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Built for your specialty
Generic billing services miss the nuances that cost specialty practices revenue. We specialize in therapy, chiropractic, rehab, and behavioral health, so our team knows your payer rules, your codes, and your documentation requirements as well as you do.
Physical therapy
Physical therapy billing is complex, with therapy thresholds, KX modifier compliance, payer-specific visit limits, and timed procedure rules that vary by plan. Our PT specialists know these rules so your claims are coded correctly and paid on the first submission.
Common billing challenges
- Therapy threshold tracking and KX modifier compliance
- Medical necessity and outcome-based documentation
- Payer-specific visit limits and authorization management
- Evaluation and re-evaluation billing compliance
- Timed vs untimed coding, the 8-minute rule, and NCCI edits
- MPPR (multiple procedure payment reduction) impact
How we help
- Specialty-trained PT coders on every claim
- Proactive therapy threshold tracking per patient
- KX modifier and audit-ready documentation review
- Payer-specific rule application at submission
- Denial prevention through pre-claim audits
- RTM (remote therapeutic monitoring) billing support
Occupational therapy
Occupational therapy billing requires precise documentation of functional goals, ADL limitations, and medical necessity, all of which payers scrutinize closely. We help OT practices navigate these requirements with compliant coding and thorough claim preparation.
Common billing challenges
- Medical necessity tied to ADLs and functional goals
- Skilled vs unskilled service distinction
- Therapy threshold tracking and KX modifier compliance
- Timed vs untimed coding and 8-minute rule application
- NCCI edits and modifier 59/XS/XE compliance
- Plan of care certification and progress note compliance
How we help
- OT-specific CPT and ICD-10 coding expertise
- Medical necessity and documentation review before submission
- Therapy threshold and KX modifier tracking
- Pediatric and Medicaid billing specialization
- Pre-claim audits to identify documentation gaps
- Denial appeals with OT-specific clinical rationale
Speech therapy
Speech-language pathology billing spans articulation and fluency disorders to complex dysphagia and AAC device management, each requiring precise coding and rigorous documentation. Our SLP team captures every service accurately to maximize legitimate reimbursement and safeguard compliance.
Common billing challenges
- Dysphagia and dynamic swallowing study billing errors
- Complex AAC device evaluation and device-supply coding
- Cognitive-communication documentation gaps (e.g., CPT 97129)
- Pediatric speech and language developmental tracking
- Evolving multi-state telepractice SLP compliance
- School-based vs outpatient professional billing distinctions
How we help
- Credentialed billing and coding experts specialized in SLP
- Dysphagia, RTM, and AAC billing logic optimization
- Current telehealth compliance and modifier alignment (95, GT, POS 02/10)
- Pediatric SLP documentation support for managed care audits
- Payer-specific coverage and prior-authorization verification
- Clinical denial management to appeal complex rejections
Mental & behavioral health
Mental and behavioral health billing carries unique requirements, from parity-law adherence and psychotherapy add-on coding to crisis service billing and telehealth rules. We help practices maximize revenue while staying compliant.
Common billing challenges
- Mental health parity compliance and underpayment risk
- Psychotherapy add-on coding with E/M (90833-90838)
- Crisis intervention billing (90839-90840)
- Telehealth billing (POS 02/10, modifier 95, payer rules)
- Substance use disorder (SUD) treatment billing
- Group and family therapy coding compliance
How we help
- Behavioral health CPT coding specialists
- Parity compliance and reimbursement optimization
- Telehealth billing across Medicare and commercial payers
- Crisis and psychotherapy add-on coding expertise
- CoCM (99492-99494) and BHI (99484) billing support
- Denial appeals with clinical and parity-based arguments
Chiropractic
Chiropractic billing requires precise documentation of medical necessity, CMT coding, and compliance with payer-specific coverage requirements. Our specialists help practices reduce denials, maintain compliance, and maximize legitimate reimbursement.
Common billing challenges
- Medical necessity documentation for spinal manipulation
- Maintenance vs active/corrective care distinctions
- Medicare CMT coding (98940-98942) and AT modifier compliance
- Payer-specific visit limits and authorization requirements
- Modifier and bundling compliance (NCCI edits)
- Personal injury and workers' compensation billing
How we help
- Chiropractic-specific CPT and ICD-10 coding expertise
- Medicare AT modifier and CMT compliance review
- Medical necessity and SOAP note documentation support
- Therapeutic modality billing and bundling compliance
- PI and workers' compensation billing specialization
- Denial appeals with chiropractic-specific rationale
Rehab practices
RCM support for rehab providers managing therapy-related services, authorization requirements, medical necessity documentation, payer rules, and ongoing claim follow-up to reduce denials and maintain steady cash flow.
Common billing challenges
- Authorization and prior approval tracking across payers
- Medical necessity documentation and compliance
- Timed procedure coding and 8-minute rule application
- Payer-specific visit limits and coverage rules
- Modifier and bundling compliance (NCCI edits)
- Claim follow-up and AR management
How we help
- Rehab-specific CPT and ICD-10 coding expertise
- Authorization tracking and payer follow-up
- Medical necessity and documentation review
- Pre-claim audits to reduce denials
- Denial appeals with clinical rationale
- AR recovery and payment posting
Outpatient specialty practices
Billing and RCM support for outpatient provider groups that need reliable claim submission, denial management, payment posting, AR follow-up, credentialing support, and revenue cycle oversight.
Common billing challenges
- Payer-specific coverage and billing rules
- Credentialing and provider enrollment
- Claim submission accuracy and clean claim rates
- Denial management and appeals
- Payment posting and reconciliation
- AR follow-up and aging management
How we help
- Specialty-specific CPT and ICD-10 coding
- Credentialing and provider enrollment support
- Clean claim submission and pre-submission audits
- Payment posting and reconciliation
- AR follow-up and aging management
- Revenue cycle reporting and analytics
Independent healthcare practices
Revenue cycle support for independent practices seeking better billing workflows, cleaner claims, stronger follow-up, and improved cash flow without losing visibility into their revenue.
Common billing challenges
- Limited internal billing resources and staff
- Payer enrollment and credentialing gaps
- Inconsistent claim submission and follow-up
- Denial management without dedicated staff
- Cash flow instability from billing delays
- Balancing patient care with billing operations
How we help
- Full-service billing and RCM support
- Credentialing and payer enrollment
- Clean claim submission and pre-submission review
- Denial management and appeals
- Payment posting and AR follow-up
- Dedicated account management and support
Your specialty deserves a specialist
Let's talk about the specific billing challenges your practice faces.