Every specialty has its own coding rules, payer pitfalls, and patient flow. We assign coders and billers who specialize in your specialty — not generalists who rotate across charts. Below is a sampling of the specialties we serve.
High-volume, mixed-payer practices need billing that scales without dropping charges. We handle preventive vs. problem-oriented E/M leveling, chronic care management (CCM), transitional care management (TCM), AWVs, and Medicare wellness coding.
Common codes: 99202–99215, G0438/G0439, 99490, 99495–99496, 99381–99397.
Diagnostics, EP studies, stress tests, holter and event monitors, echocardiograms, nuclear imaging, and cardiac rehab — billed correctly the first time with proper modifier and bundling logic.
Common codes: 93000s, 93306, 93350, 93880, 93571, 93653, 93657, 93750.
Therapy and psychiatry billing has its own rules: time-based codes, add-on codes, telehealth modifiers, and parity laws. We know the Michigan Medicaid behavioral health rules and the major commercial carve-outs cold.
Common codes: 90791, 90832/34/37, 90785, 90847, 96130–96139, 99492–99494.
Medicare's chiropractic coverage is famously narrow — we know exactly what's covered, what isn't, and how to document. Add-on therapies, PI/MVA cases, and workers' comp are routine for us.
Common codes: 98940–98942, 97012, 97014, 97140, 97110, 97530, 97035.
Time-based units, plan-of-care compliance, KX modifiers, and Medicare therapy thresholds — handled. We track CCI bundling, the 8-minute rule, and document-of-need updates so claims pay the first time.
Common codes: 97110, 97140, 97530, 97535, 97162, 97164, G-codes, modifier KX.
Lesion procedures, biopsies, Mohs, in-office pathology, cosmetic vs. medical separation, and the modifier 25 rules — we get every billable element captured without triggering an audit.
Common codes: 11102–11107, 17000–17004, 17110–17111, 11400s, 88305, 17311–17314.
Medical-dental crossover billing is one of the trickiest niches in the industry. We handle sleep apnea oral appliances (E0486), TMJ, accidental injury dental, and oral surgery procedures that medical insurance covers but most billers miss.
Common codes: CDT D-codes plus medical: 21010, 21073, 41899, 70355, 99203 (medical eval).
High volume, walk-in flow, and tight after-visit timing demand a billing partner that keeps up. We handle E/M leveling under the latest 2024 guidelines, observation rules, S codes (S9088), and procedure billing inside the urgent-care setting.
Common codes: 99202–99215, S9088, 12001–12018, 29125, 73610, 87880, 81025.
Global maternity bundles, antepartum/postpartum splits, ultrasound billing, in-office procedures (LEEP, colposcopy, IUD), and high-risk pregnancy coding — handled with the nuance the specialty demands.
Common codes: 59400, 59409, 59410, 59425/26, 76801–76817, 57454, 58300, 58301.
Surgical billing, fracture care, injection coding, DME billing, casting/splinting, and the global period rules — plus workers' comp and PI cases that fund a big share of orthopedic revenue.
Common codes: 20610, 20611, 27447, 29881, 25600, 73564, casting Q-codes, modifier 25/57/58/78/79.
Routine vs. medical eye care separation is the difference between getting paid and getting denied. We handle VSP/EyeMed crossover, refraction billing, and procedure codes (cataract, YAG, glaucoma) cleanly.
Common codes: 92002–92014, 92250, 92133–92134, 66984, 66821, 65855.
Well-child visits, immunization administration with VFC tracking, developmental screening (96110), and the modifier 25 dance for sick + well same day. We know the Michigan Medicaid pediatric rules cold.
Common codes: 99381–99395, 90460/61, 96110, 96127, 99173, 99213+25 combos.
Endocrinology, gastroenterology, pulmonology, nephrology, rheumatology, infectious disease — we support the full breadth of internal medicine subspecialties with the procedure coding each one demands.
Common codes: 45378–45385, 95249–95251, 94010, 90935, 99499, varies by subspecialty.
Injection procedures, fluoroscopy, neurostimulator programming, and the heavy modifier and bundling rules of interventional pain. We document for medical necessity and stay ahead of payer LCD changes.
Common codes: 64483, 64484, 64493–64495, 62321–62323, 95970–95972, 76942, 77003.
Audio-only vs. audio-video, place-of-service codes, modifiers 95/93/GT, and the post-PHE rules patchwork — we keep your telehealth claims clean across Medicare, Medicaid, and commercial payers.
Common codes: 99202–99215 + 95, 99441–99443, POS 02/10, G2010, G2012.
Don't see your specialty? We work across most ambulatory specialties.
Ask about your specialty →We've built our pricing and service model to work for the full spectrum of Michigan independent practices — not just the largest ones.
One provider, one office, tight margins. We handle eligibility, coding, claims, denials, and patient billing so your front office can focus on patients — and you can finally take a vacation.
You've outgrown one biller but you're not big enough to justify a full RCM team. We give you that team for a fraction of the cost — with consistent quality and built-in coverage.
Reporting, productivity benchmarking, and provider-level coding feedback become essential. We deliver enterprise-grade revenue cycle without enterprise-grade pricing or rigidity.
Let's talk about your specialty's biggest revenue leaks. We'll tell you straight whether we're the right fit.
