FOR DOCTORS & PRACTICE TEAMS

Specialty-Aware Billing for the Teams Behind Patient Care

Physician practices carry the clinical risk. We carry the revenue-cycle risk: specialty-specific coding, credentialing, denial appeals, and MIPS reporting — so your team stays focused on patients.

SPECIALTY INTELLIGENCE

Billing expertise shaped around your clinical work.

Every specialty has its own documentation patterns, payer rules, and revenue risks. Our workflows reflect yours.

Mental & Behavioral Health / Psychiatry

Billing & RCM built for mental & behavioral health / psychiatry practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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Cardiology & Vascular Medicine

Billing & RCM built for cardiology & vascular medicine practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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Orthopedics & Sports Medicine

Billing & RCM built for orthopedics & sports medicine practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

Read Orthopedics billing insights →

Physical Therapy, Chiropractic & Rehabilitation

Billing & RCM built for physical therapy, chiropractic & rehabilitation practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

Read Physical billing insights →

Podiatry & Wound Care

Billing & RCM built for podiatry & wound care practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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Primary Care, Internal Medicine & Family Practice

Billing & RCM built for primary care, internal medicine & family practice practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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Neurology & Pain Management

Billing & RCM built for neurology & pain management practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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Dermatology & Plastic Surgery

Billing & RCM built for dermatology & plastic surgery practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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Pediatrics & Urgent Care Centers

Billing & RCM built for pediatrics & urgent care centers practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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Dental-to-Medical Cross-Billing

Billing & RCM built for dental-to-medical cross-billing practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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Ambulatory Surgery Centers (ASCs) & Hospital Outpatient

Billing & RCM built for ambulatory surgery centers (ascs) & hospital outpatient practices — specialty-specific codes, modifiers & payer rules handled by certified experts.

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MIPS / MACRA

Earn Bonus Points With MIPS Reporting Services

The Merit-based Incentive Payment System (MIPS) under the Quality Payment Program determines whether your Medicare payment adjustments are positive or negative. Our cross-functional team manages the whole submission so you avoid penalties and capture incentives.

Quality — 45%

Measure selection, EHR data capture, and submission of quality measures that reflect your actual care patterns.

Promoting Interoperability — 25%

Support for certified EHR technology objectives and patient-access measures.

Improvement Activities — 15%

Activity selection, attestation, and documentation that holds up to audit.

Cost — 15%

Claims-based cost analysis so episode spending works for you, not against you.

How participation works
  1. Eligibility check — verify eligibility based on Medicare billing volumes.
  2. Choose a participation option — individual, group, virtual group, or APM entity reporting.
  3. Select reporting methods — claims-based, EHR data, registry, or QCDR.
  4. Submit data — all four MIPS categories reported on time.
  5. Review CMS feedback — and adjust for the next performance year.
Get MIPS-ready

WHO WE SERVE

Built Around How Your Practice Actually Runs

Persona 1: Solo & Small Group Practice Owners (1–5 Providers)

* Key Pain Points: High claim rejection rates, staff turnover/incompetence, lack of time to follow up on aging A/R (>60 days), lost revenue, drowning in administrative paperwork.

  • Desired Outcome: Predictable cash flow, 98%+ clean claim rate, stress-free billing, time to focus 100% on patient care.
  • Conversion Trigger: "Get paid in 14 days instead of 60 days. No upfront setup fees. Dedicated account manager."

Persona 2: Multi-Specialty Clinics & Practice Administrators (6–25+ Providers)

* Key Pain Points: Complex multi-payer billing rules, credentialing bottlenecks when onboarding new providers, underpayments going unnoticed, compliance risks with modifiers (-25, -59), overhead costs of in-house billing team.

  • Desired Outcome: Lower overhead costs by 30-40%, transparent monthly financial reporting, expert specialty coders (AAPC/AHIMA certified), automated prior auth and eligibility.
  • Conversion Trigger: "A complete RCM department for less than the cost of hiring 2 in-house billers. Full transparency with 24/7 BI dashboard access."

Persona 3: Ambulatory Surgery Centers (ASCs) & Hospital Outpatient Clinics

* Key Pain Points: High-dollar claim denials, complex implant billing, unbundled procedure rejections, surgical documentation gaps, timely filing expiration.

  • Desired Outcome: Rapid appeals on high-value surgical claims, zero revenue leakage, strict compliance with payer-specific ASC reimbursement rules.
  • Conversion Trigger: "Specialized surgical coding audits and aggressive high-dollar A/R recovery that recaptures lost surgical revenue."

A clearer path to healthier revenue.

Start with a focused review of your billing workflow, payer mix, denial patterns, and growth plans.

Book Your Free Practice Audit