Medical Billing by Specialty
Billing rules are written specialty by specialty. Choose yours for the coding, authorization and payer realities we manage daily.
A cardiology claim and a psychotherapy claim obey almost no rules in common. That is why Elite Bill Care organizes billing by specialty: each specialty below has its own page covering the coding logic, documentation standards, authorization patterns and denial profile we manage for that field — inside our full medical billing services.
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Specialties we serve
Mental Health & Psychiatry
Time-based coding, carve-outs and telehealth rules.
Physical Therapy
Timed units, certifications and visit caps.
Occupational Therapy
Function-based documentation and GO-modifier accuracy.
Speech Therapy
Evaluation coding and session-vs-unit logic.
Chiropractic
AT-modifier discipline and Medicare subluxation rules.
Pediatrics
Age-based preventive coding and vaccine billing.
Podiatry
Routine-care exclusions, Q modifiers and surgery.
Family Medicine
High-volume primary care and wellness visits.
Internal Medicine
Complex E/M, G2211 and care-management programs.
Cardiology
Diagnostics, cath hierarchies and device billing.
Dermatology
Biopsy, destruction, excision and Mohs logic.
Neurology
EEG/EMG families, infusion and chemodenervation.
Gastroenterology
Screening-vs-diagnostic colonoscopy rules.
Orthopedics
Global periods, fracture care and injections.
Pain Management
Interventional procedures and screening compliance.
Urgent Care
POS-20 accuracy and walk-in volume billing.
Dental
CDT coding, predeterminations and crossover claims.
Gynecology & OB/GYN
Global OB packages and well-woman care.
Home Health
PDGM periods, NOA and LUPA tracking.
Radiology
26/TC component splits and advanced-imaging authorizations.
Anesthesiology
ASA coding, time units and medical-direction modifiers.
Oncology
J-code unit accuracy, infusion hierarchy and drug wastage.
General Surgery
Global periods, op-report coding and surgical modifiers.
Emergency Medicine
E/M level defense, critical-care time and downcoding appeals.
Pathology
Panel bundling, NCCI edits and component billing.
Ophthalmology
Eye codes vs E/M, global periods and injection billing.
Urology
Cystoscopy bundling and medical-necessity documentation.
Nephrology
Dialysis capitation, ESRD rules and vascular access.
Endocrinology
Diabetes MDM coding, CGM and chronic care management.
Pulmonology
Sleep studies, PFT components and prior authorizations.
Rheumatology
Infusion sequencing, J-code units and biologic billing.
DME
HCPCS coding, written orders and capped-rental tracking.
Hospice
Per-diem levels of care and election-period billing.
FQHC
PPS encounter billing and wraparound recovery.
Sleep Medicine
Sleep studies, prior auth and PAP documentation.
Wound Care
Debridement, skin substitutes and HBO billing.
Hospitalist
Inpatient E/M, split/shared visits and discharge billing.
Ambulatory Surgery Center
Facility fees, implants and multiple-procedure rules.
Substance Abuse
Levels of care, per-diems and carve-out benefits.
Optometry
Medical vs vision-plan billing and testing frequency.
Allergy & Immunology
Testing, antigen preparation and immunotherapy units.
Primary Care
E/M coding, wellness visits and care management.
ABA Therapy
Adaptive behavior codes and authorization unit budgets.
Skilled Nursing
Consolidated billing, PDPM and benefit-day tracking.
Radiation Oncology
Planning, delivery and weekly treatment management.
Infectious Disease
Consults, prolonged services and OPAT tracking.
Neurosurgery
Spine and cranial coding, globals and authorizations.
Vascular Surgery
Catheter procedures and diagnostic-to-interventional splits.
Plastic Surgery
Reconstructive coverage and documented authorizations.
Sports Medicine
Imaging, bracing and workers' comp billing.
ENT (Otolaryngology)
Scopes, sinus surgery and same-session bundling rules.
Clinical Laboratory
CLFS testing, medical-necessity edits and panel billing.
Fertility & IVF
ART cycle coding, benefit managers and state mandates.
Don't see your specialty?
This list reflects where we have built dedicated workflows. Many other specialties share their rule patterns — ask us in a free consultation and we will be direct about fit rather than optimistic. New practices can also start from our practice setup service.