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Your Specialty Has Unique Billing Rules. Our Coders Know Every One of Them.

Generic billing loses money. Every specialty operates under different payer rules, coding requirements, and documentation thresholds. Pro-Medsole RCM pairs certified coders with deep specialty knowledge so your claims go out clean, your denials stay low, and your reimbursements reflect the care you actually delivered.
Pro-Medsole RCM | Specialty Selector

Select Specialty

Choose a medical category to discover tailored revenue management solutions.

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Acupuncture

Acupuncture

Payer-specific coverage limits and correct CPT codes for needle insertion and electrical stimulation billed to maximum reimbursement.

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Allergy and Immunology

Allergy and Immunology

Multi-step testing codes, serum preparation billing, and prior authorization workflows from skin-prick panels through biologic infusions.

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Anesthesia

Anesthesia

Time-unit precision, physical-status modifiers, and concurrency rules handled by ASA-trained coders covering base units and qualifying add-ons.

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Behavioral Health

Behavioral Health

Session-based therapy billing, psychological testing codes, and crisis-intervention claims with pre-authorization and payer session limit tracking.

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Cardiology

Cardiology

Echocardiograms, catheterizations, and stress tests billed with correct component versus global coding to prevent costly unbundling denials.

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Cardiovascular Surgery

Cardiovascular Surgery

Surgical coding, co-surgeon modifiers, and global-period management for bypass, valve replacement, and vascular repair procedures.

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Chiropractic

Chiropractic

AT modifier compliance, Medicare visit cap tracking, and manipulation codes built to withstand payer scrutiny and third-party audits.

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Dermatology

Dermatology

Mohs surgery, biopsy, and phototherapy coding with lesion-count sequencing, pathology modifiers, and cosmetic versus medical distinction.

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DME Billing

DME Billing

HCPCS-level precision, CMN documentation, Medicare competitive bidding, and rental versus purchase and capped-rental tracking.

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Emergency Medicine

Emergency Medicine

High-volume acuity-based E/M leveling and critical-care time documentation for trauma activations and emergency procedures.

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Endocrinology

Endocrinology

Chronic disease management for diabetes and thyroid disorders including CGM coding, insulin pump management, and complex evaluations.

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ENT and Otolaryngology

ENT and Otolaryngology

Sinus surgery, audiometry, and allergy services with endoscopic bundling, bilateral modifiers, and accurate hearing evaluation coding.

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Family Medicine

Family Medicine

E/M optimization using current guidelines with CCM and TCM revenue capture plus preventive versus problem visit coding.

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Gastroenterology

Gastroenterology

Colonoscopy, EGD, and motility study coding with screening versus diagnostic conversions and polypectomy code accuracy.

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General Surgery

General Surgery

Multi-procedure discounting, global surgical packages, and assistant-surgeon modifiers with correct CPT sequencing for every case.

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Geriatrics

Geriatrics

AWV billing, cognitive assessment codes, care-plan oversight, and HCC risk-adjustment accuracy for Medicare patient panels.

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Hematology

Hematology

Chemotherapy administration codes, blood product billing, and bone marrow biopsy claims with complex payer authorization workflows.

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Hospitalist Medicine

Hospitalist Medicine

Admission-day E/M, daily rounding codes, discharge billing, and critical care time capture for all inpatient services.

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Infectious Disease

Infectious Disease

Consultation-level coding for ID consults, antibiotic stewardship documentation, and OPAT management with prolonged service capture.

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Internal Medicine

Internal Medicine

MDM-based E/M leveling, chronic care management codes, TCM capture, and accurate HCC risk-adjustment coding for complex panels.

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Laboratory

Laboratory

CLIA-compliant coding, panel versus individual test distinction, NCD adherence, and ABN workflow management for all lab claims.

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Mental Health

Mental Health

Time-based psychotherapy codes, session limit tracking, out-of-network billing, and telehealth POS coding for virtual care delivery.

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Neonatology

Neonatology

NICU daily care codes by birth weight and acuity including initial and subsequent intensive care and attendance-at-delivery billing.

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Nephrology

Nephrology

Monthly capitated dialysis billing, transplant coding, vascular access codes, and Medicare ESRD bundled payment management.

