Expert Medical Solutions

Specialized Medical Billing Services

Maximize Revenue. Reduce Denials. Ensure Compliance. We offer comprehensive, end-to-end billing solutions for specialized practices, ensuring accuracy, faster reimbursements, and regulatory compliance.

Our Specialties Get a Quote

Mental Health Billing

Simplifying therapy billing so you can focus on patient well-being. We navigate session limits and carve-out plans.

Session Unit Tracking

We manage the balance of approved sessions to prevent denials for "exceeded units," ensuring continuity of care.

Time-Based Coding Audits

Precise verification that 90834/90837 codes match clinical documentation perfectly to avoid recoupment.

Telehealth Expertise

Seamlessly billing virtual visits with the correct place-of-service (POS 02/10) and modifiers for maximum expansion.

Ambulatory Surgery Center (ASC)

Streamlining high-acuity facility billing and complex case management. ASC billing requires a dual focus on facility fees and surgical professional services.

Certified ASC Billing

Facility Fee Optimization

We ensure accurate group assignments to maximize reimbursement for operating room time and supplies.

Implant Revenue Recovery

Specialized tracking and billing for high-cost implants using specific HCPCS codes to prevent "unpaid" device claims.

Multi-Procedure Discounting

Expert application of modifiers to ensure that secondary procedures are reimbursed at the highest allowable rate.

Wound Care Specialists

Advanced Wound Care Billing

Specialized billing for wound treatment and advanced healing procedures with precise documentation and coding.

Measurement Documentation

Auditing notes to ensure wound dimensions justify graft sizes. Our expert team verifies every measurement for maximum accuracy and reimbursement.

Skin Substitute Revenue

Precise billing of "J" and "Q" codes for biologics (100% cost recovery). We ensure every high-cost material is properly documented and billed.

Debridement Coding

Correctly distinguishing between surgical and non-surgical debridement. Our coding specialists ensure proper classification for optimal reimbursement.

Dental Billing Services

Precision CDT and CPT coding for preventive to complex oral surgeries.

Services Handled

Routine exams, cleanings, fluoride treatments
Fillings, extractions, root canals
Crowns, bridges, implants
Oral surgery and anesthesia
Orthodontics and pediatric dental procedures

AH NexTech Approach

1 Verify patient insurance eligibility and benefits

2 Assign accurate CDT/CPT codes

3 Submit claims and monitor payer responses

4 Post payments and reconcile ERAs

Laboratory Billing

Specialized coding for routine to advanced diagnostic services, ensuring accuracy and timely reimbursements for your lab operations.

Chemistry & Hematology

Comprehensive panels including CBC, CMP, lipid profiles, and metabolic testing to support accurate lab billing and reporting.

Microbiology

Infectious disease testing including cultures, sensitivities, and pathogen identification, coded correctly for insurance claims.

Genetics (PGX)

Genetic testing and molecular diagnostics, including pharmacogenomics, ensuring precise billing for complex lab services.

Toxicology

Drug and toxin screening panels for clinical, workplace, and forensic testing, with detailed coding support for reimbursements.

Pathology

Biopsies, cytology, and pap smears with accurate coding to ensure proper documentation and insurance processing.

Specialty Panels

Endocrine, autoimmune, and other specialty testing panels coded for maximum compliance and claim efficiency.

Timely reimbursements

Accurate coding

Compliance monitoring

Home Care

Home Health Billing

Episodic and highly regulated billing requiring careful documentation for nursing and therapy services.

Therapy Services Skilled Nursing Infusion Therapy Wound Care

AH NexTech Approach:

Verify eligibility & prior authorizations
Submit claims to Medicare/Medicaid
Ensure OASIS compliance

Out-of-Network Billing

Maximize reimbursement for OON services with expert negotiation and patient balance management.

Services

Surgical procedures & Imaging
Specialty Consultations
Multi-service visits

                        Benefits
                         Higher Reimbursement
 Faster Cash Flow
 Accurate Statements

                    

Hospital Part A & Part B

Accurate DRG, CPT, and HCPCS coding for inpatient and outpatient services.

PART A

Inpatient Services

Admissions, ICU, Surgical Stays, DRG Coding.

PART B

Outpatient Services

Physician services, Imaging, Diagnostics, Labs.

DME Billing Services

Covering standard and complex equipment with strict documentation and compliance.

Standard: Braces, Walkers, Infusion Pumps
Complex: Wheelchairs, CPAP, Prosthetics

Verify Coverage

Audit Ready

Fast Pay

Compliance Guaranteed

Accurate Claims