Medical Billing Built Around Your Specialty
Coding rules, modifiers and payer policies differ from one specialty to the next. We handle billing, coding and credentialing with those differences in mind.
Find Your Specialty
Pick the group closest to your practice. The list is not exhaustive, so if yours is missing, just ask.
Primary & Family Care
Everyday care, walk-in and acute settings.
- Family Medicine
- General Practice
- Internal Medicine
- Pediatrics
- Geriatrics
- Urgent Care
- Emergency Medicine
- Osteopathic
- Infectious Disease
Surgical & Procedural
Surgical and procedure-based practices.
- General Surgery
- Vascular Surgery
- Plastic Surgery
- Orthopedics
- Sports Medicine
- Podiatry
- Urology
- ENT / Otolaryngology
- Ophthalmology
- Dermatology
- Oral & Maxillofacial
Behavioral Health & Therapy
Time-based, authorization-heavy services.
- Psychiatry
- Mental Health
- ABA Therapy
- Physical Therapy
- Occupational Therapy
- Speech Therapy
- Chiropractic
- Pain Management
Medical Specialties
Complex care with specialty-specific codes.
- Cardiology
- Neurology
- Gastroenterology
- Hepatology
- Endocrinology
- Hematology
- Oncology
- Neonatology
Diagnostics & Hospital-Based
Hospital-based and ancillary services.
- Laboratory
- Pathology
- Radiology
- Anesthesia
Transport, Equipment & Dental
Transport, equipment and dental billing.
- NEMT / EMT
- DME
- Dentistry
What Changes By Specialty
The same claim can be paid or denied depending on rules that only apply to your type of practice. These are some of the things we watch for.
Surgery
Global periods, modifiers such as 22, 51 and 59, assistant surgeon rules and multiple-procedure edits.
Anesthesia
Time-based units, base units and payer-specific modifier requirements.
Radiology & Pathology
Professional versus technical component billing, global billing and modifiers 26 and TC.
Behavioral Health
Time-based psychotherapy codes, telehealth rules and authorization tracking.
PT, OT & Speech
Timed codes, therapy modifiers, visit limits and authorization units.
ABA Therapy
Authorization units, supervised-staff billing and payer-specific program rules.
Oncology
Drug and infusion coding, billing units, medical necessity and prior authorization.
Laboratory
Panel and unbundling edits, medical necessity policies and payer coverage rules.
DME & NEMT
HCPCS coding, medical necessity paperwork, prior authorization and trip documentation.
Included With Every Specialty
Whatever your specialty, the work follows the same path from charge to payment, adapted to your payers and your services.
- Specialty-aware charge entry and coding review
- Clean claim submission with rejection follow-up
- Denial management and appeals
- Payer enrollment and credentialing support
- Clear reporting on claims, denials and collections
- HIPAA-minded handling of patient information
Don't See Your Specialty?
Tell us about your practice and we will let you know how we can help. A billing specialist will reply during business hours, Monday to Saturday, 8 am to 8 pm.
You can also call (307) 300-9272 or email hello@alpharcmsolutions.com.
Ask About Your Specialty
Specialty Billing FAQs
We support primary care, surgical, behavioral health, therapy, diagnostic, medical specialty, DME, NEMT and dental practices. See the groups above, and ask us if yours is not listed.
Yes. Coding rules such as modifiers, global periods, time-based codes and professional versus technical components are reviewed with your specialty in mind. See our medical coding and medical audit services.
In most cases we can work in the system you already use. We confirm access and setup with you during onboarding.
Yes. We help providers enroll with payers and complete credentialing. See our credentialing service.
It depends on your specialty, claim volume and the services you need. See our pricing page or book a free consultation for a quote.
Yes. We report on claims, rejections, denials and collections so you can see how your specialty’s claims are performing.