HIPAA Compliant & SOC-2 Audited Workflows
(209) 671-6993
Provider Billers LLC
Specialty-Specific Billing Protocols

Medical Specialties We Serve

Generic billing agencies treat cardiology the same as podiatry or behavioral health—leading to catastrophic denial rates. Provider Billers deploys dedicated specialty teams with deep mastery of payer LCDs, NCCI edits, and CPT modifier conventions.

100% HIPAA CompliantMutual BAA Executed
AAPC & AHIMA CertifiedCPC, CPMA & CCS Coders
SOC-2 Type II AlignedEncrypted EDI Gateways
CMS & OIG StandardsCMS-1500 & UB-04 Audits
Zero Migration Needed • Direct In-EHR Operations:
AthenaHealthEpic SystemseClinicalWorksKareo / TebraAdvancedMDModMedNextGenDrChrono
PodiatryNatl Denial: 14.2%

Podiatry & Foot Surgery

Eliminate Routine Foot Care Denials & Modifier-25 Audits

Podiatric billing is fraught with strict Medicare Local Coverage Determinations (LCDs), routine foot care statutory exclusions, and aggressive clawbacks on Modifier-25 and Q-modifiers. Provider Billers eliminates non-covered denials and accelerates surgical procedure reimbursements.

Primary CPT Hotspots:
11055117212828599213 / 99214
CardiologyNatl Denial: 15.8%

Cardiology & Interventional Care

Overcome Echo, Stress Test & Imaging Denials with Prior Auth Precision

Cardiology billing demands flawless handling of professional vs. technical split billing (Modifiers 26/TC), strict medical necessity algorithms for diagnostic imaging, and rapid prior authorization turnaround for invasive catheterization and cardiac PET/SPECT.

Primary CPT Hotspots:
93000933069301593458
Mental HealthNatl Denial: 17.4%

Mental & Behavioral Health

Master Time-Based Psychotherapy Billing & Session Unit Guardrails

Psychiatry and behavioral health clinics struggle with strict time-based psychotherapy coding rules, session frequency caps, interactive complexity billing, and evolving telehealth parity laws across commercial payers and Medicaid.

Primary CPT Hotspots:
9083490837+90833+90785
OrthopedicsNatl Denial: 13.9%

Orthopedic Surgery & Sports Medicine

Protect High-Value Surgical Claims & Master Global Period Billing

Orthopedic surgery accounts for some of the highest-dollar claims in outpatient and inpatient medicine. Denials commonly stem from misunderstood 90-day global surgical packages, assistant surgeon modifiers, multiple procedure discounts, and unbundled DME supplies.

Primary CPT Hotspots:
29881274472061029827
Family PracticeNatl Denial: 11.6%

Family Practice & Internal Medicine

Master Preventive vs. Problem-Oriented Splitting & Medicare AWVs

Primary care clinics balance high patient volumes with razor-thin margins. The number one source of lost revenue is failure to properly bill same-day problem visits during preventive physicals, missed Chronic Care Management (CCM), and unbilled Medicare Annual Wellness Visits (AWV).

Primary CPT Hotspots:
99214G0438 / G04399939699490
NeurologyNatl Denial: 16.1%

Neurology & Neuromuscular Medicine

Optimize EEG, EMG/NCS & Complex Chronic Neurological Care

Neurology practices face complex billing challenges encompassing prolonged EEG monitoring, nerve conduction studies (NCS) combined with needle electromyography (EMG), and high-cost botulinum toxin injections for chronic migraine or spasticity.

Primary CPT Hotspots:
959109588664615