Medical billing by specialty
Billing is not the same job across specialties. A pain management practice fights prior authorisation. A physical therapy clinic lives inside the 8-minute rule. A dermatology practice codes lesions by size and site, and gets it wrong by millimetres. Our coders are assigned by specialty and stay there.
Don't see your specialty? We bill for more specialties than we have built pages for. Tell us what you practise and we will tell you honestly whether we are the right fit.
Why there are twelve pages here and not seventy
The company this project was benchmarked against advertises 74 specialties and has eight real pages behind them. The other 66 are plain text: not clickable for a reader, not crawlable for a search engine, and not backed by anything. It advertises coverage that has nothing behind it, which is both a wasted opportunity and a credibility problem.
We would rather publish fewer specialties with real depth. Every page linked from the grid above contains seven things, written specifically for that specialty:
- The CPT and HCPCS code families it actually bills
- The modifiers that matter, and the specific way each is misused
- The top denial reasons, with the CARC codes you will see on the remittance
- The prior authorisation burden and how it is managed
- The global period, bundling or payer-policy rules that apply
- The documentation that commonly fails
- Where revenue is typically lost
If we cannot write those seven things specifically for a specialty, we do not publish a page for it. A page that only swaps a name into a template is worth nothing to the person reading it.
What that means if your specialty is not listed
It does not mean we cannot bill for you. It means we have not yet written a page that would tell you anything a general billing page could not.
Tell us what you practise and we will tell you honestly whether we are the right fit — including when the answer is no. That is a much better use of your time than a page implying expertise nobody has demonstrated.
How specialty assignment works day to day
Coders are assigned to a specialty and stay there. They are not pooled and reallocated by workload, because the knowledge that matters is not general billing knowledge.
A coder working behavioural health needs to know which payers carve the benefit out to a separate administrator, what documentation a timed code requires, and how many authorised units a patient has left. A coder working wound care needs to know which debridement code the documented depth supports and what a payer requires before it will approve a skin substitute. Neither of those transfers to the other.
In a multi-specialty practice that means several coders rather than one, with a coding lead per specialty line who owns the documentation feedback going back to those providers.
One page per specialty, not one page per keyword
Where a specialty is known by more than one name — physiotherapy and physical therapy, ENT and otolaryngology, psychiatry and behavioural health — there is one page, with the alternates named on it as synonyms.
Splitting them across separate pages inflates a page count and splits the audience for both. It is a pattern that shows up on a lot of billing company websites and it helps nobody.
Why coders are assigned by specialty
A cardiology claim and a behavioural health claim require different knowledge. Pooling coders across both means being adequate at each and expert at neither.
Different code families
Each specialty bills a distinct set of CPT and HCPCS families, with their own selection rules: by time, by depth, by size, by level.
Different denials
The CARC codes that dominate one specialty barely appear in another, and the prevention work is completely different.
Different authorisation burden
Some specialties barely authorise anything. Others cannot schedule a procedure without it, against criteria that change without notice.