Billing for endocrinology is not general billing with a different code set. Continuous glucose monitoring and pump supply codes with their own frequency limits, billed alongside standard E/M.
Device and supply coverage sits under pharmacy or DME benefits rather than medical, so the same order routes to a different payer entirely.
At a glance
What drives the coding
Continuous glucose monitoring and pump supply codes with their own frequency limits, billed alongside standard E/M.
What drives the payer behavior
Device and supply coverage sits under pharmacy or DME benefits rather than medical, so the same order routes to a different payer entirely.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where endocrinology claims actually fail
- Device billed to the medical benefit instead of DME
- CGM supply frequency exceeded
- Training and education time not separately documented
How we work it
We code from what your record documents and query you when it does not support a code, which in endocrinology is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current endocrinology denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Endocrinology — Frequently Asked Questions
Do you have coders who know endocrinology?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — continuous glucose monitoring and pump supply codes with their own frequency limits, billed alongside standard E/M.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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