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Neurology

Neurology

EEG monitoring, EMG and NCV studies, and TC/PC split billing for botulinum toxin and epilepsy monitoring claims.

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OB/GYN

OB/GYN

Global obstetric packages, antepartum tracking, delivery-method coding, and high-risk pregnancy modifiers handled with precision.

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Occupational Therapy

Occupational Therapy

Timed versus untimed codes, 8-minute rule compliance, and Medicare therapy cap tracking for maximum billable unit capture.

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Oncology

Oncology

Chemotherapy administration, immunotherapy J-codes, infusion hierarchies, and concurrent hydration billing for every treatment encounter.

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Ophthalmology

Ophthalmology

Cataract surgery, intravitreal injections, IOL codes, and retinal imaging with ASC versus hospital facility billing distinction.

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Optometry

Optometry

Vision plan versus medical insurance routing, refraction modifiers, and medical eye exam distinction from routine vision visits.

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Orthopedics

Orthopedics

Joint replacements, arthroscopy, implant coding, laterality modifiers, and CCI edit compliance for fracture care and repairs.

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Pain Management

Pain Management

Epidural injections, nerve blocks, fluoroscopic guidance codes, and spinal-level add-on coding for facet joint procedures.

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Pathology

Pathology

Surgical pathology tiers, special stains, immunohistochemistry, molecular diagnostics, and consultative complexity billing.

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Pediatrics

Pediatrics

Well-child visits, vaccine administration fees, screening questionnaires, and Medicaid EPSDT maximum-rate billing for every visit.

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Physical Therapy

Physical Therapy

8-minute rule compliance, maximum billable unit capture, and Medicare KX modifier threshold tracking for every patient session.

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Plastic Surgery

Plastic Surgery

Reconstructive versus cosmetic distinction, medical necessity documentation for breast reconstruction, and skin graft coding accuracy.

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Podiatry

Podiatry

Medicare routine foot care compliance, Q modifiers for diabetic exams, and per-nail debridement coding handled correctly every time.

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Primary Care

Primary Care

E/M optimization, CCM and AWV revenue streams, and correct in-office procedure billing to recover missed revenue consistently.

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Psychiatry

Psychiatry

E/M with psychotherapy add-on pairing, medication management coding, and payer session limitation tracking for all psychiatric visits.

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Pulmonology

Pulmonology

PFT interpretation, bronchoscopy coding with biopsy and lavage, spirometry, and DLCO and lung volume capture.

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Radiology

Radiology

CT, MRI, and ultrasound TC/PC split billing, contrast code selection, and interventional radiology supervision level accuracy.

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Rheumatology

Rheumatology

Biologic infusion buy-and-bill, joint injection hierarchies, and step-therapy prior authorization requirement tracking for complex cases.

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Sleep Medicine

Sleep Medicine

In-lab PSG, home sleep testing, CPAP titration, MSLT and MWT add-ons, and DME CPAP supply claims managed completely.

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Speech-Language Pathology

Speech-Language Pathology

Dysphagia treatment, cognitive-communication therapy, Medicare cap tracking, and FEES and MBSS imaging codes billed accurately.

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Telemedicine

Telemedicine

Correct POS codes for office and home settings, GT and 95 modifiers, and parity-rate reimbursement for all virtual visits.

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Urology

Urology

Cystoscopy, prostate biopsy, urodynamics, and lithotripsy billing with in-office versus facility distinction for every procedure.

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Urgent Care

Urgent Care

High-volume rapid charge capture, walk-in visit complexity coding, and laceration, splint, and point-of-care test billing.

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Vascular Surgery

Vascular Surgery

Endovascular interventions, per-vessel catheter codes, selective versus non-selective hierarchies, and multi-vessel billing precision.

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Wound Care

Wound Care

Debridement depth coding, NPWT billing, skin substitute Q-codes, and wound measurement documentation for every clinical encounter.

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Toxicology

Toxicology

Presumptive and definitive drug testing codes, drug-class billing, and Medicare medical necessity requirement compliance for all claims.

Do Not See Your Specialty?

 We cover billing disciplines beyond this list. Share your specialty and a dedicated billing specialist will respond within hours to discuss your specific coding needs and revenue opportunities.