Tailored clinical workflows
Specialty-specific revenue recovery modules.
Every clinical specialty operates on unique billing rules. We deploy coders certified specifically in your clinical area to ensure zero lost revenue.
Cardiology specialty
High yield
Cardiology practices
28.4%
Average lost revenue recovered
- 98.2% first-pass clean claim acceptance rate
- A/R turnaround reduced from 46 to 18 days
- Mastered Modifier 25 & 59 for same-day echo and cath labs
- Eliminated unworked same-day E/M denial edits
EHR: eCW, Athena, Epic
• Encrypted PHI
Surgical specialty
Orthopedic groups
31.2%
Average net collection increase
- 97.6% first-pass clean claim rate
- Automated authorization matching for surgical bundles
- Eliminated global surgical package (Modifier 58, 78, 79) rejections
- DME & physical therapy billing integrated
EHR: Modernizing Med, NextGen
• Encrypted PHI
Infusion & drug billing
Oncology & infusion clinics
24.8%
Unbilled drug revenue recovered
- 99.1% clean claim rate on high-dollar J-codes
- Zero missed chemotherapy drug units or waste units (JW/JZ)
- Real-time prior authorization tracking & re-auth alerts
- JW/JZ modifier compliance verified per CMS rules
EHR: OncoEMR, Varian, Epic
• Encrypted PHI
Interventional specialty
Neurology & pain management
26.5%
Reduction in 90+ day aging A/R
- EMG and nerve conduction study authorization compliance
- Exact epidural injection coding (CPT 62322–62323) with fluoroscopy
- Substance abuse & behavioral health cross-coding
- Pre-service insurance eligibility verification
EHR: AdvancedMD, Kareo, eCW
• Encrypted PHI
Endoscopy & surgery center
Gastroenterology (GI)
29.1%
Endoscopy claim yield improvement
- Screening vs. diagnostic colonoscopy coding (PT modifier)
- Pathology specimen line-item reconciliation
- ASC facility fee + professional fee dual billing
- Anesthesia concurrency billing accuracy
EHR: gMed, Provation, Athena
• Encrypted PHI
High volume clinics
Urgent care & multi-specialty
98.8%
Same-day batch submission rate
- Rapid 24-hour claim scrubbing and clearinghouse batching
- X-ray and rapid lab test unbundling prevention
- Self-pay and patient copay automated statement generation
- Occupational health & workers' comp billing support
EHR: Experity, Practice Velocity, eCW
• Encrypted PHI