Medical Billing Specialties

Every specialty bills differently. Codes, modifiers, global periods, prior authorization rules and payer policies vary from one field to the next. Westmont Revenue Partners connects practices and facilities with a network of vetted medical billing experts who know the specialty they are billing for.

Choose your specialty or care setting below to see what gets billed, commonly used codes, typical billing challenges, and answers to common questions.

Primary Care & General Medicine

• Family Medicine
• Internal Medicine
• Pediatrics
• Geriatrics
• Adolescent Medicine
• Preventive Medicine
• Occupational Medicine
• Hospitalist Medicine
• Urgent Care
• Concierge / Direct Primary Care
• Telemedicine / Telehealth

Medical Subspecialties

• Allergy & Immunology
• Cardiology
• Dermatology
• Endocrinology
• Gastroenterology
• Hematology
• Infectious Diseases
• Medical Oncology
• Nephrology
• Neurology
• Pulmonology
• Critical Care
• Rheumatology
• Sleep Medicine
• Pain Management
• Palliative Care
• Genetics / Genomic Medicine
• Sports Medicine
• Physical Medicine & Rehabilitation (PM&R)
• Wound Care / Hyperbaric Medicine
• Bariatric Medicine

Surgical Specialties

• General Surgery
• Bariatric Surgery
• Cardiothoracic Surgery
• Vascular Surgery
• Colorectal Surgery
• Neurosurgery
• Orthopedic Surgery (incl. Joint Replacement, Spine, Sports)
• Plastic & Reconstructive Surgery
• Podiatry
• Surgical Oncology
• Transplant Surgery
• Trauma / Acute Care Surgery
• Urology
• Ophthalmology
• Otolaryngology (ENT)
• Oral & Maxillofacial Surgery
• Pediatric Surgery
• Mohs Surgery
• Ambulatory Surgery Centers (ASC)

Women's Health & Reproductive

• Obstetrics & Gynecology (OB/GYN)
• Maternal-Fetal Medicine
• Reproductive Endocrinology / Fertility
• Gynecologic Oncology
• Urogynecology
• Midwifery / Birth Centers

Behavioral & Mental Health

• Psychiatry
• Psychology
• Counseling & Therapy (LCSW, LPC, MFT)
• Substance Abuse / Addiction Medicine
• ABA / Autism Services
• Intensive Outpatient & Partial Hospitalization Programs
• Neuropsychology
• Child & Adolescent Psychiatry
• TMS / Ketamine Clinics

Diagnostic & Hospital-Based

• Radiology (Diagnostic)
• Interventional Radiology
• Teleradiology
• Imaging Centers
• Radiation Oncology
• Nuclear Medicine
• Pathology
• Clinical & Reference Laboratories
• Toxicology / Drug Testing Labs
• Anesthesiology (incl. CRNA)
• Emergency Medicine / Emergency Room
• Neonatology / NICU
• Cardiac & Vascular Diagnostic Labs
• Sleep Study Centers
• Neurodiagnostics (EEG, EMG)

Allied Health & Therapy

• Physical Therapy
• Occupational Therapy
• Speech-Language Pathology
• Chiropractic
• Acupuncture
• Audiology
• Optometry
• Nutrition / Dietitian Services
• Diabetes Education
• Respiratory Therapy
• Cardiac & Pulmonary Rehab

Dental

• General Dentistry
• Orthodontics
• Periodontics
• Endodontics
• Oral Surgery (Dental)
• Pediatric Dentistry
• Prosthodontics

Facilities & Care Settings

• Hospitals (Professional & Facility, UB-04)
• Ambulatory Billing (Outpatient Practices)
• Skilled Nursing Facilities / Nursing Homes
• Home Health Agencies
• Hospice Organizations
• Assisted Living / Long-Term Care
• Federally Qualified Health Centers (FQHC)
• Rural Health Clinics
• Community Mental Health Centers
• Dialysis Centers
• Infusion Centers
• Retail / Minute Clinics
• Surgical Hospitals

Ancillary & Support Services

• Durable Medical Equipment (DME)
• Orthotics & Prosthetics
• Ambulance / Emergency Medical Transport
• Non-Emergency Medical Transport (NEMT)
• Pharmacy / Specialty Pharmacy
• Home Infusion Therapy
• Medical Supply Providers
• Mobile Diagnostic Services
• Workers' Compensation Providers
• Personal Injury / Auto Accident (PIP, Lien-Based)
• Correctional Health

Billing & Revenue Cycle Services

Support is available across the full revenue cycle, from front-end verification to back-end collections:

• Medical Revenue Cycle Management (RCM), end to end
• Medical Management Services
• Credentialing & Payer Enrollment
• Eligibility & Benefits Verification
• Prior Authorization Management
• Medical Coding (ICD-10, CPT, HCPCS) & Coding Audits
• Charge Capture
• Claims Submission & Clearinghouse Management
• Payment Posting & Reconciliation
• Denial Management & Appeals
• Accounts Receivable Follow-Up & Recovery
• Patient Billing & Collections
• Laboratory Billing
• Radiology & Imaging Center Billing
• Surprise Medical Billing / No Surprises Act & IDR Dispute Support
• Risk Adjustment / HCC Coding
• Value-Based Care & MIPS/MACRA Reporting
• Chronic Care Management (CCM) & Remote Patient Monitoring (RPM) Billing
• Compliance Audits & HIPAA Support
• Practice Analytics & Reporting

Payers

Billing support covers Medicare, Medicaid, commercial insurance, Tricare, VA, workers' compensation, and auto/no-fault carriers. Payer rules differ, so each specialty page notes where policies commonly vary.