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Medical Billing by Specialty

A chart of accounts that fits how your business actually earns and spends — not a generic template.

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Every specialty breaks the books in its own way. A contractor needs job costing and subcontractor 1099s. An online seller needs platform payouts reconciled against deposits and sales tax tracked across states. A restaurant needs tips, comps, and food cost handled correctly. Setting books up around those realities is most of the work.

11 of these also have state-by-state guides, because sales tax nexus, licensing, payroll rules, and in some states the tax you file instead of sales tax genuinely differ where you operate.

White Glove Medical Billing is a medical billing, coding, and revenue cycle company — not a healthcare provider and not a law firm. All coding is performed by certified coders from your providers' documentation; the clinical record and the certification of medical necessity remain the provider's.

Specialties with state-by-state guides

Ambulance & EMS

Level of service plus loaded mileage, with an origin and destination modifier pair on every single claim.

Behavioral Health

Time-based session codes and place of service, with authorization attached to almost everything.

Chiropractic

Active treatment versus maintenance care — the distinction every review examines and the record has to make.

Durable Medical Equipment

HCPCS coding tied to an order, a face-to-face encounter, and a medical-necessity record that must exist before delivery.

Home Health

Episode-based billing where the physician must certify and re-certify the plan of care inside defined windows.

Hospice

Per-diem levels of care rather than per-service billing, with the level driven by documented patient need each day.

Orthopedics

Global surgical periods and modifier use, where a post-operative visit billed separately is a denial by design.

Pain Management

Procedure-heavy coding with strict frequency limits and imaging-guidance requirements.

Physical Therapy

Timed treatment codes, where unit calculation is systematic rather than occasional — an error repeats on every visit.

Skilled Nursing Facilities

Case-mix classification driven by assessment data, where the assessment itself sets the payment rate.

Urgent Care

High-volume evaluation and management coding, where small consistency errors scale immediately.

Nationwide specialties

Allergy & Immunology

Antigen preparation billed by dose vial separately from the injection service, which is where most units errors originate.

Ambulatory Surgery Centers

Facility-side coding where the same procedure pays on a different schedule than it would in an office.

Anesthesia

Base units plus time units plus modifiers — reimbursement is computed rather than looked up, and rounding conventions differ by payer.

Cardiology

Professional and technical component splits, plus global periods that make bundling denials look like coverage denials.

Clinical Laboratory

Panel versus component billing, where billing components separately when a panel exists is precisely the error payers look for.

Dermatology

Lesion size, count and margin recorded at the time of excision — reconstructing them afterwards is not possible.

Dialysis Centers

Composite rate billing per treatment, with separately billable drugs and laboratory work carved out.

Emergency Medicine

High-acuity E/M levels and critical care time, coded from documentation written under time pressure.

Endocrinology

Continuous glucose monitoring and pump supply codes with their own frequency limits, billed alongside standard E/M.

Family Medicine

Evaluation and management levels, chronic care management, and annual wellness visits that each have their own requirements.

Gastroenterology

Screening versus diagnostic distinction on the same procedure, which changes both the code and the patient’s cost share.

General Surgery

Global surgical packages plus modifiers for staged, related, and unrelated procedures during the post-operative period.

Hospital Medicine

Initial versus subsequent inpatient codes and discharge day management, where the admitting relationship determines who may bill what.

Infusion Centers

Administration hierarchy — initial, sequential, concurrent — plus drug units by NDC, all driven by documented start and stop times.

Internal Medicine

Complexity-driven E/M coding and chronic disease management across long patient relationships.

Nephrology

Monthly capitated dialysis codes banded by patient age and visit count, which behave unlike any fee-for-service E/M.

Neurology

Diagnostic testing codes with technical and professional components, alongside prolonged E/M services.

Obstetrics & Gynecology

The global obstetric package, which collapses months of care into one claim and has to be separated correctly when it breaks.

Occupational Therapy

Timed treatment codes with the same unit-calculation exposure as physical therapy, plus modifiers identifying the discipline.

Oncology

Drug billing by NDC and units alongside administration codes, where a units error is immediately expensive.

Ophthalmology

Medical versus routine vision coding, and testing services with their own frequency limits.

Optometry

Routine vision versus medical eye care, which decides which of two entirely separate benefit plans receives the claim.

Oral & Maxillofacial Surgery

Dual coding across CDT and CPT, where the same procedure has a dental code and a medical code with different coverage.

Otolaryngology (ENT)

Procedures performed in the office that carry global periods, plus bilateral and multiple-procedure rules.

Pathology

Specimen-level coding, where the unit of billing is the specimen rather than the encounter.

Pediatrics

Preventive visit coding alongside problem-oriented care, and vaccine administration counted per component.

Plastic & Reconstructive Surgery

Reconstructive versus cosmetic determination, which decides whether there is a claim at all.

Podiatry

Routine foot care exclusions, where coverage turns on a documented systemic condition rather than on the procedure performed.

Radiology

Professional and technical components, and orders that must show medical necessity from the referring provider.

Rheumatology

Biologic infusion coding by NDC and units alongside administration hierarchy, where a units error is immediately expensive.

Sleep Medicine

In-lab versus home sleep testing codes, and PAP device supply schedules billed on their own cadence.

Speech-Language Pathology

Evaluation complexity tiers and untimed treatment codes, where one unit covers a session regardless of length.

Telehealth

Place-of-service and modifier requirements that have diverged between payers again since the pandemic flexibilities lapsed.

Urology

Procedure coding with supply and drug components that are billed separately and frequently forgotten.

Wound Care

Debridement coded by depth and surface area, with skin substitute application billed separately by product and size.

Not sure where to start?

Tell us where your books stand — we will tell you what it takes to get them current, and what it costs.

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