PreMD’s Billing Specialties

Looking for faster payment processing for your medical billings? Wish to reduce billing overheads on various specialty billings that you frequently generate? PreMD’s medical billing services ensure that we generate higher net collections and that too in less time.

PreMD has fully trained billing and processing experts who are exclusively allocated to each client, serving their requirements faster. Our resources are skilled at medical billing specialties outsourcing and we provide them regular training to handle any medical specialties, which makes them adept at all the latest billing formalities and increases their ability to handle and resolve medical specialty services and billing issues faster. As a result, our medical specialty team is able to:

  • Increase collection to a higher level
  • Reduce the average AR to less than 40 days

For more than 25 years, we’ve been helping physicians, clinics, group practices, and hospital-owned physician groups with their medical billing. Our medical billing and practice management consulting services can be used for all types of medical practices and medical specialties including:

  • Anesthesiologists / Anesthesiology

  • Cardiologists / Cardiology

  • Chiropractors / Chiropractic

  • Dermatologists / Dermatology

  • Ear, nose, throat specialists (ENTs)

  • Emergency Medicine

  • Endocrinologists / Endocrinology

  • Family Practice Doctors / Family Practices

  • Gastroenterologists / Gastroenterology

  • Geriatric physicians / Geriatrics

  • Hematologists / Hematology

  • Hepatolgists / Hepatology

  • Internal medicine physicians / Internal medicine

  • Neonatologists / Neonatology

  • Neurologists / Neurology

  • OB GYNs / Obstetricians

  • Oncologists / Oncology

  • Ophthalmologists / Ophthalmology

  • Optometrists / Optometry

  • Orthopedists / Orthopedics

  • Osteopaths / Osteopathic

  • Pathologists / Pathology

  • Pediatricians / Pediatrics

  • Physical therapists / Physical therapy

  • Physiotherapists / Physiotherapy

  • Plastic Surgeons / Cosmetic Surgeons

  • Podiatrists / Podiatry

  • Psychiatrists / Psychiatry

  • Radiologists / Radiology

  • Rheumatologists / Rheumatology

  • Surgeons / Surgery

  • Urologists / Urology


For more than 25 years, we’ve been helping physicians, clinics, group practices, and hospital-owned physician groups with their medical billing. Our medical billing and practice management consulting services can be used for all types of medical practices and medical specialties including:


From cardiology to endocrinology to orthopedic surgery to physical therapy, PreMD handles the back office billing for you so you can focus on the most important part of your business, your patients. We perform the complete setup process for Medicaid and other insurance companies including credentialing and enrolling. We can provide you with startup assistance and random sample audits of charts/coding. We have expertise in the following medical billing specialties:

Pain management is the practice of medicine that treats all types of pain. This can include musculoskeletal, spinal, and neuropathic pain. Pain management is a rapidly growing field in the healthcare industry and can include a variety of pain specialists. Therefore, whatever type of pain management specialist you are, whether you’re a pain physician or in the physiatry arena, medical pain management billing is a necessary but possibly overwhelming task. Even though managing your practice’s billing can be difficult, cash flow is what enables a business to stay open.

Billing can make a huge impact on your financials. Let PreMD help you generate cash flow! The revenue cycle is important for the continued operations of your business. You’re the expert in diagnosing and treating the cause of pain, and we’re the experts at medical billing practice management. One of our provider specialties is pain management billing. Allow PreMD to implement a medical collections revenue cycle for you.

Optometry billing cycle management too has become an intense exercise. Practitioners, who earlier could easily have managed medical billing in-house, now find it prudent to get it done by an expert outside agency that, apart from ensuring cost minimization and revenue optimization, would enable them to be focused on their core concern: quality medical care. Our Optometry medical billing services, supervised by top-notch pre-qualified billing specialists, can easily be structured and delivered to match unique requirements. As a result, majority of practitioners across the U.S. have benefited from our comprehensive medical billing services.

Our medical billing management cycle with accurate charge-capture, complex procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.

Any variations to the pathology service should ultimately take into consideration the requirements of the service users. It is appropriate, therefore, to highlight first who are the main users of pathology services and how they contribute to the changing trends and the challenges that face the specialty. The main users of the pathology service include surgeons, oncologists, gynecologists, hospital physicians, radiologists, general practitioners, students and various research groups.

