Why your specialty changes how the claim gets paid.

What actually differs between specialties

Claim submission is the same everywhere. What differs is what a payer will reject, and a biller who does not know your specialty finds out the slow way — after the denial, on your money.

• Time-based rules. Physical therapy lives or dies on the 8-minute rule and how units are counted. Get it wrong and the claim is downcoded or denied outright.
• Modifier discipline. Chiropractic needs the AT modifier and documentation that supports active treatment. Without it, the payer treats the visit as maintenance and pays nothing.
• Coverage policy. Podiatry routine foot care is denied by default unless the record establishes a qualifying condition. That is a documentation problem, not a billing problem — but it lands in A/R either way.
• Session and place-of-service rules. Behavioural health has documentation requirements that draw audits, and panels that close without notice.
• Volume and per-claim value. Laboratories submit many low-value claims; ambulatory surgery centres submit few high-value ones with implant carve-outs. Those need completely different follow-up priorities.

Who we work with

Independent physician groups, specialty practices, clinics, behavioural health organisations, therapy practices, laboratories, urgent care centres and ambulatory surgery centres — across all 50 states.

The common thread is not size or specialty. It is that billing is somebody’s second job, or that one person leaving takes the whole revenue cycle with them.