Specialties

Billing built for your specialty

Every specialty gets denied for different reasons. TruRev checks each claim against the codes, modifiers, and payer edits your service line actually hits. Certified billers work whatever it flags.

NCCI and MUE edits checked at charge entry
Modifier, global period, and drug unit rules by specialty
Prior authorizations matched to the claim before it goes out

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Pick your specialty and we'll show you how TruCare handles its claims, from intake to payment.

Popular specialties

7 specialties, 7 different ways a claim goes wrong

Each carries its own code set, documentation rules, and payer edits. Here is what TruCare checks before a claim leaves for the clearinghouse.

Home Health

30-day PDGM periods run on OASIS data. A late Notice of Admission cuts the period's payment, so TruRev tracks the 5-day NOA window from each start date.

PDGMOASISNOA

Home health billing

Mental Health

Psychotherapy codes 90832, 90834, and 90837 bill by session length. Add-ons with E/M, telehealth place of service, and carve-out payers are checked on every claim.

90837POS 10Carve-outs

Mental health billing

Gastroenterology

A screening colonoscopy turns diagnostic when a polyp comes out. TruRev adds modifier PT for Medicare or 33 for commercial plans so the screening benefit still applies.

Modifier PTModifier 33G0121

GI billing

Wound Care

Debridement bills by depth and surface area, 97597 for selective and 11042 to 11047 for surgical. Weekly wound measurements back medical necessity for each visit.

9759711042–11047Q-codes

Wound care billing

Neurology

Nerve conduction studies bill by nerve count, with needle EMG add-ons. Botulinum toxin units carry JW or JZ on Medicare claims, and infusions need an active authorization.

95907–95913JW / JZPrior auth

Neurology billing

Orthopedics

Global periods decide what's billable after surgery. Modifiers 24, 25, 57, and 79 are checked against the global window, and braces bill as HCPCS L-codes.

Global daysModifier 79L-codes

Orthopedic billing

Rheumatology

Biologic infusions bill a J-code, units, and an 11-digit NDC. TruCare tracks prior authorizations so a renewal lapse doesn't deny a claim mid-treatment.

J-codes11-digit NDC96413

Rheumatology billing

Don't see yours here?

The full list covers 40 more specialties and service lines, from ABA therapy to vascular surgery.

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All specialties

Every specialty we bill for

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