Medical specialties we work with
A biller who does not know your specialty is not a biller. They are a liability.
Every specialty has distinct billing rules. The rules that apply to a cardiology claim are not the same ones that determine reimbursement in behavioral health, surgery, radiology, or physical therapy. Treating them the same is where revenue starts leaking. A biller who does not understand your specialty’s coding, payer rules, and documentation requirements will cost you revenue, no matter how fast they submit claims.
MedHeave runs specialty-specific RCM operations built around the way your specialty actually works.
It took you years of clinical training to master your specialty.
Your billing should not be run by someone who learned it in a week.
Most practices do not lose revenue to one obvious billing failure. They lose it to a pattern of specialty-specific errors that a generic billing team is not trained to identify.
- A claim denied for incorrect modifier usage.
- A session denied because the authorization limit expired.
- A procedure underpaid because payer-specific rules were not followed.
- A surgical claim rejected for missing specialty documentation.
Individually, they look like routine denials. Add them up, and you see the reason your AR keeps growing, and your net collections never match what your practice actually earned.
This is why MedHeave does not run a generic billing operation. Every specialty we work in is handled by a team that is well-versed in billing, coding, payers, and the problems of your specialty before they take responsibility for your account.
Every specialty bills differently. Here is how we handle each.
Every specialty we work with has its own billing and coding requirements, payer expectations, and denial patterns. Instead of rotating general billers across them, we assign dedicated teams by specialty who already understand how your claims should be coded, submitted, followed up on, and resolved when something goes wrong.
Behavioral health
In behavioral health, missing eligibility or session tracking can cost several visits, not just one. We stay ahead of authorization limits, benefit caps, telehealth rules, and co-pay terms so billing stays steady through care.
Podiatry
For podiatry billing, we make sure modifiers like 25 and RT/LT are accurate, services align with global periods and payer edits, and orthotics always meet payer-specific authorization and DME requirements before claims go out.
Urgent care
We handle urgent care billing across walk-ins, diagnostics, and procedures. From there, we track payor coding rules, facility contracts, prior authorizations, and eligibility checks so claims never get delayed, cut, or denied.
Orthopedic
We handle orthopedic billing, making sure procedures get authorized upfront and modifiers like LT/RT and bilateral get applied well. Surgical cases with implants are coded and billed the way payers actually expect for payment.
Cardiology
Cardiology billing often triggers NCCI edit denials, bundling issues, and global period violations when E/M services and procedures are billed together. We manage coding and modifier logic to reduce denials and boost payments.
DME
DME billing is handled by aligning orders, documentation, and delivery timelines with payer rules. We apply HCPCS coding, manage capped rentals, and enforce refill limits so claims are never denied for missing paperwork today.
Pediatrics
In pediatrics, we handle well visits and immunizations, making sure vaccine administration and VFC eligibility are correct. Age-based coding stays accurate as well, so nothing gets missed, underbilled, or delayed at any visit.
Anesthesia
The accuracy of anesthesia billing depends on capturing start and stop times correctly. We ensure precise time capture, apply base units and modifiers, and handle medical direction & concurrency so each unit is billed right.
Plastic surgery
Plastic surgery billing depends on correctly separating elective and reconstructive procedures, where coverage and authorization rules vary by payer. We manage coding, documentation, and payer requirements to keep revenue predictable.
OB/GYN
OB/GYN billing involves global obstetric packages, prenatal and delivery coding splits, and multi-provider billing across the care cycle. We manage the modifier usage and payer rules so nothing is underpaid or missed.
Wound care
Wound care billing relies on accurate coding for debridement, grafts, and treatment documentation that supports medical necessity. We manage claims and AR follow-up to maintain steady reimbursement throughout treatment plans.
Neurology
Neurology billing involves complex testing, procedures coding, and E/M services that often require strong medical necessity documentation. We manage coding and payer requirements to reduce denials and avoid unnecessary appeals.
Allergy
Allergy billing involves testing panels, immunotherapy injection coding, and serum administration with units that vary by payer. We manage the coding and authorization requirements, so claims are not denied for frequency or medical necessity.
Nephrology
Nephrology billing runs on monthly capitation codes, dialysis modifiers, and ESRD-related services with Medicare-specific rules. We manage the billing cycles and payer requirements so monthly revenue stays consistent.
Urology
Urology billing involves surgical procedures, in-office diagnostics, and E/M services that frequently trigger bundling and modifier denials. We manage the NCCI edits and coding structure so claims are submitted correctly.
Oncology
Oncology billing requires drug administration coding, infusion time tracking, and J-code accuracy with payer-specific authorization for each treatment cycle. We manage the coding and auth workflow so reimbursement is not delayed between sessions.
ENT
ENT billing involves a mix of surgical procedures, in-office diagnostics, and audiological testing with modifier and bundling rules that vary by payer. We manage the coding logic so procedures are not underpaid or denied for bundling errors.
Radiology
Radiology billing requires accurate modifier 26/TC usage, component splits, and medical necessity documentation by study type. We manage coding and payer rules to prevent denials tied to missing components or incorrect modifiers.
Dietitian
Dietitian billing operates on proper referral documentation, benefit verification, and payer-specific coverage rules for nutrition therapy services. We manage authorizations and eligibility checks to reduce non-covered claim denials.
Dermatology
Dermatology billing involves destruction codes, biopsy coding, E/M services on the same date of service, and modifier 25 usage that payers scrutinize heavily. We manage the coding and documentation alignment so claims hold up under payer review.
