Specialty medical billing
Medical billing by specialty, not billing that treats every practice the same
Cardiology billing has almost nothing in common with mental health billing. Different code sets, different modifier rules, different documentation standards, and completely different denial patterns.
House of RCM assigns billers trained in your specialty’s rules. They know which modifier your payer expects, which codes get bundled, and which documentation gap triggers your most common denial. Browse the directory below to see what that means for your discipline.
25+ specialties covered3% of collectionsUS-based billing team
Free billing review
HIPAA compliant, and never shared.
- 5+ years in business
- 25+ specialties
- All 50 states
- 24/7 US-based support
- HIPAA compliant, BAA signed first
What specialty-matched billing changes
The numbers behind our billing service, whatever your specialty.
Clean claims on submission
Increase in claims
Billing submitted
Specialties billed
States served
What is specialty medical billing?
Specialty medical billing means the coding, claim submission, and denial work for a practice is handled by billers trained in that discipline’s specific code sets, modifier rules, payer policies, and documentation requirements, rather than by generalists applying the same process to every account.
The difference shows up in the denial log. A generalist biller submits a physical therapy claim without checking the unit math against the 8-minute rule, or bills an OB/GYN global package without confirming the antepartum visit count. Those aren’t coding errors in the abstract. They’re specialty-specific errors that a biller who works that specialty every day doesn’t make.
It also shows up in what gets billed at all. Chronic care management in internal medicine, annual wellness visits in primary care, and cognitive assessment codes in geriatrics are routinely underbilled because nobody on the billing side is watching for them.
Specialty directory
Medical billing services by specialty
Every discipline below names the billing rule that drives its most common denials. Filter by category or search for your specialty.
No specialty matches that search. We cover disciplines beyond this list, so tell us yours below.
Family medicine billing
Preventive versus problem-oriented visit coding decides whether a routine visit pays once or twice.
Primary care
Internal medicine billing
Chronic care management and transitional care codes are among the most underbilled in the specialty.
Primary care
Pediatrics billing
Vaccine administration fees, well-child visit components, and Medicaid screening requirements each get billed separately.
Primary care
Geriatrics billing
Annual wellness visits, cognitive assessment, and care plan oversight carry documentation requirements most practices miss.
Primary care
General practice billing
In-office procedures performed alongside an office visit need the right modifier or the visit gets bundled away.
Primary care
Urgent care billing
High walk-in volume means charge capture has to be same-day or encounters simply never get billed.
Primary care
Hospitalist billing
Admission, daily rounding, and discharge each have distinct code families, and critical care time must be documented to count.
Primary care
Nurse practitioner billing
Incident-to and shared-visit rules decide whether a service bills under the NP or the supervising physician, at different rates.
Primary care
Behavioral health billing
Time-based session codes and add-on units require encounter-level review against what the note actually documents.
Behavioral health
Mental health counseling
Payer session limits and authorization renewals are the most common cause of a denial mid-course of treatment.
Behavioral health
Psychiatry billing
Medication management paired with a psychotherapy add-on has to be coded as two components, not one visit.
Behavioral health
Psychology billing
Psychological and neuropsychological testing bill in administration units separate from the evaluation itself.
Behavioral health
Applied behavior analysis
Assessment, protocol modification, and direct treatment are distinct services, and authorized unit counts are tracked per plan.
Behavioral health
Substance use treatment
Program-level billing and state-specific Medicaid rules vary more here than in almost any other discipline.
Behavioral health
Physical therapy billing
Timed code rules decide reimbursement per 15-minute unit, and the 8-minute rule catches practices constantly.
Therapy and rehab
Occupational therapy billing
Timed versus untimed code mixing within one session changes the billable unit total.
Therapy and rehab
Speech-language pathology
Payer limits on session frequency and duration drive most denials, and swallow study imaging bills separately.
Therapy and rehab
Chiropractic billing
Medicare requires a specific modifier for active treatment, and maintenance care is not a covered benefit.
Therapy and rehab
Physical medicine and rehab
Electrodiagnostic studies split into professional and technical components depending on where the test is performed.
Therapy and rehab
Acupuncture billing
Coverage varies sharply by payer, and re-insertion versus initial insertion are coded differently.
Therapy and rehab
Manual therapy services
Manual therapy performed alongside therapeutic exercise needs documentation showing the two are distinct.
Therapy and rehab
General surgery billing
Multiple procedure discounting varies by payer, and code sequencing decides what gets paid at full rate.
Surgical
Orthopedics billing
Laterality modifiers, implant coding, and global period rules around fracture care all carry denial risk.
Surgical
Plastic surgery billing
The reconstructive versus cosmetic distinction determines coverage, and medical necessity has to be documented up front.
Surgical
Neurosurgery billing
Spinal levels, approach codes, and co-surgeon modifiers each affect what a single operative session pays.
