Industry denial
10.8%
OB/GYN
Global maternity, ultrasounds, surgical, contraceptive management.
Specialties
We know your codes.
Different specialties get denied for different reasons. We've built playbooks for each — and certified coders who actually work in them.
Industry denial
8.4%
Primary care
Internal med, family med, preventive coding (G/Z), wellness visits.
Industry denial
13.1%
Cardiology
EP, interventional, nuclear. Modifiers 26/TC, prior auth for cath.
Industry denial
14.7%
Orthopedics
Surgery + injection coding, DME billing, global periods, imaging.
Industry denial
11.3%
Mental health
CPT 90791/90837, parity rules, telehealth, group therapy.
Industry denial
9.6%
Dermatology
Excision sizing, Mohs, biopsies, modifier 25, cosmetic vs medical.
Industry denial
7.9%
Pediatrics
Well-child, vaccine admin, EPSDT, Medicaid programs by state.
Industry denial
12.4%
Surgery centers
ASC billing, anesthesia time units, implant invoices, OON pricing.
Industry denial
10.2%
Radiology
Professional vs technical, contrast, IR codes, mammography.
Industry denial
9.1%
Urgent care
S-codes by payer, observation, occupational, drug screens.
Industry denial
11.6%
Physical therapy
8-minute rule, KX modifier, plan-of-care recerts, Medicare caps.
Industry denial
10.5%
Multi-specialty
Cross-specialty fee schedules, multi-NPI, group reporting.
Specialty case studies
What it looks like in practice.
Cedar Creek Cardiology
Lifted net collection 19% in nine months.
+ 19%
Net collection
Read the story →
Northgate Orthopedics
Days in AR cut from 52 to 23 in two quarters.
− 56%
Days in AR
Read the story →
Willow Mental Health
Recovered $ 412k in stalled AR within 90 days.
$ 412k
Stalled AR recovered
Read the story →
Summit Surgery Center
Clean-claim rate from 84% to 98.6% in six months.
98.6%
Clean-claim rate
Read the story →
Riverbend Pediatrics
Vaccine admin coding rebuilt — 23% revenue lift on shots.
+ 23%
Vaccine revenue
Read the story →
Foothill Dermatology
Modifier-25 audit defended, $ 80k clawback denied.
$ 80k
Clawback denied
Read the story →
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