A radiology claim and a podiatry claim fail for completely different reasons. Generalist billing treats them the same way, and the denial reports show it.
High visit volume with tight E/M margins. Level selection and chronic-care coding decide whether the practice is profitable.
Procedure-heavy billing where modifier logic and global period rules drive most of the denial volume.
Professional and technical component splits, high claim volume and unforgiving medical-necessity requirements.
Long diagnostic workups and testing-heavy encounters that draw prior-authorisation and medical-necessity scrutiny.
Testing, sleep studies and in-office procedures each carry their own bundling and documentation rules.
One of the most heavily policed specialties for medical necessity, especially routine foot care under Medicare.
Our depth was built through long-term work with a multi-specialty group practice, which means the list above reflects experience rather than marketing reach. If your specialty is not here, ask — we will tell you honestly whether we are the right fit.
Send us a recent aging report and a sample of denials. We will tell you where the money is going — no obligation.
