Specialties

A cardiology claim and a podiatry claim fail for different reasons.

Generalist billing produces generalist results. These pages set out what actually goes wrong in each specialty, in enough detail that you can tell whether whoever bills for you knows it.

Family Medicine

Preventive visits, problem visits and the modifier that decides whether you get paid for both.

Internal Medicine

Complex, multi-condition visits where the documentation almost always supports more than gets billed.

Behavioral Health

Time thresholds, session limits and authorisations — three ways to lose a claim that was clinically perfect.

Podiatry

Routine foot care is excluded unless you prove it is not. That proof is a documentation discipline.

Physical Therapy

The eight-minute rule, NCCI edits and a threshold that stops payment mid-year if nobody is watching.

Chiropractic

Medicare covers one thing in this specialty. Everything else needs an ABN and a different conversation.

Dermatology

Lesion sizing, margins and the medical-necessity line between treatment and cosmetics.

Pediatrics

Vaccine administration, well-and-sick visits, and a state programme that changes what you can bill.

Urgent Care

Global case rates, per-encounter contracts, and after-hours codes most payers will not pay.

Not listed? Ask. We would rather tell you a specialty is outside what we know well than learn it on your claims. That is a real answer we have given before.