At BillingParadise, we understand that medical billing specialties can be a complex and time-consuming process, especially for multi-specialty and specialty healthcare providers. That's why we offer comprehensive medical billing services that are tailored to the specific needs of different medical specialties in the United States.
Our team of experienced specialty billing experts and specialty-certified coders can help large multi-facility specialty medical practices and the largest specialty physician group practices manage their revenue cycle, and medical billing & coding processes, reduce denials and improve their bottom line.
Over the course of 18+ years, we have worked with various medical billing specialties. Healthcare providers with particular specialties are always concerned
about the medical billing service providers they hire. Here is why BillingParadise differs from those medical billing companies:
Flexible and scalable staffing that can be customized according to your specialty.
Medical billers and coders with 5+ years of experience in every healthcare specialty in the industry.
Expertise in specialty-specific EMR/EHRs.
Chief of client services with over 30 years of service with large medical specialty groups.
Experienced in various specialty-specific health plans/insurance
Strong presence in various locations in the United States.
We offer extensive experience in medical billing and coding across more than 30 different medical specialties. For almost two decades, we have been providing top-quality specialty medical billing and coding services, as well as accounts receivable management, to healthcare providers, physician practices, medical/clinical groups, and healthcare software providers. Our team has honed its skills and refined its processes to deliver services of the highest quality.
Patient Appointment Scheduling
Patient Registration
Patient Eligibility, and Benefits Verification
Patient Demographics
Prior-Authorization
Charge Capture and Entry
Coding and Coding Audit
Claim Transmission/Submission
Clearinghouse Rejection Resolution
Payment Posting and Reconciliation
Accounts Receivables (AR) Management
Denial Management
Submission of Additional Information and Appeals
Patient Statements
Patient Calling and Support
Analytics and Reporting
How Large physician practices, clinical groups, and multi-specialty medical groups should know this specialty revenue cycle management and medical billing services checklist:
Days in Accounts Receivable (A/R)
Percentage of A/R Over 90 Days
Non-Contractual Write-Off Percentage
New Patient Ratio
Payer Mix
Referral Mix
Tracking of days in accounts receivable (AR).
Calculate the average hold time, wait time and time to appointment for established patients.
Analyses Total revenue and AR by provider.
Evaluate rejection and denial rates.
Number of patient encounters per provider monthly or quarterly.
RVU (Relative Value Unit) tracking.
Number of procedures performed per provider
Calculating total payroll as a percentage.
Calculate the average hold time, wait time and time to appointment for new patients.
Assess adjustments as a percentage and dollar figure.
KPI and daily, weekly, and monthly reports.
Transparency regarding outsourced or in-house RCM performance.
Designated project manager or supervisors to contact directly.
24-hour problem resolution TAT.First Pass Claim Acceptance Rate
Medical Coding errors Reduced
Accounts Receivables Reduced
Insurance collections improved
RCM Operations costs reduced
Claim denials reduced
RCM Operations Costs Reduced
Overall Cash Flow Increased
Overall RCM Accuracy
Yes, behavioral health is one of our core specialties. We handle psychiatry, psychology, counseling, LCSW, LMFT, and group therapy billing. Our team understands modifier requirements (95, GT, HO), place of service codes, crisis intervention billing, and payer-specific behavioral health policies. We also manage the unique challenges of mental health billing including session-based documentation and carve-out plans.
Absolutely. We're experts in telehealth billing across all specialties, including telepsychiatry. We manage platform requirements, originating and distant site billing, audio-only services, state-specific telehealth regulations, and payer coverage variations for virtual care delivery.
Yes, we provide comprehensive hospital billing for both inpatient and outpatient services including DRG-based claims, APC billing, UB-04 submissions, revenue codes, and chargemaster management while ensuring compliance with Medicare IPPS and OPPS regulations.
Yes, we specialize in pathology and laboratory billing including clinical pathology, anatomic pathology, molecular diagnostics, and reference laboratory billing. We handle TC/PC/global billing splits, LCD compliance, ABN processing, and complex panel coding.
Yes, cardiology is a key specialty for us. We manage billing for EKGs, echocardiograms, stress tests, cardiac catheterization, EP studies, and hospital reading services with correct modifier usage and compliance.
Yes, we provide specialized podiatry billing including routine foot care determination, class findings documentation, nail and callus procedures, diabetic shoe programs, and surgical billing.
Yes, we offer comprehensive anesthesia billing including time-based calculations, base unit assignments, physical status modifiers, monitored anesthesia care (MAC), and CRNA versus anesthesiologist billing scenarios.
Yes, we manage PT, OT, and speech therapy billing including therapy caps, KX modifiers, evaluations, re-evaluations, and Medicare therapy documentation requirements.
Yes, we support ophthalmology billing including cataract surgery, glaucoma management, retinal procedures, routine vs medical eye exams, and vision plan vs medical insurance billing.
Yes, we provide expertise in ABA therapy billing including H-codes and CPT codes, treatment plans, and Medicaid programs. For substance abuse treatment we manage MAT, IOP/PHP programs, and confidentiality compliance.
Yes, we specialize in workers’ compensation billing including state fee schedules, TPA submissions, bill review responses, treatment plan documentation, and lien filing when required.
In many cases yes. Workers' compensation often allows claims submission using provider license numbers while credentialing is still in process depending on state and carrier requirements.
Yes, we handle emergency and non-emergency ambulance billing including ALS/BLS classification, base rates, mileage billing, trip logs, and Medicare ambulance fee schedule compliance.
Yes, our DME billing services include prior authorization, CMN processing, HCPCS coding, rental vs purchase determination, supplier enrollment, and Medicare competitive bidding compliance.
Yes, we provide home health and hospice billing including PDGM episode management, OASIS coordination, LUPA prevention strategies, hospice cap monitoring, and CMS compliance.
Yes, we manage billing for mobile clinics, community health units, and temporary service locations including correct place-of-service coding and payer coordination for multi-location operations.
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