Surgical specialties, including gynecology, continue to be the major service users of the histopathology service and therefore remain the main drivers of the changes to service delivery and establishment. It was the move of general surgery into numerous surgical sub specialties that originally drove the histopathology service to follow suit. As surgical techniques and approaches develop and progress, the histopathology service should be able to adapt and respond to rising needs and demands. This requires close interaction and better sustained communications between the pathologists and their various surgical colleagues. Equally, newly developed techniques and new knowledge within the various sub specialties of pathology need to be communicated to our surgical colleagues to explain how these new developments can contribute to the management and care of patients.

The PreMD bring over 15 years of radiology billing experience. We guarantee to get your medical claims paid quickly and have a proven track record of success in all forms of radiology, including general radiology, MRI, CT, and all other modalities.  The PreMD can also provide analysis of modality trends, revenue centers, and locations as per request.

Radiology Documentation Guidelines for Optimized Coding and Reimbursement
In radiology, proper documentation is critical to achieve appropriate reimbursement. If the proper terminology is no used or important descriptors are omitted from the radiology report, the physician may not get paid for the services he or she performed.

  • Complete Ultrasound of the Abdomen
    The report must include the areas listed below.  Documenting non-visualization of an organ or vessel is acceptable (e.g. surgically absent gallbladder).
  • Liver, gall bladder and common bile duct
  • Pancreas
  • Spleen
  • Kidneys
  • Upper abdominal aorta and inferior vena cavaComplete Ultrasound of the Retro peritoneum
    The report must mention:
  • Kidneys
  • Abdominal aorta and common iliac artery origins
  • Inferior vena cava
  • Kidneys, ureters and bladder if performed for urinary indications
  • Documenting Fluoroscopic Guidance
  • For fluoroscopic guidance mention the Fluoroscopy time and number of spot films which were taken and read.
  • Ultrasound Guidance for PICC
  • The report must state that “permanent images were recorded.”

X-Ray Documentation

  • The number of views should always be documented in the report.
  • Types of views can affect procedure code selection, especially for chest, abdomen, knee and spine x-rays.
  • For spine x-rays, be sure to mention flexion, extension, bending or oblique views when performed.

CT Angiography and 3D

When dictating a CTA report, documentation of 3D reconstructions must be included.  The reconstruction does not have to be done on a separate workstation.

Venous Duplex/Doppler

  • Be sure to specifically mention all major veins that were imaged.
  • Three elements must be documented in each study: imaging, spectral analysis and color flow

Breast Ultrasound

  • Ultrasounds are split into “limited” and “complete.”
  • “Complete” requires documentation of all four quadrants and retroareolar area.
  • Any report that doesn’t mention all five areas is classified as “limited” and reimbursed at a lower rate.

Breast Tomosynthesis
Must use the word “tomosynthesis” in the dictation; 3D is not acceptable (e.g. “tomosynthesis was performed”).

Conscious Sedation
Must mention the sedation time and indicate that the physician directly supervised the administration of the sedative (e.g. “Under my direct supervision…”).

Diagnostic Guidelines 
Conditions cannot be coded unless they are proven to exist.

Information on a potential condition (e.g. fracture, DVT) that a study is looking for is not helpful from a billing perspective.  We cannot code conditions listed as:

  • “Rule out”
  • “Possible”
  • “Possible”
  • “Possible”

PreMD is a leading provider of chiropractic billing services in the USA. We specialize in comprehensive revenue cycle management which includes chiropractic coding and Denial Management for Medicare as well as other commercial and personal injury insurance plans such as no fault and workers’ compensation.

Our team is skilled in the use of the latest technologies and software such as Medisoft, Practice Admin, Eclipse, Chirotouch, ChiroFusion, AdvantX, eClinicalWorks, IDX, Lytec, Isalus and ACOM, among many others.

What We Do

  • Work as an extension to your business
  • Take care of all advance Insurance verifications and authorization needs
  • Improve your Billing workflow and reduce your AR
  • Provide accurate management of missing patient information
  • Let us manage your chiropractic insurance billing and help rimprove your revenue!

“Save 30 to 40% of your total operating costs”

Ear, Nose & Throat Billing Professionals.

We want our ENT clients focus on their work while our experts focus on the revenue cycle management.  The medical billing professionals at PreMD will do everything possible to get you your hard earned dollars from claims filing, patient billing, and accounts receivable, denial management. Add the most personal attention available in the industry, and you can see why so many healthcare providers trust us.

