Billing built around your specialty — not the other way around
Every specialty bills differently. The codes, the modifiers, the payer policies, the documentation a claim needs to clear — they all change the moment you move from a cardiology office to an ASC to a surgery center. Bill The Max staffs specialists who already know your rules, so your claims go out clean and your revenue comes back faster.
A generalist biller leaves money on the table
Specialty billing isn't one skill — it's dozens of small, specialty-specific habits. Miss one and the claim is denied, downcoded, or delayed. Here's where the differences live.
Specialty code sets
An interventional cardiology claim, a Mohs surgery claim, and a behavioral-health session each draw from a different corner of CPT, HCPCS, and ICD-10. We code to the service that was actually performed — no upcoding, no leaving revenue uncaptured.
Modifiers that change everything
The right modifier means the difference between full payment and an outright denial — bilateral procedures, multiple surgeries, assistant surgeons, distinct services, telehealth place-of-service. We apply them correctly the first time.
Payer rules & prior auth
Each payer treats each specialty differently — what needs prior authorization, which bundling edits apply, what documentation a medical-necessity review demands. We track those rules by specialty and by payer so claims don't stall.
Documentation that supports the claim
Operative notes, time-based therapy units, global surgical periods, anesthesia minutes — the clinical record has to back the code. We know what each specialty's claims need to survive review and appeal.
Fee schedules & contracts
Underpayments hide in the gap between your contracted rate and what the payer actually pays. We benchmark against your fee schedule by specialty and chase every dollar that falls short.
End-to-end revenue cycle
Eligibility, charge capture, scrubbing, submission, denials, posting, patient balances — the whole cycle, tuned to how your specialty actually runs. Faster payments, fewer denials, full transparency.
Specialties across medical, surgical & diagnostics
From a solo primary-care office to a multi-site surgery center, we tailor the billing workflow to the way each specialty practices and bills.
Medical specialties
Office-based and hospital-based practices across primary, internal, and sub-specialty medicine.
Primary & Internal Medicine
Preventive visits, chronic-care management, and high-volume office billing.
Cardiology
Diagnostic, interventional, and electrophysiology billing with device tracking.
Orthopedics
Global surgical periods, injections, DME, and fracture care done right.
Dermatology
Medical and cosmetic split-billing, biopsies, and Mohs surgery.
Gastroenterology
Endoscopy, colonoscopy screening vs. diagnostic, and facility coordination.
OB/GYN
Global maternity packages, deliveries, ultrasounds, and well-woman care.
Pediatrics
Well-child visits, immunizations, VFC, and developmental screening.
Pain Management
Injections, blocks, fluoroscopy, and tight prior-authorization control.
Neurology
EEG/EMG diagnostics, infusions, and time-based service coding.
Pulmonology
PFTs, sleep studies, bronchoscopy, and respiratory-care billing.
Endocrinology
Diabetes management, CGM, thyroid care, and chronic-condition coding.
And more medical specialties
Oncology, allergy & immunology, infectious disease, and beyond.
Surgical & ambulatory surgery centers
Operative coding, global periods, assistant-surgeon rules, and facility billing for ASCs.
General Surgery
Inpatient and outpatient procedures with accurate global-period tracking.
Plastic & Reconstructive
Reconstructive vs. cosmetic split-billing and clean documentation.
Ophthalmology
Cataract surgery, injections, imaging, and optometry coordination.
ENT (Otolaryngology)
Endoscopic procedures, audiology, allergy, and sinus surgery.
Urology
In-office procedures, cystoscopy, and surgical urology billing.
Ambulatory Surgery Centers
Facility-side ASC billing, implant logs, and multi-procedure reductions.
Behavioral & therapy
Specialties with their own code sets, units, and documentation rules.
Behavioral & Mental Health
Time-based therapy units, telehealth, and parity-rule compliance.
Therapy & Chiropractic
Timed-unit billing, the 8-minute rule, and visit-limit tracking.
Diagnostics, urgent care & telehealth
High-volume, technical-and-professional-component, and place-of-service-driven billing.
Diagnostics
Radiology, pathology, and lab billing with TC/PC component splits.
Urgent Care
High-volume, fast-turnaround claims with S-codes and POS accuracy.
Telehealth
Place-of-service codes, modifiers 95/GT, and evolving payer policy.
Don't see your specialty? We almost certainly cover it.
This list is a snapshot, not a limit. Our team learns new payer rules every week, so if your specialty isn't listed, reach out — and if it's not a fit, we'll tell you straight. No pressure, no surprises.
See what specialty-specific billing recovers for your practice
Start with a free practice consultation. We'll review your coding, denials, and underpayments through the lens of your specialty — then show you exactly where the revenue is and how to collect it. Maximum reimbursement. Minimum hassle.