Specialties We Serve

Tailored Revenue Cycle Management for Every Practice Type


Discover Our Expertise

At Clinical RCM Solutions, we understand that each medical specialty has unique billing guidelines, compliance requirements, and reimbursement challenges. That’s why we offer customized Revenue Cycle Management (RCM) services that are specialty-specific — ensuring your practice receives accurate coding, faster claims processing, and maximum reimbursements.
Whether you’re a solo practitioner or a multi-specialty group, our experienced team ensures that your billing processes are precise, compliant, and optimized for your specialty.

Specialties We Serve

Tailored Revenue Cycle Management for Every Practice Type

At Clinical RCM Solutions, we understand that each medical specialty has unique billing guidelines, compliance requirements, and reimbursement challenges. That’s why we offer customized Revenue Cycle Management (RCM) services that are specialty-specific — ensuring your practice receives accurate coding, faster claims processing, and maximum reimbursements.

Whether you’re a solo practitioner or a multi-specialty group, our experienced team ensures that your billing processes are precise, compliant, and optimized for your specialty.


Charge Entry & Claim Submission

We ensure clean, error-free claims submitted on time for your specialty.
Includes:
Accurate charge capture
Payer-specific claim formatting
Medicare, Medicaid, and commercial payers
Electronic claim submission (EDI)
First-pass claim acceptance optimization

Accounts Receivable (A/R) Follow-Up

Our aggressive but compliant A/R management improves cash flow across specialties.
Includes:
Insurance follow-ups
Aging A/R cleanup
Payer communication
Timely resolution of unpaid and delayed claims
Reduced days in A/R

Specialty-Focused Compliance & Audits

Each specialty faces different compliance risks. We help you stay audit-ready.
Includes:
Internal coding audits
Documentation review
CMS and payer policy updates
Risk identification and correction
HIPAA-compliant processes

Reporting & Performance Analytics

We provide transparent, specialty-based reports so you always know how your practice is performing.
Includes:
Monthly financial reports
Denial trends by specialty
Provider productivity reports
A/R aging analysis
Revenue and reimbursement insights

Specialty-Specific Medical Coding

Our certified coding professionals apply specialty-based CPT, ICD-10, and HCPCS codes to ensure every service is billed accurately and compliantly.
Includes:
Evaluation & Management (E/M) coding
Procedure and surgery coding
Modifier application based on specialty
Diagnosis-to-procedure linkage
Compliance with CMS and payer guidelines

Eligibility & Benefits Verification

Before services are rendered, we verify patient insurance details to prevent denials and payment delays.
Includes:
Coverage verification
Referral and authorization checks
Co-pay, deductible, and coinsurance confirmation
Specialty-specific benefit limitations

Denial Management & Appeals

Denials vary by specialty—and we know how to fight them.
Includes:
Root-cause analysis of denials
Corrective coding and documentation review
Timely appeals and follow-ups
Prevention strategies for recurring denials

Payment Posting & Reconciliation

We post and reconcile payments accurately for all specialty services.
Includes:
ERA and EOB posting
Contractual adjustments
Patient responsibility posting
Underpayment identification
Refund and credit balance management

Our Medical Billing Specialties

🩺 Primary Care / Family Medicine

We streamline billing for general practitioners by handling a wide range of diagnosis codes, preventive care, wellness visits, and chronic condition management billing. Our services ensure compliance with Medicare Annual Wellness Visit requirements and other preventive initiatives.

🧠 Neurology

Neurological billing involves complex diagnostic testing and lengthy procedures. We handle detailed coding for EMGs, EEGs, and long-term care management, ensuring proper documentation and minimized denials.

❤️ Cardiology

With cardiology-specific modifiers, device billing, and stress test documentation, our experts manage the intricate billing needs for invasive and non-invasive procedures — optimizing collections and ensuring compliance.

🦴 Orthopedics

From fracture care to surgical procedures, orthopedic billing requires accurate coding for bundled payments, post-op follow-ups, and hardware use. We focus on clean claim submissions and reduced A/R days.

🧬 Internal Medicine

We help internists manage high patient volumes, chronic condition billing, and preventive care — with a focus on CPT code selection, modifier use, and ICD-10 documentation accuracy.

🤰 OB/GYN

From prenatal visits to postpartum care, our OB/GYN billing service includes global billing, ultrasound documentation, and surgical coding for procedures such as hysterectomies or C-sections.

👁️ Ophthalmology

Ophthalmology requires billing expertise in both medical and vision-related claims. We manage procedure coding for cataract surgeries, glaucoma treatment, and retina injections, ensuring payer-specific compliance.

🩻 Radiology

We handle diagnostic and interventional radiology billing with attention to technical and professional components, ensuring compliance with CMS guidelines and payer-specific protocols.

🧒 Pediatrics

Our pediatric billing covers routine well-child visits, immunizations, developmental screenings, and age-specific documentation. We work with Medicaid and commercial payers to ensure timely reimbursements.

🧪 Pathology & Laboratory

We manage billing for labs and pathology groups, including specimen collection, panel coding, and molecular/genetic testing — with special attention to CLIA and payer rules.

🩼 Physical Therapy & Rehabilitation

Our billing ensures correct use of timed CPT codes, modifiers, and progress notes required for therapy services — maximizing reimbursement and compliance with Medicare’s therapy cap rules.

🧑‍⚕️ Multi-Specialty Clinics

Running a multi-specialty clinic? We offer integrated billing solutions that cater to every department, ensuring consistent compliance, centralized reporting, and improved cash flow across specialties.


Why Choose Clinical RCM Solutions for Specialty Billing?

Certified Coders with Specialty Knowledge
Our coders are trained in specialty-specific CPT, ICD-10, and HCPCS codes — reducing rejections and ensuring accurate claims.

Custom Workflow for Each Specialty
We adapt our workflow to your specialty’s documentation style, encounter structure, and payer mix — no one-size-fits-all.

Regulatory Compliance
We stay up to date with CMS guidelines, specialty-specific billing changes, and payer policies so you don’t have to.

Dedicated Account Managers
Each specialty client gets a dedicated billing team familiar with your procedures, EMR system, and patient flow.


Ready to Optimize Your Specialty Billing?

Let Clinical RCM Solutions be your trusted partner in navigating the complexities of medical billing — so you can focus on patient care.
📞 Call us at +1 (713) 364-2644
📧 Email us at clinicalrcm@gmail.com
🌐 Visit: www.clinicalrcm.com


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