Who We Serve

Built for Every Practice Type

Whether you run a solo clinic, a multi-specialty group, or a full facility — EDME has the billing expertise to match your exact needs.

Medical Practices

Specialty-Specific Billing That Gets It Right

Different specialties have different coding rules, payer requirements, and documentation standards. We know each one.

Behavioral Health

Psychiatry, psychology, counseling & therapy

  • — CPT coding for therapy sessions (90832–90853)
  • — Prior auth management for behavioral health payers
  • — Medicaid mental health billing expertise
  • — SOAP note transcription for session documentation

Cardiology

Interventional, non-invasive & electrophysiology

  • — Complex cardiology CPT and ICD-10 coding
  • — Procedure billing for caths, stents, and ablations
  • — Prior authorization for high-cost cardiac procedures
  • — Operative report transcription

Gastroenterology

GI procedures, endoscopy & colonoscopy

  • — Endoscopy and colonoscopy coding (GI-specific CPT)
  • — Pre-authorization for screening procedures
  • — Pathology and lab billing coordination
  • — Procedure report transcription

Urgent Care Centers

Walk-in clinics & emergency care settings

  • — High-volume, fast-turnaround claim submission
  • — E&M coding for urgent care visits (99281–99285)
  • — Real-time eligibility verification at point of care
  • — Multi-payer billing across Medicare, Medicaid, commercial

Oncology

Medical oncology, radiation & hematology

  • — Chemotherapy and infusion billing (CPT 96401–96549)
  • — Drug billing and J-code management
  • — Prior auth for oncology treatments and imaging
  • — Patient account management for complex plans

Internal Medicine & Family Practice

Primary care, preventive medicine & chronic disease

  • — E&M coding and annual wellness visit billing
  • — Chronic disease management billing (CCM, PCM)
  • — Preventive care coding and MIPS quality reporting
  • — Full transcription for office notes and referrals

Spine Surgery & Orthopaedics

Surgical and non-surgical musculoskeletal care

  • — Surgical CPT coding for spine, joint, and trauma
  • — Pre-authorization for elective surgery procedures
  • — Implant and hardware billing coordination
  • — Operative report transcription within 24 hours

Dermatology

Medical, surgical & cosmetic dermatology

  • — Dermatology-specific CPT coding (destruction, biopsies)
  • — Pathology specimen billing coordination
  • — Medical vs. cosmetic procedure billing separation
  • — High-volume claim processing for busy practices

Ophthalmology

Eye care, surgery & optical services

  • — Eye exam and surgical procedure coding (cataract, LASIK)
  • — Vision vs. medical payer billing separation
  • — Pre-authorization for surgical eye procedures
  • — Optical dispensing billing coordination

Plus 20+ additional specialties including Paediatrics, Neurology, Urology, Radiology, Pulmonology, Rheumatology, and more. View all services

Facilities

Beyond the Clinic — Full Facility Support

We serve healthcare facilities of all types — from independent medical labs to skilled nursing facilities and home health agencies.

Medical Labs

  • — Accessioning and specimen tracking support
  • — Lab-specific CPT and HCPCS billing
  • — Medicare Part B lab claim submission
  • — PAMA pricing compliance

Small Hospitals

  • — Inpatient and outpatient facility billing
  • — UB-04 claim form management
  • — DRG and APC coding support
  • — Medicare and Medicaid facility billing

Skilled Nursing Facilities

  • — MDS-aligned billing and RUG/PDPM coding
  • — Medicare Part A and B claim management
  • — Medicaid daily rate billing
  • — SNF consolidated billing compliance

Home Health Agencies

  • — OASIS-based billing and PDGM compliance
  • — Medicare home health claim submission
  • — Hospice billing and NOE filings
  • — Private insurance home health billing

DME Suppliers

  • — HCPCS Level II coding for DME
  • — Medicare DME billing with DMEPOS enrollment
  • — Certificate of Medical Necessity management
  • — O&P billing for orthotics and prosthetics

Group Homes

  • — Medicaid waiver billing expertise
  • — Daily and monthly service billing
  • — State-specific residential care billing rules
  • — Private pay and insurance billing

Not Sure Where You Fit?

Let's Find the Right Setup for Your Practice

Talk to us. We'll identify exactly what your practice or facility needs — and recommend the right setup from day one.

info@edmebilling.com  |  www.edmebilling.com