Industry Expertise
No matter your specialty, IMBS has helped practices like yours protect revenue and reduce A/R.
Managed RCM for your specialty
With years of hands-on experience across outpatient, inpatient, and ancillaries, we understand the nuances of each specialty and design an RCM strategy that fits your workflows and goals.
At IMBS, we’ve done the work to earn specialty fluency-from prior authorizations and eligibility to coding edits, bundling rules, and appeals-aligned to your EHR/PM stack.
Anesthesia & Pain Management
Auth-heavy procedures, time-based units, and modifier accuracy handled end-to-end. We track medical necessity and payer edits to prevent delays and rework.
Behavioral Health / Psychiatry
Parity nuances, recurring visit plans, and telehealth rules aligned. Clean eligibility, documentation, and coding support consistent reimbursement and fewer patient surprises.
Cardiology
Device checks, imaging components, and global periods tuned to payer policy. We reduce avoidable denials with correct modifiers, bundling logic, and prior auths.
Chiropractic
Visit caps, plan limits, and medical-necessity documentation managed proactively. Our edits and eligibility workflows keep claims clean while protecting patient experience.
Dental
Dental eligibility quirks, CDT/CPT blends, and pre-auth coordination handled smoothly. We align documentation and estimates to speed approvals and payment.
Dermatology
Biopsies, excisions, pathology tie-outs, and lesion counts coded precisely. We prevent bundling issues and rejections with smart edits and checklist-driven documentation.
DME (Durable Medical Equipment)
Proof-of-delivery, CMN documentation, and medical necessity validated before submission. Tighter front-end checks reduce audits, take-backs, and downstream A/R.
Family Practice / Primary Care
Preventive vs. problem-oriented services, immunizations, and chronic care coded correctly. We streamline eligibility and copay estimation to avoid check-in friction.
Hematology & Oncology / Radiation Oncology
Drug billing, wastage tracking, regimen authorizations, and site-of-service rules managed rigorously. We keep complex claims moving with daily tracker oversight.
Hospitalists
Inpatient rounds, consults, and split/shared services captured and coded right. We align documentation to payer policy to protect revenue and reduce denials.
Imaging Centers / Radiology
Global/technical/professional splits, authorization workflows, and modality-specific edits dialed in. Fewer reschedules and faster payment through clean submissions.
Internal Medicine
Chronic care, TCM/RPM opportunities, and complex problem visits documented clearly. We pair coding audits with denial-trend analysis to raise net collections.
Neurology
Diagnostics, prolonged services, and infusion rules navigated cleanly. Pre-visit verification and targeted edits lower avoidable denials and rework.
Nursing Home / SNF
Place-of-service, consolidated billing, and frequency limits managed precisely. We coordinate with facilities to keep documentation complete and claims clean.
Ophthalmology
Testing bundles, global periods, and modifiers applied correctly. Prior auths and medical necessity captured to accelerate approvals and remits.
Otolaryngology
Scopes, allergy services, and procedures authorized and coded to payer spec. Smart edits reduce bundling issues and denials.
Pathology
Specimen tracking, referring provider tie-outs, and correct units ensured. Our edits and reconciliation checks prevent common rejection patterns.
Physical Therapy & Rehabilitation (PT/OT)
Visit caps, plan-of-care requirements, time-based coding, and modifiers handled end-to-end. Cleaner claims, fewer write-offs, steadier cash flow.
Urology
Procedure/device billing and frequency limits aligned to policy. Front-end verification plus precise coding minimizes recodes and appeals.
Plastic Surgery
Cosmetic vs. reconstructive distinctions documented thoroughly. Prior auths, estimates, and payment plans coordinated to reduce denials and patient confusion.
Pediatrics
Immunizations, preventive schedules, and same-day sick visits billed correctly. Eligibility and benefit checks prevent surprise balances for families.
Immunology
Testing and biologic therapy authorizations tracked carefully. Coding accuracy and wastage documentation protect margins and speed payer decisions.
Rheumatology
Infusion workflows, specialty drug billing, and step-therapy policies managed closely. Our trackers and edits reduce delays and underpayments.
Gastroenterology
Screening vs. diagnostic distinctions, pathology coordination, and anesthesia authorizations aligned. Accurate coding and edits minimize recodes and payer pushback.
Don’t see your industry?
This list is not comprehensive. Let us learn more and share our experience with your industry.
Why specialty expertise for RCM is critical
Payer & policy alignment
Coverage policies, global periods, NCCI edits, and documentation change constantly. We keep your claims compliant and clean the first time.
EHR & workflow fit
Every specialty uses different templates, codes, and order sets. We configure processes inside your current EHR/PM to reduce clicks and rework.
Revenue protection
Denial prevention beats denial appeal. We tighten authorizations, eligibility, coding, and modifiers—then monitor A/R and underpayments with transparent reports.
