Who we bill for
Every provider specialty, and three we know best
We bill across the full range of provider specialties, in both office-based and facility settings. Our deepest experience is in primary care, specifically Family Medicine, Internal Medicine and Nurse Practitioner practices, and in emergency and hospital billing, which is a different discipline again.
Where we do most of our work
Primary care, in depth
High encounter volume and a broad code range mean small per-claim differences compound quickly. These are the practices where careful billing changes the number most.
Family Medicine
High encounter volume across a wide code range, and the specialty where preventive-visit rules, chronic-care management and annual wellness billing most often go under-captured. Small differences per encounter compound quickly at family-practice volumes.
Internal Medicine
Complex chronic patients, layered diagnoses and evaluation and management levels that have to be supported by the documentation. This is where under-coding quietly costs the most, because a level below what the record supports simply pays and closes.
Nurse Practitioners
Incident-to rules, supervision requirements and payer-by-payer enrolment differences make NP billing genuinely distinct from physician billing. Getting the enrolment and the billing arrangement right is worth more than anything downstream.
Settings
Groups and clinics, ER and hospitals
These are genuinely different billing disciplines rather than the same work at different volumes. Office-based billing turns on eligibility, coding accuracy and denial prevention. Emergency and facility billing adds unscheduled patients, a payer mix nobody chose, and out-of-network exposure that has to be pursued through a federal dispute process. We work both.
- Independent practices and provider groups
- Clinics and outpatient practices
- Urgent care centres
- Emergency medicine groups
- Hospitals and facility billing operations
See ER Billing, Urgent Care & Clinic Billing and Hospital & Facility Billing.
Full list
Specialties we bill for
Grouped by the billing characteristics they share, because that is what determines how the work is actually done.
Primary & preventive care
Where we do most of our work. High encounter volume, broad code range, and the setting where small per-claim differences compound fastest.
- Family MedicineFocus
- Internal MedicineFocus
- Nurse PractitionersFocus
- Physician Assistants
- Pediatrics
- Geriatrics
- Preventive Medicine
Emergency & acute care
Unscheduled patients, a payer mix nobody chose, and the highest out-of-network exposure in healthcare, which is where our dispute work applies.
- Emergency Medicine
- Urgent Care
- Hospital Medicine / Hospitalists
- Critical Care
- Trauma Surgery
Medical specialties
Referral-driven practices where prior authorisation, medical-necessity denials and payer policy do most of the damage.
- Cardiology
- Endocrinology
- Gastroenterology
- Nephrology
- Neurology
- Oncology & Hematology
- Pulmonology
- Rheumatology
- Infectious Disease
- Allergy & Immunology
- Dermatology
- Sleep Medicine
Surgical specialties
Global periods, bundling edits and modifier accuracy, the areas where a single systematic error repeats across every case.
- General Surgery
- Orthopedic Surgery
- Neurosurgery
- Plastic & Reconstructive Surgery
- Otolaryngology (ENT)
- Urology
- Vascular Surgery
- Ophthalmology
- Podiatry
- Ambulatory Surgery Centers
Women's health
Global obstetric packages, split billing across providers, and antepartum and postpartum care that is frequently billed incompletely.
- Obstetrics & Gynecology
- Maternal-Fetal Medicine
- Fertility
Behavioral health
Time-based coding, session limits and parity rules, plus payer panels that are among the hardest to get and keep enrolment with.
- Psychiatry
- Psychology
- Behavioral & Mental Health
- Substance Use Treatment
- Licensed Clinical Social Workers
Therapy & rehabilitation
Units, caps, plan-of-care documentation and authorisation renewals. Administratively heavy work where lapses are the main revenue risk.
- Physical Therapy
- Occupational Therapy
- Speech-Language Pathology
- Physical Medicine & Rehabilitation
- Chiropractic
- Pain Management
Diagnostics & hospital-based
Professional and technical components, high claim volume, and facility-based work where out-of-network exposure is common.
- Radiology
- Pathology & Laboratory
- Anesthesiology
- Nurse Anesthetists (CRNA)
Post-acute & other
Recurring-service billing with documentation and eligibility requirements that differ materially from office-based work.
- Home Health
- Wound Care
- Durable Medical Equipment (DME)
- Telehealth across all of the above
Not listed? Ask. The honest answer is more useful than a longer list. Tell us your specialty and payer mix and we will say plainly whether it is work we know well or work we would be learning on your account.
Where we work
Available nationwide
Billing is delivered remotely, so we work with providers across the country. Our work is concentrated in Texas, Kentucky, Pennsylvania, New Jersey and Oklahoma.
Start with a free billing audit
We review a sample of your recent claims and your current A/R aging, and report where revenue is being lost. The report is yours whether or not you engage us.