Specialties
Audiology
Assign the appropriate modifiers common to an Audiology practice for hearing testing, as well as hearing aid services
Knowledge in the rules and regulations for Medicare and Medicaid billing of services
Assignment of CPT Codes for Audiograms, Tympanograms, Auditory Brainstem Response Testing
Cardiology
Assign the appropriate modifiers common to cardiology visits and/or surgeries specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of appropriate CPT codes for surgical procedures performed by cardiologists such as heart catheterization, coronary interventions, pacemakers, peripheral vascular procedures, etc.
Dermatology
Assign the appropriate modifiers common to a dermatologist’s office visit and/or surgeries specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for surgical procedures performed by dermatologists such as scar revisions, facial repairs, excision of lesions with repair and MOHS
Endocrinology
Assign the appropriate modifiers common to an endocrinologist’s office visit and/or procedures specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for services performed by an endocrinologist such as laboratory, ultrasound and patient education
Family medicine
Assign the appropriate modifiers common to internal medicine visits and procedures specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits with mid-level providers
Familiar with billing and coding ancillary services performed in your practice such as EKG’s, Laboratory procedures, Injections, SudoScans, X-Rays, and Allergy testing
Gastroenterology
Assign the appropriate modifiers common to a gastroenterology office visit and/or surgeries specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of appropriate CPT codes for of surgical procedures performed by gastroenterologists such as colon resection, upper GI endoscopy, colonoscopy and ERCP
General Surgery
Assign the appropriate modifiers common to a general surgeon’s office visits and/or surgeries specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of appropriate CPT codes for of surgical procedures performed by general surgeons such as colonoscopy, hernia repairs, and breast procedures
Hematology / Oncology
Assign the appropriate modifiers common to a hematology and oncology practice for office visits and procedures as per specific payer guidelines
Have the knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for procedures rendered such as chemotherapy, radiation, infusion, biopsies and excisions
Hospital Medicine
Assign the appropriate modifiers common to inpatient visits and procedures specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits with mid-level providers
Assignment of CPT codes for services performed by a hospitalist such as EKG interpretation, X-Ray interpretation, ventilator management and endotracheal intubation
Maternal & Fetal Medicine
Assign the appropriate modifiers common to a perinatologist office visit and/or procedures specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of appropriate CPT codes for services performed by perinatologists such as CVS, amniocentesis, ultrasound and fetal surgery
Nephrology
Assign the appropriate modifiers common to a nephrology practice for office visits and/or procedures as per specific payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for procedures and testing performed by a nephrologist such as renal biopsy, hemodialysis and pyelogram
Neurology
Assign the appropriate modifiers common to a Neurology practice for office visits as per specific payer guidelines
Have the knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for in office testing and procedures performed by a Neurologist such as Botox Injections for Migraines and Nerve conduction studies.
Obstetrics / Gynecology
Assign the appropriate modifiers common to an OB or gynecological office visit and/or surgeries specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Have knowledge of the rules and regulations for Medicaid billing
Assignment of appropriate CPT codes for surgical procedures performed by OB/GYN physicians such as hysterectomy, biopsies and colpopexy
Orthopaedics
Assign the appropriate modifiers common to orthopedic visits and/or surgeries specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of appropriate CPT codes for surgical procedures commonly performed by orthopedists such as arthroscopic surgeries, fracture repairs and spine surgeries
Otorhinolaryngology
Assign the appropriate modifiers common to an ENT practice for office visits and/or surgeries as per specific payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for surgical procedures performed by ENT physicians such as SeptoRhinoplasty, Endoscopic Sinus Surgery, Tympanoplasty, Tonsillectomy, Adenoidectomy and various Head & Neck Surgeries
Assignment of CPT Codes for testing or treatment performed in an ENT office such as Audiograms, Typanograms, Allergy testing and Immunotherapy
Pathology
Follow AMA guidelines for pathology coding
Knowledge and understanding of Specimen VS. Unit of Service
Assignment of CPT codes and appropriate modifiers for services provided by a Pathologist
Pediatrics
Assign the appropriate modifiers common to pediatric medicine visits and procedures specific to payer guidelines
Familiar with billing and coding for procedures performed in a pediatric practice such as Immunizations, Wellness exams, dental and vision screening services
Plastic and Reconstructive Surgery
Assign the appropriate modifiers common to a plastic surgery office visit and/or surgeries specific to payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for surgical procedures performed by plastic and reconstructive specialists such as scar revisions, facial repairs, excision of lesions with repair and cosmetic surgeries
Pulmonology
Assign the appropriate modifiers common to a Pulmonology practice for office visits and/or procedures as per specific payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for in office testing and procedures performed by a Pulmonologist such as Spirometry, Pulmonary Function Tests
Radiology
Assign the appropriate modifiers common to a Radiology facility as per specific payer guidelines
Have knowledge of the rules and regulations of Medicare billing including technical and professional components
Assignment of CPT Codes for various Radiological exams to include CT, MRI, Nuclear Studies, Myelograms, plain film xrays and Ultrasound
Assignment of HCPCS codes for Contrasts Used by the Radiologist for various studies
Urology
Assign the appropriate modifiers common to a Urology practice for office visits and/or procedures as per specific payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for procedures or testing performed by a Urologist such as Pyelogram, Cystoscopy, Bladder Biopsy, Lithotripsy and Transurethral Resection of the Prostate
Vascular Surgery
Assign the appropriate modifiers common to a Vascular practice for office visits and/or procedures as per specific payer guidelines
Have knowledge of the rules and regulations of Medicare billing including incident to, teaching situations and shared visits
Assignment of CPT Codes for surgical procedures performed by a Vascular surgeon such as endovascular surgical interventions, bypass surgery, treatment of aneurysms and endovenous laser therapy