Surgical
Cardiovascular surgery
Assistant and co-surgeon roles must be documented in the operative note to be billable at all.
Surgical
Thoracic surgery billing
Minimally invasive and open approaches use different code families, and separately reportable services are easy to miss.
Surgical
Vascular surgery billing
Catheter placement codes follow a selectivity hierarchy, and per-vessel billing rules decide the total.
Surgical
Oral and maxillofacial surgery
Crossover claims between dental and medical coverage need both code sets and a predetermination workflow.
Surgical
Ambulatory surgery center
Facility and professional fees split into separate claims, and place-of-service coding drives the rate.
Surgical
Bariatric surgery billing
Prior authorization requires a documented supervised program history that most denials trace back to.
Surgical
OB/GYN billing
Global obstetric packages need accurate antepartum visit documentation, and delivery method changes the code.
Medical subspecialty
Cardiology billing
Diagnostic studies split into professional and technical components, and bundling edits catch echo and stress testing.
Medical subspecialty
Gastroenterology billing
A screening colonoscopy that becomes diagnostic mid-procedure changes both the code and the patient’s cost share.
Medical subspecialty
Neurology billing
EEG and nerve conduction studies have duration and unit rules that documentation has to support precisely.
Medical subspecialty
Nephrology billing
Monthly dialysis billing is capitated and varies by patient age and visit count, unlike fee-for-service work.
Medical subspecialty
Oncology billing
Drug codes, infusion hierarchies, and concurrent administration rules make this one of the most error-prone areas in billing.
Medical subspecialty
Hematology billing
Administration codes, blood product billing, and authorization requirements run alongside every treatment claim.
Medical subspecialty
Endocrinology billing
Continuous glucose monitoring and pump management have diagnosis linkage requirements that payers enforce strictly.
Medical subspecialty
Rheumatology billing
Biologic infusions carry step-therapy prior authorization, and buy-and-bill drug costs sit on your balance sheet until paid.
Medical subspecialty
Pulmonology billing
Pulmonary function testing components bill separately, and interpretation has to be documented to be billable.
Medical subspecialty
Infectious disease billing
Consultative coding and prolonged service capture account for much of the revenue this specialty leaves behind.
Medical subspecialty
Dermatology billing
Lesion counts, destruction limits, and the cosmetic versus medical distinction drive most of the denial volume.
Medical subspecialty
Urology billing
In-office versus facility setting changes reimbursement significantly for the same procedure.
Medical subspecialty
Ophthalmology billing
Post-operative care during a global period needs the right modifier, and injection drug waste is separately reportable.
Medical subspecialty
Optometry billing
Routing a visit to vision coverage or medical coverage is the single decision that determines whether it pays.
Medical subspecialty
ENT and otolaryngology
Endoscopic sinus procedures bundle aggressively, and bilateral services need explicit modifier handling.
Medical subspecialty
Pain management billing
Prior authorization variance across payers makes this one of the most administratively intensive specialties.
Medical subspecialty
Podiatry billing
Medicare routine foot care rules and diabetic exam requirements decide coverage on a large share of visits.
Medical subspecialty
Allergy and immunology
Testing panels bill per unit, and serum preparation is a separate service from administration.
Medical subspecialty
Hormone replacement therapy
Pellet and injection coding plus medical necessity documentation determine whether the claim clears.
Medical subspecialty
Radiology billing
Professional and technical components split by where the study was performed and who read it.
Diagnostic and lab
Pathology billing
Specimen complexity tiers, special stains, and consultative services each bill at different levels.
Diagnostic and lab
Laboratory billing
Panel versus individual test billing and coverage determination rules decide whether a result gets paid for.
Diagnostic and lab
Sleep medicine billing
In-lab studies, home testing, and equipment supply claims follow three different reimbursement paths.
Diagnostic and lab
Toxicology billing
Presumptive and definitive testing are billed differently, and medical necessity documentation is heavily scrutinized.
Diagnostic and lab
Telehealth billing
Place-of-service coding and modifier requirements decide whether a virtual visit pays at parity or at a reduced rate.
Ancillary
DME billing
Rental versus purchase tracking, documentation of medical necessity, and supplier rules all apply per item.
Ancillary
Prosthetics and orthotics
Component-level coding and functional level justification carry the documentation burden on every claim.
Ancillary
Home health billing
Face-to-face encounter documentation is a pre-claim requirement, not something that can be added later.
Ancillary
Wound care billing
Debridement depth, wound surface area, and skin substitute products each change the code and the rate.
Ancillary
Dental billing
Medical and dental cross-coding is required whenever an oral procedure has a medical indication.
Ancillary
Remote patient monitoring
Device supply, data review, and management time bill as separate monthly services with minimum-day thresholds.
Ancillary
Don’t see your specialty? We bill for disciplines beyond this directory. Tell us yours and a billing specialist will walk you through how it would be handled.