At PreMD, our job is to help you grow revenue, make comprehensive business decisions, and navigate the challenges of the changing healthcare environment to remain financially strong.  We’re the experts in ENT billing.  Providing audiology, allergy, or even sleep medicine DME?

We’ve got you covered.

In November 2015, CMS Medicare and Medicaid billing and reimbursement requirements for Orthopedic procedures changed dramatically, shifting many Orthopedic practices from a fee-for-service to a new bundled payment model for hip and knee replacement surgery in acute-care hospitals, as well as many other Orthopedic procedures.

PreMD provides expert Orthopedic Medical Billing Services to help navigate the new Medicare and Medicaid bundled payment rules and regulations along with establishing the necessary hospital partnerships for maximum allowable reimbursement for your Orthopedic Practice.

Payer contract negotiations, evaluation and renegotiations is very critical to every Orthopedic practice, yet many practices only set up their managed contracts one time and allow them to automatically renew without any negotiations. Most Orthopedic practitioners lose additional revenue of 10-30 percent because they do not have the time or the required expertise to renegotiate contracts with insurance payers.

Earlier this year CMS started to allow acute patients to be dialyzed in outpatient units. Our Dialysis Billing Specialists were prepared, streamlined the billing process and educated the providers.

PreMD is fully versed on the nuances of nephrology charge. From bill monthly care for peritoneal dialysis and hemodialysis to appending proper procedural modifiers, PreMD will assist your practice to identify trouble areas. For example, are you aware compensation for dialysis session oversight demands the attending physicians to show up within a process? Have you been charging a 90935 instead of a 90937?

Transparency is the key to trusting your billing company with your life’s work. PreMD Billing and Collections staff communicate with our clients continually, not just at the end of each month. You will have access to your Tower contact in real time via e-mail and phone.

Medical practices must constantly worry about their patients, current trends in medicine and proper staff management. They must also stay current with the most recent rules about coding standards, insurance companies, and billing regulations. With so much to keep up with, details can slip through the cracks, resulting in rejections, denials, and underpayments that cost medical practices time and money.

Now more than ever, it has become crucial to have a professional medical billing company specializing in gastroenterology medical billing and coding that can navigate through the complexities of the gastroenterology coding requirements.

As with all medical practices, the financial stability of your Gastroenterology Practice is directly related to timely and accurate billing in order to receive the maximum allowable reimbursement for services performed. However, with over 50 changes to CPT coding in 2015 for gastroenterology, including changes to lower GI endoscopy codes, new G codes and modifiers for CMS (Medicare and Medicaid) and revisions to the definition of colonoscopy, accurate medical billing and coding for gastroenterology has become a challenge for Gastroenterologists’ practices.

PreMD has been a trusted anesthesia billing company for over 25 years. By adapting our best practices from years of experience, we have established a reputation as the leading provider in anesthesia billing and Revenue Cycle Management. Our quality-driven services and outstanding track record are a result of PreMD philosophy and key differences.

Our revenue cycle services are designed to accommodate the needs of anesthesiologists and CRNAs practicing anesthesia in a private practice setting or a setting where they are employed by a hospital / surgery center facility.

As trusted leaders in the field, our PreMD team consults and participates in multiple committees and work groups on local, state and national levels that have been responsible for developing new billing standards and practices.

Our hands-on claims filing process program expressively alleviates pointless denials and appeals resulting in faster reimbursement without any delays. This process significantly reduces the number of claims that are typically turned over to collection agencies, which can result in a loss of 40 % of revenue, consequently producing greater revenue to our clients in a timely fashion.

PreMD Delivers

  • Exceptional and personalized customer service
  • Sound and proven processes
  • Consistent cash flow
  • Experience and knowledge you can trust

Family practice is highly complex and challenging because it squeezes more than one field of medicine. If you want to submit accurate medical claims to insurers and receive the correct payment, you need extensive knowledge of all relevant diagnosis and procedure codes.

Independent family practices are looking for multiple ways to reduce the costs while maintaining healthy revenue, outsourcing medical billing is a logical and positive consideration.  The challenge is in finding a billing company that has a track record of success in billing for Family Medicine.  As the population ages and more patients move into Medicare, we understand the challenges general practitioners face is remaining financially strong.


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We have partnered with a variety of healthcare organizations to extend our reach to 40+ states.