Internal medicine
Internal medicine billing involves high-volume E/M services, chronic care management, and preventive visit coding with payer-specific wellness rules. We manage coding accuracy and visit distinctions to ensure proper reimbursement.
Family medicine
Family medicine billing includes E/M services, preventive care, and chronic care management across all age groups. We manage visit-level coding and documentation requirements to prevent downcoding and denials.
Surgery
Surgical billing involves global periods, assistant surgeon modifiers, co-surgery rules, and multiple procedure reductions. We manage coding and modifier logic so claims reflect the full scope of services performed.
Speech therapy
Speech therapy billing requires accurate evaluation and treatment coding, session-based authorization tracking, and strong medical necessity documentation. We manage auth limits and coding to prevent reimbursement interruptions mid-treatment.
Don’t see your specialty? We likely work in it.
Who works with us
You don’t need more patients.
You need better billing.
High patient volume and busy clinical operations do not automatically translate into predictable cash flow. As payer rules tighten and documentation requirements increase, even well-performing practices see revenue loss through preventable denials, missed charges, lack of prior authorization, and inconsistent follow-through.
MedHeave is built for specialties that are experiencing revenue loss from billing gaps, not from a lack of patient volume.
Specialty practices
We manage billing cycles of practices with multiple specialties where differences in coding, documentation, and payer expectations can lead to uneven billing outcomes if not managed consistently.
Primary care groups
We work with primary care groups where high patient volume requires precise billing processes to maintain steady and predictable cash flow.
Emergency departments
We assist emergency care settings where incomplete intake information and high denial rates require structured billing workflows and consistent follow-up.
Hospital systems
We support hospital systems that manage both facility and professional billing, helping maintain alignment across departments and reduce delays in reimbursement.
Multi-specialty practices
Multi-specialty practices require billing workflows that can handle different coding standards, payer rules, and documentation requirements across departments. From podiatry to oncology, our specialty-focused billers and coders manage RCM across every service line accurately.
Our services
Revenue cycle management isn’t your job. It’s ours.
Whether you run a single-provider practice or a multi-specialty group, our end-to-end RCM is designed to reduce the administrative burden on your staff, accelerate your collections, reduce denials, and give you full visibility into where your revenue stands.
Revenue cycle management
MedHeave manages your entire revenue cycle as one integrated system, covering eligibility, charge capture, coding, claim submission, and AR follow-up until fully paid.
Medical billing
We run your complete billing cycle, from charge entry through denial appeals, with a dedicated team accountable at every stage, so you generate revenue on every claim.
Medical coding
We review every diagnosis, procedure, and modifier against your documentation and payer-specific edits, so a coding error is never the reason you lose revenue overall.
Medical credentialing
We manage your credentialing cycle, from primary source verification to CAQH maintenance and PECOS enrollment, so lapsed credentials never cause a claim denial.
Prior authorization
We handle every prior authorization request with the exact documentation each payer needs, follow it through to approval, and appeal every denial so care never stalls.
Worker’s comp & no-fault billing
We verify claims, submit correct codes and documents within 24-48 hours, follow up with adjusters on delays, and manage denials & appeals until you get paid in full.
Denial management
Denial management runs as a dedicated function on our end, with the payer knowledge and the root-cause discipline to recover every dollar that belongs to the practice.
Patient billing
We confirm patient responsibility from EOBs, send up to three statements, make follow-up calls, and coordinate payment plans before escalating accounts to collections.
FAQs
Questions we often hear from providers like you.
These are the questions our operations team gets asked on every discovery call by providers that want to know exactly how their revenue cycle will be managed before they partner with us.
How does billing for my specialty differ from general medical billing?
Every specialty has its own coding logic, modifier rules, authorization requirements, and payer guidelines. General billing teams apply one workflow to all of them. That is why the same denials keep recurring.
Why does my practice have a high denial rate even though claims are submitted on time?
Timely submission does not mean accurate submission. Most recurring denials in specialty practices come from incorrect modifiers, missed authorizations, or coding that does not align with payer-specific rules for that specialty.
Can I switch billing companies without disrupting my cash flow?
Yes. MedHeave runs a structured 90-day transition. Denials are worked within 72 hours from day one. By day 30, we complete a full audit and operational assessment. By day 60, backlogs start clearing up, and by day 90, KPIs are baselined, and claim submissions are running consistently.
How do I know if my current billing company is losing me money?
Check three things. Is your denial rate above 10%? Is your 120+ aging bucket growing? Are the same CPT codes getting denied for the same reasons every month? If yes, your billing team likely lacks the specialty depth to prevent them.
What should I look for when choosing an RCM company for my specialty practice?
Ask if they assign dedicated teams by specialty. Ask for their first-pass rate, denial rate, and days in AR. If they cannot answer with specifics about your specialty’s coding and payer behavior, they are not equipped to manage your revenue cycle.
How long does it take to see results after outsourcing to a specialty RCM company?
Most practices begin seeing results within the first 90 days. Denials are worked from day one. AR stabilizes by day 60. By day 90, first-pass rate climbs above 90%, days in AR drop under 40, and net collection rate reaches above 97%.
You do not have a billing problem.
You have a biller problem.
Let us review your billing through the lens of your specialty. We will show you where you’re losing revenue, why it is happening, and what needs to change.
