Specialty Medical Billing
Billing support for clinical specialties where payer rules, code sets, and authorization requirements differ from general billing. Cardiology, neurology, orthopedics, oncology, and more.
Specialty billing requires more than a knowledge of basic CPT codes. Each clinical specialty has its own procedure code sets, modifier rules, prior authorization requirements, and payer-specific coverage policies. Errors in specialty billing create denial rates significantly higher than general medical billing.
Medsure RCS provides specialty medical billing support for physician practices across Florida. We assign billing team members based on specialty experience, ensuring each claim is handled by someone familiar with the specific code sets, payer policies, and documentation requirements that specialty requires.
Cardiology
Radiology
Urology
Podiatry
Nephrology
Oncology
Each specialty has dedicated billing workflows, code sets, and payer requirements that differ from general medical billing.
Cardiology Billing
Invasive and non-invasive cardiology CPT codes, interventional procedures, device management, and authorization tracking.
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Dermatology Billing
Excision coding by size and site, Mohs surgery billing, destruction codes, and cosmetic vs medical separation.
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Emergency Medicine Billing
Emergency department E/M acuity coding, critical care capture, retroactive coverage discovery, and prudent layperson denial appeals.
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DME Billing
Durable medical equipment billing with HCPCS coding, documentation compliance, prior authorization tracking, and rental versus purchase handling.
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Dialysis and ESRD Billing
Dialysis and ESRD billing with monthly capitation management, treatment count reconciliation, home dialysis billing, and missed-session handling.
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Rural Health Clinic Billing
Rural health clinic billing with all-inclusive rate claims, qualified visit determination, UB-04 submission, and cost reporting support.
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Neurosurgery Billing
Neurosurgery billing covering global surgical packages, co-surgeon and assistant modifiers, spinal instrumentation, and high-value claim appeals.
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General Surgery Billing
General surgery billing with global period management, staged and related procedure modifiers, NCCI bundling checks, and operative note coding.
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ABA Therapy Billing
ABA therapy billing with authorization unit tracking, session note compliance, provider credentialing, and Florida Medicaid and commercial claims.
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Gastroenterology Billing
Colonoscopy and endoscopy coding, NCCI bundling rules, preventive vs diagnostic classification, and GI infusion billing.
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Home Health Billing
PDGM 30-day payment period billing, OASIS-matched claims, NOA timely filing, LUPA review, and home health denial management.
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Mental and Behavioral Health Billing
Time-based psychotherapy codes, psychiatry E/M with add-ons, telehealth billing, and parity compliance.
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Neurology Billing
Electrodiagnostic study coding, EEG and evoked potential billing, neurostimulator management, and botulinum toxin codes.
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Nephrology Billing
ESRD monthly capitation coding, dialysis procedure billing, CKD management, and transplant transitions.
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OB/GYN Billing
Global obstetric package billing, cesarean and vaginal delivery codes, GYN procedure coding, and prenatal visit billing.
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Ophthalmology Billing
Medical vs vision insurance separation, cataract surgery billing, retina procedures, and premium IOL management.
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Orthopedic Billing
Joint replacement billing, arthroscopy coding, fracture care, global period management, and modifier accuracy.
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Pain Management Billing
Spinal injection coding by level, imaging guidance billing, SCS and implant management, and authorization workflows.
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Pediatric Billing
Well-child visit coding by age, immunization administration billing, Florida Medicaid and EPSDT compliance.
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Physical Therapy Billing
8-minute rule unit calculation, timed vs untimed codes, KX modifier management, and functional limitation G-codes.
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Primary Care Billing
Current E/M guideline coding, chronic care management billing, annual wellness visits, and TCM billing.
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Urgent Care Billing
High-volume E/M coding, place of service code 20, procedure billing, and workers compensation handling.
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Podiatry Billing
Routine vs covered foot care separation, nail care exception documentation, surgical coding, and diabetic footwear billing.
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Radiology Billing
Professional and technical component billing, all imaging modalities, interventional radiology, and teleradiology support.
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Oncology Billing
Chemotherapy infusion hierarchy, biologic J-code billing, radiation oncology coding, and authorization management.
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Pulmonology Billing
Bronchoscopy procedure coding, PFT battery billing, sleep study classification, and CPAP DME coordination.
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Endocrinology Billing
Diabetes E/M coding, CGM professional and personal billing, thyroid procedures, and hormone therapy management.
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Psychiatry Billing
Medication management E/M coding, psychotherapy add-on combinations, telepsychiatry billing, and parity compliance.
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