OB/GYN Medical Billing Services
OB/GYN medical billing services break down on global obstetric package coding, antepartum visit
tracking, and high-risk pregnancy modifiers. Most billing vendors miss the global maternity bundle
versus separate component billing distinction, costing OB/GYN practices 8 to 12% of revenue annually.
Our OB/GYN billing team handles global obstetric packages (59400, 59410, 59510, 59515), antepartum
tracking through delivery, gynecology procedure coding, high-risk pregnancy modifiers, and the
postpartum care bundling that determines whether your delivery claim pays at full rate or denies for
unbundling violations.
Orthopedic Medical Billing Services
Orthopedic medical billing services require deep modifier expertise across multi-procedure surgeries,
joint replacements, fracture care, and DME billing. The modifier 51 multi-procedure rule, modifier 59
distinct procedural service application, and laterality modifiers (RT, LT, 50) determine whether
orthopedic claims pay at full rate or get downcoded by 25 to 50%. Our orthopedic billing team handles
surgical bundling rules, fracture care coding, implant coding precision, durable medical equipment
claims, and the workers compensation documentation that crushes orthopedic cash flow when handled by
generic billers without specialty depth.
Chiropractic Medical Billing Services
Chiropractic medical billing services live or die on AT modifier compliance, Medicare visit cap
tracking, and active treatment documentation. CMS aggressively audits chiropractic claims, and the AT
modifier (active treatment) versus maintenance care distinction determines reimbursement on every
claim. Our chiropractic billing team handles AT modifier application, Medicare 12-visit cap tracking,
manipulation coding (98940, 98941, 98942), active treatment documentation, and the audit-defense chart
preparation that protects chiropractic practices from CMS recoupment requests and post-payment audits
across every Medicare patient consistently.
Pain Management Medical Billing Services
Pain management medical billing services face the heaviest prior authorization volume in outpatient
billing. Epidural injections, nerve blocks, radiofrequency ablation, and pump refills almost always
require prior authorization, and modifier 50, RT, LT, and 59 precision determines payment at full rate
versus downcoded reimbursement. Our pain management billing team handles prior authorization submission
and tracking for every scheduled procedure, fluoroscopic guidance code application, spinal-level add-on
coding for facet joint injections, medical necessity documentation review, and the CO-50 and CO-197
denial appeal management pain management practices need.
Behavioral Health Medical Billing Services
Behavioral health medical billing services break down on three things: prior authorization gaps,
medical necessity reviews, and carve-out plan complexity across Magellan, Optum Behavioral, and Beacon
Health. The denials that dominate behavioral health are CO-50 (not medically necessary) and CO-197
(pre-authorization required). Our behavioral health billing team handles session-type coding accuracy
(90791, 90834, 90837, 90847), telehealth POS and modifier validation, ongoing authorization tracking
before sessions occur, parity rule appeal drafting, and the carve-out plan complexity that crushes
behavioral health cash flow when handled by generic billers.
