Billing & Coding Expertise

Specialty Medical Billing Services

Malakos Healthcare Solutions provides certified, HIPAA-compliant revenue cycle management (RCM) for U.S. doctors and practice clinics. We support a wide range of clinical specialties, ensuring precise coding and maximum reimbursements.

Chiropractic

CPT 98940-98942, Modifiers AT/GY

Physical Therapy

97110, GP Modifiers, Cap Tracking

Pain Management

Epidurals, Facet Blocks, Modifiers

Integrative Medicine

Holistic & Out-of-network claims

Family Practice

Preventive E/M, Chronic Care (CCM)

Behavioral Health

Psychotherapy 90834/90837, H0001

Nurse Practitioner

Assistant-at-surgery, 85% reimbursement

Cardiology

EKGs, Echoes, Catheterizations

Dermatology

Biopsies, Mohs Surgery, Excisions

Gastroenterology

Colonoscopies, Endoscopies, CPT 45378

Orthopedic Surgery

Joint replacements, Arthroscopy

Pediatrics

Immunizations, Well-child checks

OB/GYN

Global OB packages, Colposcopy

Internal Medicine

Complex chronic care, Multi-morbidity

Neurology

EEGs, EMGs, Sleep studies, CPT 95819

Ophthalmology & Optometry

Cataract surgery, Refractions

Podiatry

Orthotics, Wound care, Debridement

Urology

Cystoscopy, Vasectomy, Prostate codes

Otolaryngology (ENT)

Sinus surgery, Audiology, CPT 31255

Pulmonology

Spirometry, PFTs, Sleep apnea

Nephrology

Dialysis services, Chronic kidney disease

Rheumatology

Infusion billing, Joint injections

Endocrinology

Continuous glucose monitor (CGM)

Allergy & Immunology

Desensitization, Immunotherapy

Anesthesiology

Base units, Time units, Physical status

Radiology

X-Rays, MRIs, TC/PC modifiers

Pathology & Lab

Panels, Molecular testing, CLIA rules

Urgent Care

S-codes, POS 20, Fast-track claims

General Surgery

Global periods, Modifiers 58/59/79

Plastic Surgery

Reconstructive vs. Cosmetic claims

Physical Medicine & Rehab

PM&R, EMG/NCS testing, CPT 95911

Psychiatry

Diagnostic evaluations, Med management

Acupuncture

97810-97814, Insurance verification

Wound Care

Debridement, Hyperbaric oxygen (HBOT)

DME Billing

Orthotics, CPAPs, Wheelchairs

Occupational Medicine

Workers' compensation, Fee schedules

Geriatrics

Medicare AWV, Care coordination

Sports Medicine

Ultrasound-guided injections, PRP

Sleep Medicine

Polysomnography, HST interpretation

Multi-Specialty Clinics

Shared overhead, Split-billing setup

Outsource Medical Billing Services to Maximize Your Practice Collections

Running a medical practice in the United States requires balancing patient care with complex administrative burdens. Navigating the constant changes in ICD-10 coding guidelines, payer-specific modifiers, and rigid pre-authorization requirements can quickly overwhelm in-house staff, resulting in delayed payments and rising claim denials.

At Malakos Healthcare Solutions, we provide end-to-end medical billing services and comprehensive Revenue Cycle Management (RCM) solutions tailored specifically for independent practices, multi-specialty clinics, and healthcare networks. By combining AAPC-certified CPC/COC coders with automated claim-scrubbing technology, we help you achieve a 98%+ clean claim rate, accelerate your cash flow, and reduce aging accounts receivable (A/R) days.

Complete Revenue Cycle Management (RCM) Services We Provide

Patient Eligibility & Pre-Authorization

We verify patient benefits, coverage limits, copays, deductibles, and secure prior authorizations before the encounter to eliminate front-end denials.

Certified Medical Coding & Audit

AAPC-certified CPC coders assign precise ICD-10-CM, CPT, and HCPCS codes based on your documentation, ensuring compliance and preventing audit risks.

Charge Entry & Electronic Claim Submission

Claims are processed and scrubbed through electronic clearinghouses within 24–48 hours, catching demographic errors and modifier omissions instantly.

Payment Posting & Reconciliation

We post ERAs and manual EOBs accurately, verifying contract fee schedules to identify underpayments, insurance write-offs, and patient balances.

Proactive Denial Management & Appeals

Every denied claim undergoes immediate root-cause analysis. Our team appeals clinical and administrative rejections with proper medical records validation.

Accounts Receivable (A/R) Recovery

We run targeted recovery campaigns on aging accounts (30, 60, 90+ days), resolving stalled insurance claims to recover trapped revenues.

EHR & EMR Systems We Integrate With

AthenahealtheClinicalWorksAdvancedMDKareo (Tebra)WebPTNextGenOfficeAllyAllscriptsDrChronoPracticeSuite

FAQs: Outsourcing Medical Billing Services

How does outsourcing medical billing services increase practice revenue?

Outsourcing your billing processes to a specialized medical billing company eliminates the overhead cost of hiring, training, and retaining internal billing staff. Our certified RCM team processes claims within 24 to 48 hours, scrubs errors electronically prior to submission, and appeals insurance claim denials immediately. This leads to a lower rate of aging accounts receivable (A/A/R), higher clean claim rates (98%+), and a substantial increase in net monthly collections.

What makes specialty-specific medical billing services necessary?

Each medical specialty operates under unique documentation rules and coding configurations. For instance, Physical Therapy relies heavily on cap tracking and GP modifiers, Chiropractic billing requires modifier AT guidelines, and Pain Management involves complex surgical units and block modifiers. Partnering with a company that understands specialty billing rules prevents undercoding, ensures compliance, and prevents claim denials.

Is Malakos Healthcare Solutions HIPAA-compliant?

Yes, Malakos Healthcare Solutions is fully HIPAA-compliant. We prioritize patient data security by using secure, encrypted networks, restricted cloud access, and strict internal compliance training. We sign formal Business Associate Agreements (BAAs) with all provider groups, ensuring that your patient Protected Health Information (PHI) is secured according to federal guidelines.

How does your team handle unpaid or denied medical claims?

Unlike automated billing systems that ignore unpaid claims, our billing experts actively audit all claim reports. We run daily aging reports to identify unpaid claims over 30 days. When a denial is received, we run a root-cause analysis, correct coding errors, resubmit claims, or draft clinical appeals backed by medical necessity documentation.

Can we keep our existing EHR and EMR systems?

Absolutely. We are software-agnostic and work directly inside your existing EMR/EHR platform (such as Athenahealth, eClinicalWorks, AdvancedMD, WebPT, or Kareo). This eliminates the disruption of migrating patient records or retraining your staff on new clinical platforms.