Maximizing Revenue Through Strategic RCM: A Specialty-Focused Approach

Each medical specialty faces unique challenges in revenue cycle management (RCM), billing, coding, and compliance. Optimizing your RCM strategies and operational practices can improve financial performance across the board, in every medical practice. Accrete Concierge offers our clients the opportunity to engage with expert-centered advice in a specialty-focused environment, with masterful approaches to navigating practice and industry-specific hurdles.  

1. Pain Management Billing: Capturing Complexity, Preventing Revenue Loss

Pain management practices often deal with complex, high-value procedures like nerve blocks, spinal injections, and long-term medication management — all of which require precise billing and documentation.

RCM strategies that increase revenue:

• Specialized coding for procedures like epidural steroid injections (CPT 62323) and radiofrequency ablation (CPT 64635)

• Medical necessity documentation to prevent denials related to chronic pain treatments

• Authorization tracking for interventional procedures

2. Orthopedic Billing: Streamlining Surgical and Post-Op Reimbursement

Orthopedic clinics perform a mix of high-volume procedures (e.g. joint injections) and high-ticket surgeries (e.g. ACL reconstruction, total joint replacements). Inaccurate coding or delays in prior authorizations can dramatically impact reimbursement.

How RCM improves orthopedic billing outcomes:

• Surgical coding accuracy (e.g. modifier usage for staged procedures)

• Pre-authorization workflows for imaging and surgeries

• Workers’ compensation and PI billing support

• Global period tracking to avoid improper follow-ups

3. Neurology Billing: Managing Complexity Across Diagnostics and Chronic Care

Neurologists often bill for EEGs, EMGs, sleep studies, and chronic condition management. Denials often stem from documentation gaps, under-coding, or insurance confusion.

RCM methods that protect neurology revenue:

• Accurate coding for neurodiagnostic tests (e.g., CPT 95816, 95910)

• Medical necessity alignment for conditions like epilepsy, migraines, and Parkinson’s

• Chronic care coordination billing (e.g., CPT 99490)

• Appeals for common neurology denials tied to lack of clinical data

4. Internal Medicine Billing: Boosting Primary Revenue While Minimizing Risk

Internists often deal with high patient volumes, multifactorial diagnoses, and chronic disease management — all of which demand precise documentation and coding.

How RCM improves internal medicine cash flow:

• Capture of high-value E/M codes using time-based documentation and MDM

• Annual wellness visits and preventive services billing

• Chronic care and remote patient monitoring revenue

• Reduction in under-coding and over-coding compliance risk

5. Family Medicine Billing: Enhancing Reimbursements for Full-Scope Care

Family medicine covers a broad range of services — from pediatrics to geriatrics, acute visits to preventive care. Without a nuanced billing approach, practices can leave significant revenue on the table.

RCM strategies for better reimbursement:

• Accurate coding for wellness, sick visits, and immunizations

• Proper use of modifiers (e.g., -25) to reduce bundling losses

• Annual screenings and risk-adjusted coding for chronic patients

• Front-end eligibility checks to reduce rejections

6. Chiropractic Billing: Navigating Medical Necessity and Payer Restrictions

Chiropractic practices are often challenged by strict medical necessity rules, limited visit caps, and documentation requirements that impact collections.

How we help chiropractic clinics get paid more, faster:

• Correct usage of chiropractic CPT codes

• Proper AT modifier application to show active treatment

• Appeal management for medically denied claims

• Support with cash-based services and dual billing models

The Concierge Commitment: Where Precision Meets Partnership

We don’t believe in one-size-fits-all billing. Whether you're in pain management, orthopedics, neurology, internal medicine, family medicine, chiropractic care, dermatology or OB/GYN — we know your workflows, your codes, and your challenges. Our team is trained in the nuances of your specialty, ensuring clean claims, faster reimbursements, and fewer denials. With us, you’re not just optimizing your billing — you’re gaining a dedicated partner invested in your success.

Revenue Cycle Management • Claims Submission • Insurance Verification • Coding & Compliance • Denial Management • AR Follow-Up • Payment Posting • Patient Statements • Practice Analytics

‍Contact Accrete Concierge to learn about how we can tailor your RCM strategy for your specialty.

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