Specialties
Specialty billing services, specialty by specialty
Specialty billing services work when the biller knows the code families, the modifiers, the authorization habits and the denial reasons your specialty lives on.
Each page below sets those out, with the payer rules behind them and the sources they come from, and ends with a review pre-set for your specialty. Pages are grouped by care setting, and each card names the first thing a biller checks for that specialty.
Last reviewed by the Remitwright billing team. Editorial policy
Your data, your systems
Patient data stays in your systems. Your biller works inside your own software, clearinghouse and payer portals and never exports, downloads or stores claim files, remittances or patient lists on Remitwright devices or systems.
- BAA signed before any access
- A user you create and can remove
- MFA on every login that supports it
- No claim files or patient lists exported
No specialty matches that. Tell us yours in the billing review and a billing specialist will reply in writing.
Office and clinic
Office-based practices
Specialties billed from an office or clinic, from primary care to procedure-based practices.
- Allergy and immunologyWhat we check firstDoses prepared and doses given, each matched to the serum record before billing.Read the specialty page
- CardiologyWhat we check firstA signed interpretation for every test billed with a professional component.Read the specialty page
- ChiropracticWhat we check firstSubluxation findings in the note, so active treatment is not read as maintenance.Read the specialty page
- Chronic care managementWhat we check firstPatient consent on file and the care management minutes logged for the month.Read the specialty page
- DermatologyWhat we check firstLesion size and margins written in the note before an excision code is picked.Read the specialty page
- EndocrinologyWhat we check firstThe diagnosis on each lab and supply line, so coverage follows the condition in the note.Read the specialty page
- ENTWhat we check firstWhich side was treated and whether a scope was used, written in the note for each procedure.Read the specialty page
- Family practiceWhat we check firstDecision-making detail in the note that supports the visit level billed.Read the specialty page
- GastroenterologyWhat we check firstScreening or surveillance on each scope, because each one bills differently.Read the specialty page
- General surgeryWhat we check firstThe global period of the last operation, before any follow-up visit is billed on its own.Read the specialty page
- GeriatricsWhat we check firstThe place of service on every visit, whether home, nursing facility or office.Read the specialty page
- Infectious diseaseWhat we check firstHospital follow-up notes that support each day's visit level, read before the claim goes out.Read the specialty page
- Internal medicineWhat we check firstProblems, data and risk written down, so a high-level visit stands on review.Read the specialty page
- NephrologyWhat we check firstThe dialysis visits in each month, counted against the monthly service code billed.Read the specialty page
- NeurologyWhat we check firstEach nerve studied named in the report, so the units billed can be defended.Read the specialty page
- OB-GYNWhat we check firstA dated prenatal entry for every visit, so global and antepartum codes can be proven.Read the specialty page
- OncologyWhat we check firstThe drug given, its units and any discarded amount, read from the administration record.Read the specialty page
- OphthalmologyWhat we check firstFunctional impairment documented before cataract surgery is billed.Read the specialty page
- OptometryWhat we check firstA medical reason for the visit and each test before the medical plan is billed.Read the specialty page
- OrthopedicsWhat we check firstThe decision for surgery written in the visit note billed with modifier 57.Read the specialty page
- Pain managementWhat we check firstRelief and how long it lasted after the last injection, written down before a repeat.Read the specialty page
- PediatricsWhat we check firstThe age-appropriate well-visit elements that support the preventive code.Read the specialty page
- PodiatryWhat we check firstClass findings written in the note, not only as a modifier on the claim.Read the specialty page
- PulmonologyWhat we check firstTest results and a signed interpretation on file for every pulmonary function test billed.Read the specialty page
- RheumatologyWhat we check firstInfusion start and stop times, and the drug units given, before each infusion line goes out.Read the specialty page
- TelehealthWhat we check firstPlace of service, modifier and how the visit was delivered, in the note and on the claim.Read the specialty page
- Urgent careWhat we check firstA separate, documented evaluation behind any visit billed with modifier 25 on a procedure day.Read the specialty page
- UrologyWhat we check firstLaterality and the procedure performed, matched between the procedure note and the claim.Read the specialty page
Facility
Facility-based services
Specialties billed around a facility, a procedure or a lab: surgery centers, anesthesia, nursing facilities, wound clinics, health centers, laboratories and imaging.
