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
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.