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