- Ambulatory surgery centerWhat we check firstThe procedure's place on the covered list, and when and why a terminated case was stopped.Read the specialty page
- AnesthesiaWhat we check firstDocumented start and end times that match the minutes on the claim.Read the specialty page
- Clinical laboratoryWhat we check firstA named test on every order, and a CLIA certificate that covers it.Read the specialty page
- FQHCWhat we check firstWhich visits count as billable encounters, and which services fold into the encounter.Read the specialty page
- PathologyWhat we check firstEach specimen billed as its own unit, matched to the gross description in the report.Read the specialty page
- RadiologyWhat we check firstA documented order from the treating physician for every study read.Read the specialty page
- Rural health clinicWhat we check firstThe provider and the visit type behind each encounter, so the clinic rate applies where it should.Read the specialty page
- Skilled nursingWhat we check firstThe qualifying hospital stay behind the admission, checked against the inpatient order.Read the specialty page
- Sleep medicineWhat we check firstWhere each study took place, in the lab or at home, and the signed interpretation for it.Read the specialty page
- Wound careWhat we check firstWound length, width and depth at every visit, behind each debridement and graft.Read the specialty page
Therapy and behavioral
Therapy and behavioral health
Time-based care where authorizations and units decide what pays: therapy, ABA and behavioral health.
- ABA therapyWhat we check firstUnits billed per code against what is left on the authorization.Read the specialty page
- Behavioral healthWhat we check firstSession start and stop times, so each time-based psychotherapy code holds up.Read the specialty page
- Occupational therapyWhat we check firstThe therapy modifier on each line and the total timed minutes for the visit.Read the specialty page
- Physical therapyWhat we check firstA certified plan of care, and timed minutes that match the units billed.Read the specialty page
- PsychiatryWhat we check firstPsychotherapy time recorded apart from the medical visit for the add-on code.Read the specialty page
- Speech therapyWhat we check firstA signed, current plan of care covering every treatment date billed.Read the specialty page
- Substance use treatmentWhat we check firstA dated level-of-care assessment that supports the per diem billed.Read the specialty page
Home and transport
Home, equipment and transport
Care and equipment that reach patients at home, and the rides that bring them to care.
- Home care and home health billingWhat we check firstEVV visit data matched to the authorized units and the plan of care.Open the hub
- NEMT billingWhat we check firstEach trip matched to its broker authorization and the trip log before it is billed.Open the hub
- AmbulanceWhat we check firstMedical necessity in the run report, and the origin and destination on every trip.Read the specialty page
- DMEWhat we check firstEvery element of the written order, in place before the item is delivered.Read the specialty page
- Home healthWhat we check firstThe OASIS assessment, matched to the HIPPS code on the claim before it is released.Read the specialty page
- HospiceWhat we check firstA complete, signed election statement on file for the benefit period being billed.Read the specialty page
- Remote patient monitoringWhat we check firstThe days of device readings in each period, counted before the monthly code is billed.Read the specialty page
Questions
About specialty billing
Why does the specialty matter so much in billing?
Because each specialty has its own code families, its own modifiers, its own authorization habits and its own ways of being denied. A biller who knows that a therapy plan has a visit cap, that a chiropractic claim needs the active treatment modifier for Medicare, or that an ABA authorization is measured in units, prevents the denial instead of appealing it.
Our specialty is not listed. Can you still bill for us?
Often, yes. The list covers the specialties with a full page here, each checked against primary sources. Tell us your specialty in the review and a billing specialist will say plainly, in writing, whether it is a fit.
Is the biller assigned to us a specialist in our field?
Your dedicated biller works your specialty's codes and payers, and the coding reviewer on the account checks against the documentation rules for it. We do not describe staff as certified in a specialty unless they hold the credential.
Where do the code and denial details on these pages come from?
From CMS manuals, the NCCI policy manual, state Medicaid guidance and payer provider manuals, listed as sources at the foot of each page with the date it was last reviewed. Code explanations are written by us; CPT descriptors belong to the AMA and are not reproduced.
Next step
Tell us your specialty and what hurts.
Three quick questions. No patient data. A billing specialist reads your answers and replies in writing.
- Three questions, about two minutes
- No patient data, no software to buy
- A written reply from a biller, not a sales deck
You answer three questions
A billing specialist reads them
A written reply by email
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