Specialty-Specific Billing

Billing expertise built for your specialty.

Every specialty bills differently — different codes, different modifiers, different payer quirks. Our coders are trained and certified by field, not spread thin across every claim type imaginable.

12Specialties billed
98.7%Avg. clean-claim rate
200+Providers served
AAPCCertified specialty coders
Cardiology Orthopedics Behavioral Health Family & Internal Medicine Dermatology Radiology DME Suppliers Physical Therapy Cardiology Orthopedics Behavioral Health
Specialty 01

Cardiology

Cardiology billing means bundled procedures, device codes, and global periods that trip up general coders. Our cardiology-certified team knows exactly where the reimbursement risk hides.

  • Cath lab, echo, and device implant coding accuracy
  • Correct bundling of related same-day procedures
  • Global period tracking to avoid duplicate billing denials
  • Prior authorization handling for high-cost interventions
Cardiology Claims
97.9%Clean-claim rate
-64%Denial rate reduction
CPT 93458 · Cath ProcedureVerified
CPT 93306 · EchoVerified
Device Implant · BundledChecked
Specialty 02

Orthopedics

Surgical bundles, imaging pairs, and hardware codes make orthopedic billing one of the most modifier-heavy specialties out there. We keep every claim aligned with payer-specific bundling rules.

  • Surgical bundle and multiple-procedure discount accuracy
  • Correct modifier use for staged and bilateral procedures
  • DME and hardware code coordination with device suppliers
  • Post-op global period management to protect follow-up visit billing
Orthopedic Claims
98.1%Clean-claim rate
-38%Avg. denial rate reduction
CPT 27447 · Knee ReplacementVerified
Modifier -59 · Bundled PairChecked
Global Period · 90 DaysTracked
Specialty 03

Behavioral Health

Time-based codes, telehealth modifiers, and session-frequency limits make behavioral health billing uniquely detail-sensitive. We track every session against payer session caps automatically.

  • Accurate time-based CPT selection for therapy sessions
  • Telehealth modifier and place-of-service compliance
  • Session-frequency and authorization limit tracking
  • Extra care with sensitive patient data and consent documentation
Behavioral Health Claims
98.4%Clean-claim rate
0Session-cap denials this qtr
CPT 90837 · 60-min TherapyVerified
Modifier -95 · TelehealthApplied
Session Count · Within CapTracked
Specialty 04

Family & Internal Medicine

High patient volume means high claim volume — and every missed E/M level or preventive-care code adds up fast. We optimize documentation-to-code accuracy at scale.

  • E/M level optimization based on documentation and time
  • Preventive vs. problem-focused visit code separation
  • Annual wellness visit and Medicare-specific code compliance
  • High-volume claim processing without accuracy trade-offs
Primary Care Claims
99.1%Clean-claim rate
-46%Days in A/R reduction
CPT 99214 · Established VisitVerified
CPT G0439 · Annual WellnessVerified
Volume · 1,200+ claims/moProcessed
Specialty 05

Dermatology

A single visit can involve multiple procedures, biopsies, and destructions — each with its own modifier rules. Getting the combination wrong is one of the fastest ways to trigger a denial.

  • Accurate modifier use for multiple same-visit procedures
  • Biopsy vs. excision vs. destruction code distinction
  • Cosmetic vs. medically-necessary procedure separation
  • Pathology lab coordination and result-based coding
Dermatology Claims
98.0%Clean-claim rate
4.2Avg. procedures/visit coded
CPT 11102 · BiopsyVerified
Modifier -59 · Distinct ProcedureApplied
Pathology Result · CodedMatched
Specialty 06

Radiology

Global vs. professional vs. technical component billing is where most radiology claims go wrong. We split every claim correctly based on who performed and who interpreted.

  • Global, professional, and technical component splitting
  • Contrast and supply code coordination
  • Prior authorization tracking for advanced imaging
  • Referring-provider documentation matched to each order
Radiology Claims
97.6%Clean-claim rate
<48hPrior auth turnaround
CPT 70553 · MRI BrainVerified
Modifier -26 · ProfessionalApplied
Prior Auth · MRIApproved
Specialty 07

DME Suppliers

Durable medical equipment billing lives and dies by prior authorization and HCPCS accuracy. We track every authorization from request to expiration so nothing lapses mid-rental.

  • HCPCS code accuracy for equipment and supplies
  • Prior authorization tracking through full rental periods
  • Certificate of Medical Necessity (CMN) documentation management
  • Rental vs. purchase billing rule compliance by payer
DME Claims
$310KRecovered in 90 days
92%Aged backlog resolved
HCPCS E0601 · CPAPVerified
CMN · On FileCurrent
Rental Month 3 of 13Tracked
Specialty 08

Physical Therapy

Unit-based billing and therapy cap tracking mean every minute of treatment has to be documented and coded precisely. We monitor caps in real time so patients never lose coverage mid-plan.

  • Accurate 8-minute rule and unit-based CPT selection
  • Real-time therapy cap and threshold tracking by payer
  • Progress-note documentation aligned to billed units
  • Plan-of-care renewal and authorization management
Physical Therapy Claims
98.3%Clean-claim rate
0Cap-related denials this qtr
CPT 97110 · Therapeutic ExerciseVerified
Units Billed · 8-Min RuleChecked
Therapy Cap · 68% UsedTracked
Why It Matters

A generalist coder costs you more than they save

Generic billing services assign whichever coder is available next. We assign the coder certified in your specialty — because a coder who bills family medicine all day will miss things a dedicated cardiology or DME specialist catches instantly.

  • Fewer specialty-specific denials

    Coders who know your field's modifier rules submit cleaner claims the first time.

  • Faster payer-specific troubleshooting

    When a payer changes a rule for your specialty, your coder already knows before it hits your claims.

  • Documentation feedback that fits your workflow

    Feedback to your providers is framed in the language and codes specific to how your specialty documents.

See our full RCM service list
Specialty Coverage

Certified coders across every specialty we bill.

12Specialties covered
99.4%Avg. coding accuracy
AAPCCertified per specialty
QuarterlyInternal coding audits
"Don't see your specialty listed? We onboard new specialties regularly — ask us during your Free RCM Assessment." — DiRevNexus Coding Team
Specialties FAQ

Questions about specialty-specific billing

Don't see your specialty above? Reach out — we likely still cover it.

The 8 specialties above are our highest-volume fields, but we bill for 12 specialties total and regularly onboard new ones. Mention your specialty during your Free RCM Assessment and we'll confirm coverage.
Several. Multi-specialty groups are assigned a coder certified in each relevant field rather than a single generalist trying to cover everything.
Our coders complete ongoing AAPC continuing education and we run quarterly internal audits against the latest payer guidelines for every specialty we bill.
No — specialty-certified coding is included in every DiRevNexus engagement at no extra cost. It's part of why our clean-claim rates run above industry average.

Let's talk about billing for your specialty.

Get a free, no-obligation review of your current billing performance from coders certified in your exact field.