Skip to main content
Medclaim Services Logo

Menu

Free Billing Audit

Specialties

Medical Billing by Specialty

A biller who knows general claim rules can still miss what matters most in your specialty: the global period on an orthopedic case, the time range on a psychotherapy code, the relief threshold before a radiofrequency ablation. Each specialty page explains the rules that drive payment in that field.

  • Workflows built around each specialty's code families and modifiers
  • Denial prevention based on the triggers your specialty actually faces
  • Multi-specialty groups billed with each provider's own rules
Request a Free Billing Audit

Why specialty matters in medical billing

Payers apply the same claim format to everyone, but very different rules underneath it. Surgical specialties live with global periods and multiple-procedure reductions. Behavioral health is billed by session time. Therapy practices count minutes into units. Diagnostic specialties split professional and technical components. A billing process that ignores those differences produces the same denials every week.

That is why each specialty page below starts from that field's real code families, documentation requirements and payer behaviour, rather than a general description of billing. Where two specialties overlap, the pages say what is different.

Specialties we bill for

Choose your specialty to see the codes, denial causes and workflow that apply to it.

Where related specialties bill differently

Some specialties share patients or codes but follow different payment rules. These are the overlaps we are asked about most.

Pairs of related specialties, what they share and how their billing differs
SpecialtiesWhat they shareWhat differs in billing
Mental health and psychiatryDiagnoses, patients and psychotherapy.Therapists bill stand-alone time-based psychotherapy codes; prescribers bill E/M visits with psychotherapy add-ons, plus procedures such as TMS.
Physical therapy and chiropracticMusculoskeletal patients and some exercise and manual therapy codes.Therapy is paid in timed units under a certified plan of care; chiropractic depends on manipulation codes, subluxation documentation and active-care rules.
Orthopedics and pain managementSpine patients and some injection codes.Orthopedic billing is anchored in surgical global periods; pain management in repeat procedures governed by frequency and relief requirements.
Dermatology and plastic surgerySkin lesion removal and repairs.Dermatology turns on biopsy, destruction and Mohs coding; plastic surgery on the line between reconstructive and cosmetic work.
Internal medicine and family practicePrimary care E/M, preventive visits and chronic care.Family practice adds pediatric preventive care and vaccines; internal medicine concentrates on complex adult chronic conditions.

Frequently asked questions

Can you bill for a multi-specialty group?

Yes. Each provider's claims follow the rules of their own specialty, with payer settings such as bilateral formats or telehealth rules configured per specialty rather than once for the whole group. That is how we set up multi-specialty groups.

My specialty is not listed. Can you still help?

We also work with specialties not listed here. Contact us with your specialty and main payers.

Are your billers and coders assigned by specialty?

Work is organized by specialty, with experienced billing and coding specialists for each and a dedicated account manager as your main contact.

What should we look for in a specialty billing company?

Ask how they handle the two or three rules that drive most of your denials, such as global periods, time-based codes or authorization criteria, and how they would show you the results. A general answer to a specialty-specific question is a warning sign.

See how your specialty's claims are performing

A free audit groups your denials by the rules specific to your specialty and shows where the biggest fixes are.

Request a Free Billing Audit