Specialty Medical Billing & RCM
Why generic billing fails: Every clinical discipline requires distinct CPT/HCPCS modifiers, payer policy crosswalks, and documentation integrity standards.
The Cost of One-Size-Fits-All Billing
Generalist billing companies frequently apply the same generic clearinghouse rules to every claim, leading to devastating revenue losses. An orthopedic surgical claim requires deep awareness of global postoperative periods; an ASC claim requires implant invoice reconciliation; a gastroenterology claim requires screening-to-diagnostic modifier nuances.
At Ecardius, our revenue cycle management processes and billing workflows are fully compatible to work with all clinical specialties, ensuring modifier precision, documentation compliance, and timely filing across every domain. Explore our supported specialties below:
Ambulatory Surgery Centers (ASCs)
Facility fee management via CMS-1500 (-SG) and UB-04, high-cost implant carve-outs, multiple procedure discounting, and discontinued procedure modifiers (-73/-74).
Cardiology
Diagnostic component splitting (-26/-TC), NCCI bundling on cardiac catheterizations and stents, electrophysiology studies, and compliant remote patient monitoring (RPM).
Orthopedics & Spine
Global surgical period management (modifiers -24, -58, -78, -79), major joint arthroplasty, viscosupplementation J-codes, DME compliance, and workers' compensation.
Pain Management
Navigating strict Medicare LCDs for facet blocks, epidural steroid injections (ESI), radiofrequency ablation relief logs, bundled image guidance, and SCS implants.
Gastroenterology (GI)
Preventive screening-to-diagnostic colonoscopy conversions (modifiers -33/-PT), multiple endoscopy base-code reductions, and moderate sedation vs. MAC anesthesia billing.
Dermatology & Mohs Surgery
Modifier -25 defense on same-day E/M and biopsies, Mohs micrographic staging, excision margin formulas, complex closures, and dermatopathology (88305) billing.
Behavioral Health & Psychiatry
Time-based psychotherapy code tracking (90832–90837), psychiatric E/M add-ons (+90833), managed behavioral carve-out payer routing, and telehealth modifier compliance.
Urgent Care & Walk-In Clinics
HCPCS urgent care S-code contracts (S9088 vs S9083), CLIA-waived laboratory modifier -QW compliance, minor surgery tray capture, and real-time eligibility checks.
Additional Specialties Supported
In addition, our revenue cycle management workflows are compatible to work with Neurology, Ophthalmology, Otolaryngology (ENT), Obstetrics & Gynecology (OB/GYN), Urology, Pediatrics, Internal Medicine, and Physical Therapy. Scope and custom workflow are mapped during your initial diagnostic audit.
Request an audit for your specific specialty
Get a granular breakdown of your practice's aging claims and denial patterns. Request a complimentary 10-point audit under a signed BAA. We analyze your data, identify uncollected cash, and quote a performance percentage with $0 upfront.