Find your specialty billing page
Each page below names the claims that specialty files, where those claims get denied or underpaid, what we take over and how the work is priced. Pages are grouped by practice type, so start in the group that matches yours. A group practice with several specialties can use each relevant page.
Behavioral health & therapy
- Mental Health Billing Services from 7.0%, $0 SetupBilling for therapists, psychologists and psychiatric practices from 7.0% of insurance payments.
- Physical Therapy Billing Services: PT, OT, SLP, From 6.5%PT, OT and speech billing from 6.5% of insurance payments: units, plans of care, denials, posting.
- ABA Therapy Billing Services for Agencies, From 7.5%ABA billing for agencies: unit counts, authorization tracking and denials handled, from 7.5% of insurance payments.
- Chiropractic Billing Services for Clinics, From 6.5%Chiropractic claims from signed note to posted payment, Medicare active and maintenance care handled, from 6.5%.
Surgical & procedural
- Anesthesia Billing Services for Anesthesia and CRNA GroupsAnesthesia cases billed from signed record to posted payment, care-team modifiers checked against your log. Priced by written quote.
- Dermatology Billing Services From 5.0%: Mohs, BiopsiesMohs stages, biopsies, excisions and repairs billed from your notes, from 5.0% of insurance payments.
- Gastroenterology Billing Services From 5.0% for GI PracticesColonoscopy, EGD and ERCP claims billed from signed report to posted payment, from 5.0% of insurance payments.
- Orthopedic Billing Services From 5.0%: Surgery & Post-OpSurgery, arthroscopy and joint-injection claims with every 90-day global tracked, from 5.0% of insurance payments.
- Urology Billing Services From 5.0%: BPH, Stones, BiopsyOffice, ASC and hospital urology claims, from scopes and stones to in-office injections, from 5.0% of insurance payments.
Diagnostics & ancillary
- DME Billing Services for HME and O&P Suppliers, $0 SetupDME, HME and O&P claims taken over: orders checked before delivery, rentals tracked to month 13, every denial worked.
- Radiology Billing Services for Imaging Centers and GroupsRead, technical and global imaging claims billed by site and scanner, with authorization tracking, priced by written quote.
Facility & post-acute
Primary & urgent care
- Primary Care & Internal Medicine Billing Services From 5.5%Family and internal medicine billing: visits, wellness, CCM, TCM and remote monitoring, from 5.5% of insurance payments.
- Urgent Care Billing Services From 5.5%, $0 SetupUrgent care billing for single and multi-site centers, from 5.5% of insurance payments, month to month.
- OB/GYN Billing Services: Maternity & GYN Claims From 5.0%Global, split and transfer-of-care maternity claims billed to the practice that gave the care, from 5.0%.
- Pediatric Billing Services From 5.5%: VFC & MedicaidWell-child checkups, VFC vaccine administration and Medicaid or CHIP claims, from 5.5% of insurance payments.
Medical specialties
- Cardiology Billing Services From 5.0%: Echo, Cath, EPEcho, vascular lab, cath, PCI, EP and device claims billed by component and artery, from 5.0% of insurance payments.
- Oncology Billing Services From 5.0%: Infusion & J-CodesInfusion administration and J-code drug claims billed from chair to posted payment, from 5.0% of insurance payments.
What medical billing by specialty costs
Your rate depends on the specialty group of each clinician and on practice size, always as a share of insurance payments: 0% of patient payments and $0 setup. Month to month. Leave with 30 days' written notice. No termination fee. The full rate card, fee base and exclusions are on the medical billing pricing page.
Practices outside the rate card
16+ clinicians, or anesthesia, radiology, DME, lab and home health: written quote within 1 business day, same fee base, cap and terms. Invoices 1–3: only percentage fees on that month's insurance payments, plus any statements or add-ons you order. Percentage fees and mailed statements are capped at 9.0% of that month's insurance payments; from invoice 4, the $400 minimum applies even in a month when the cap comes to less.
| Specialty group | 1 clinician | 2–5 clinicians | 6–15 clinicians |
|---|---|---|---|
| Mental & behavioral health | 8.0% | 7.5% | 7.0% |
| ABA therapy | 8.5% | 8.0% | 7.5% |
| PT, OT, speech & chiropractic | 7.5% | 7.0% | 6.5% |
| Primary care, pediatrics & urgent care | 6.5% | 6.0% | 5.5% |
| Specialist physician groups | 6.0% | 5.5% | 5.0% |
Choose by workflow when the specialty is only part of it
A specialty page describes the practice context. A service page explains that part of the work and whether it is included in a billing plan or scoped separately. Start with the issue below, then use the linked service to discuss ownership and deliverables.
| Your immediate priority | A useful starting scope | What to prepare |
|---|---|---|
| Unfinished billing across several stages | Medical billing or revenue cycle management | Current queues, systems and retained responsibilities |
| Recurring payer denials | Denial management | Payer messages, response history and deadlines |
| New clinicians or locations | Credentialing and enrollment | Clinician roster, entity and location information |
| Unclear specialty-level performance | Revenue cycle analytics | Report definitions, periods and reporting dimensions |
Build a clear practice overview
Start with the people, systems and open work
A practice overview lets us scope the work and quote the right rate. Prepare these before the first call:
- Clinicians by specialty, with their rendering NPIs and locations.
- Your practice-management system and clearinghouse.
- An aging report of unpaid insurance claims.
- The billing tasks your staff will keep.
For a single office, the small-practice billing scope separates routine work from owner decisions. Groups can start with revenue cycle management.
Choose the handoff that needs attention
Use denial management for payer responses that need investigation, or credentialing and payer enrollment for provider participation work. These are different assignments with different inputs. Keep patient records and account credentials out of an initial inquiry; send them only after a business associate agreement is signed.
Start with your aged claims
If claims are already past 90 days, start with The Free A/R Deadline Map. A claim-by-claim list of every unpaid insurance claim over 90 days in the aging report you send: payer, amount, the deadline it faces, the denial reason and the next action, sorted by deadline. It arrives in 5 business days. Clock starts with your claim-level aging export and signed BAA; above 10 requests in a week, we confirm your date within 1 business day.
Common questions
- Does a specialty label define the whole billing scope?
- No. The relevant work also depends on clinicians, locations, payers, systems and the responsibilities retained by the practice. Discuss those details before agreeing on the engagement.
- Can a small practice outsource only part of billing?
- Credentialing, inherited A/R recovery and scoped billing audits can be separate engagements. Payment posting, denial follow-up and eligibility work are included in the billing plans described on their service pages; they are not separately priced queue services. Confirm the work and retained responsibilities in the written scope.
- How is billing priced for a practice with several specialties?
- Multi-specialty practices: each clinician's claims are billed at that clinician's segment rate; the size band counts every clinician. The rate card lists each specialty group's rate by practice size.
- Who answers clinical documentation questions?
- The responsible clinician must resolve clinical questions. Billing support can identify missing information and route the request; the working agreement should explain that escalation process.
- What information belongs in an initial inquiry?
- Describe your practice type, approximate clinician count, current system and billing priorities. Do not include patient records, claim numbers, account passwords or payer credentials.
- What if my specialty has no page yet?
- Ask anyway. 16+ clinicians, or anesthesia, radiology, DME, lab and home health: written quote within 1 business day, same fee base, cap and terms. Invoices 1–3: only percentage fees on that month's insurance payments, plus any statements or add-ons you order. Percentage fees and mailed statements are capped at 9.0% of that month's insurance payments; from invoice 4, the $400 minimum applies even in a month when the cap comes to less.