly counted timed unit.

If your cystoscopies, biopsies or stone procedures are not reimbursing correctly, you are losing money every single day. Urology billing requires specialty expertise that general billers simply do not have: bundling rules, component splits and global period tracking decide whether you keep what you earned.

Oncology billing is not regular billing. It is high-risk, high-volume, modifier-heavy and utterly unforgiving. Drug unit conversions, NDC formatting and infusion sequencing errors quietly wipe out thousands every month before anyone notices.

Cardiology is one of the top three audited specialties by CMS and private payers. Cath lab bundling, component modifier accuracy and global period adherence decide whether a claim pays in full, pays partially or triggers a records request.

OBGYN is one of the most misunderstood and incorrectly coded specialties. Between global maternity billing, ultrasound bundling rules, preventive versus problem visits and strict payer documentation requirements, even small errors create massive revenue leakage.

Urgent care lives on volume and speed. When charges sit for days, coding is rushed at month end and payer-specific rules are guessed at, a busy clinic quietly loses a meaningful share of every shift it works.

Dermatology billing lives and dies on documentation detail: lesion size, site, technique and intent. Two visits that look identical in the chart can differ by hundreds of dollars once coded correctly, and by a denial once coded loosely.

Pediatric billing is high volume, low margin and unforgiving on small errors. Vaccine administration units, screening add-ons and same-day sick visits are where most practices leave money behind week after week.

Neonatal claims are among the highest dollar and highest scrutiny in medicine. The difference between an intensive care day and a critical care day is a documentation distinction, and payers audit it closely.

Pathology revenue is decided by unit counting and component accuracy. Specimens, stains and interpretations each have their own rules, and a lab that gets them slightly wrong loses a slice of every single case.

Critical care is billed on documented time, and time is exactly what gets recorded loosely in a busy unit. Add bundled procedures and concurrent care rules, and a large share of legitimate critical care revenue never makes it onto a claim.

Pain management sits under constant payer scrutiny. Frequency limits, level and laterality reporting and guidance bundling rules mean that documentation which reads perfectly in the chart can still fail on the claim.

Endocrinology practices carry heavy chronic disease loads and a growing device component. Continuous glucose monitoring, pump management and education services are legitimate revenue that routinely goes unbilled or gets denied on frequency rules.

Family practice revenue is decided by two things: whether the visit level matches the documentation, and whether the care management work already being done is actually billed. Most practices lose on both.

Behavioural health billing is deceptively simple looking and heavily denied. Session length, add-on rules and telehealth requirements change by payer, and a single mismatch between the note and the code costs the whole session.

Nothing costs a GI practice more than the screening to diagnostic conversion. The procedure is right, the note is right, and the claim still fails because the intent was not carried into the coding.

ENT combines surgery, in-office procedures, diagnostic testing and allergy services in one practice. Each has its own bundling logic, and a general biller will flatten them into a lower-paying claim.

Dental practices lose money in two places: claims routed to the wrong benefit, and claims sent without the narrative or radiograph the payer will inevitably ask for. Both are fixable before the claim ever leaves.

DME denials are almost never about the code. They are about the paperwork behind it: the order, the face-to-face note, the proof of delivery and the modifier that tells the payer the coverage criteria were met.

Chiropractic is audited on one question: is this active treatment or maintenance care. The codes are few and simple. The documentation that justifies them is where practices win or lose the claim.

Primary care already performs most of the work that care management codes pay for. The gap is tracking and documentation. Close that gap and a mid-size practice adds a meaningful, recurring revenue line without seeing a single extra patient.

Neurosurgery claims are large, layered and easy to underbill. Add-on levels, co-surgeon roles and staged procedures all carry their own reporting rules, and each one missed removes a five figure line from the claim.

Anesthesia is billed in units, and units are built from time. Rounding conventions, direction modifiers and concurrency rules mean two identical cases can pay very differently depending on how they were reported.

Pulmonology mixes office visits, diagnostic testing, procedures and sleep medicine. Each has different component and frequency rules, and testing is where the majority of the practice’s denials quietly accumulate.

Radiology revenue turns on component billing. The same study pays very differently depending on who owns the equipment, who read it and where it was performed. Get the split wrong and the claim either underpays quietly or duplicates a charge the facility has already billed.

Neurology combines long evaluation and management visits with technically complex diagnostic testing. Both are audited and both are routinely undercoded: the visit because time and decision making are not documented, the testing because the components are never billed separately.

Ophthalmology has its own parallel family of codes. Choosing between the eye codes and standard evaluation and management codes changes what the visit pays, and the right choice depends on the payer and the documentation rather than on habit.

Podiatry is denied on coverage far more often than on coding. Routine foot care is excluded unless a qualifying systemic condition is documented and linked, and the modifiers that establish it are where most practices lose the claim.