How matching works
How your account gets matched to a biller
Assigning a specialty is not the same as assigning someone who knows it. Here’s what actually happens when your account is set up.
Step 1
Denial history review
We pull your recent denials and sort them by reason code to see which of your specialty’s known failure points are active on your account.
Step 2
Payer mix analysis
The same specialty bills differently under Medicare, Medicaid managed care, and commercial plans. Your mix decides which rules matter most.
Step 3
Biller assignment
Your account goes to billers who work your specialty, not to whoever has capacity. Your account manager stays the same person.
Step 4
Documentation feedback
When a denial traces back to what the note did or didn’t say, we bring it back to you rather than appealing the same gap every month.
Pricing
One rate, whatever your specialty
Some billing companies charge more for specialties they consider complex. We don’t. The rate is the same whether you run a solo counseling practice or a multi-provider surgical group.
Medical billing
of monthly collections
Everything included. Eligibility, coding review, claim submission, payment posting, denials, AR follow-up, patient statements, and monthly reporting.
No setup fee. No software fee. No per-claim charge. No long-term contract.
Credentialing
per insurance enrollment
Billed separately so practices that only need credentialing aren’t paying for billing they don’t use.
CAQH management, application review, weekly payer follow-up, and recredentialing deadline tracking.
Not listed?
Don't see your specialty listed?
The directory covers the disciplines we’re asked about most, not the limit of what we bill. Sub-specialties, combined practices, and newer service lines like remote monitoring all get the same treatment.
Tell us what you practice and we’ll walk you through the denial patterns we see in it, what your payer mix changes, and how your account would be staffed. If it’s a discipline we can’t staff properly, we’ll say so rather than take the account.
HIPAA compliantNo setup feeFree billing review
Tell us your specialty
HIPAA compliant. Your information is never shared.
Client results
What practices say about specialty billing
Reviews from providers who moved their billing to House of RCM. References are available on request.
★★★★★
“I am dual licensed as a chiropractor and physical therapist, so at times my billing can be confusing and difficult. The staff at House Of RCM are so on top of the current billing codes and laws that i never run into problems!! I have been using House Of RCM for 6 years and it has been the best 6 years when it comes to billing and collections!! I would highly recommend them!! you will feel like family!!”
Chiropractor and physical therapist, client for 6 years
★★★★★
“Jane is simply amazing. My business would not be nearly as successful if it was not for her. She is always one step ahead of the game, knows all the in’s, out’s, and tricks of billing. She is the best business decision I ever made!!”
House of RCM client
★★★★★
“Danielle and her team at House Of RCM are exceptional and experts in their field. I’ve been a client for 8 years and I have always had a great experience. They are quick to respond to any concerns or questions and are willing to go the extra mile in order to ensure proper insurance reimbursements. They are well organized and responsive. Highly recommended!”
Client for 8 years
FAQ
Questions about specialty billing
What is specialty medical billing?
Specialty medical billing means your claims are coded and worked by billers trained in your discipline’s specific code sets, modifier rules, payer policies, and documentation requirements, rather than by generalists applying one process to every account. The difference shows up in denial rates and in services that go unbilled entirely.
Do you charge more for complex specialties?
No. The rate is 3% of collections regardless of specialty. Some billing companies price surgical or oncology accounts higher because the coding takes more work. We don’t, because the complexity is our problem to solve, not a surcharge to pass on.
How many specialties do you cover?
More than 25 specialties, from OB/GYN, fertility, and midwifery to speech, physical, and occupational therapy, general surgery, anesthesiology, and ambulatory surgical centers. If yours isn’t shown, tell us and we’ll confirm whether we can staff it properly before taking the account.
Can you provide references?
Yes, we absolutely can, upon request. Several of our clients have billed with House of RCM for 5 to 10 years.
What if my practice covers several specialties?
Multi-specialty groups get billers matched per specialty rather than one generalist across the whole practice. Reporting breaks down by provider and by specialty, so you can see where denials concentrate instead of looking at one blended number.
Will you tell me if a denial is caused by my documentation?
Yes. When a denial traces back to what the clinical note did or didn’t support, we bring it to you rather than appealing the same gap every month. Fixing the documentation upstream is the only thing that stops the denial repeating.
Do you handle prior authorization for procedure-heavy specialties?
Yes. Prior authorization is part of the 3% rate, including tracking expiration against the scheduled date of service. Pain management, surgical specialties, and biologic infusion practices carry the heaviest authorization load, and that work is included rather than billed separately.
Can you work inside my specialty-specific EHR?
Yes. We operate inside your existing system rather than moving you onto ours, including specialty platforms for therapy, behavioral health, and dental practices. Bring your platform to the first call and we’ll confirm.
Find out what your specialty's billing is missing
A free review of your current billing shows where claims are leaking and which of your specialty’s known denial patterns are active on your account. You get the findings whether or not you work with us.