Specialty-Focused Medical Billing & Coding Services
Our certified medical billing and coding experts deliver accurate coding, streamlined claims management, and compliance-first solutions across 50+ specialties.
Why Choose Everest?
Maximize Reimbursements. Minimize Denials. Enhance Compliance.
🟪 50+ Specialties Covered: From cardiology to behavioral health, our certified medical billing experts understand the nuances of your specialty.
🟪 Accuracy Guaranteed: Certified coders (AAPC, AHIMA) ensure 98%+ clean claim rates.
🟪 HIPAA-Compliant Systems: Protect patient data while accelerating claims processing.
🟪 24–48 Hour Turnaround: Fast, reliable claim submission and AR follow-ups.
🟪 Dedicated Account Managers: Get real-time updates and support from a personal billing consultant.
🟪 Denial Management & Appeals: Proactive resolution to maximize collections.
We are a result-driven Revenue Cycle Management company
Why should I outsource my billing and coding work to a third-party billing company? Because we handle your entire billing and coding workflow, from chart review to claim submission.
Certified AAPC/AHIMA billers & coders | Certified Risk Adjustment Coder (CRC)® | Specialty-Specific Expertise | HIPAA-compliant |
Coding Analysis: Our experts can review your existing coding practices to identify areas for improvement and prevent errors.
Billing Analysis: Our dedicated account managers can review your existing billing practices and highlight gray areas that need to be fixed.
Coding Training: We offer training programs to help your staff enhance their coding skills and knowledge.
Coding Consulting: Get expert advice on coding challenges, compliance issues, and industry trends.
Full Revenue Cycle Management Services
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End-to-End Medical Billing & Coding
One of the biggest struggles for providers is ensuring claims are coded accurately and submitted quickly. Our certified coders specialize in over 40+ medical specialties, which means your practice receives precise CPT, ICD-10, and modifier usage every time. From eligibility verification and charge entry to claims submission within 24–48 hours, we handle the entire billing process. This attracts practices because it takes away the burden of in-house billing errors and compliance risks. The value? Faster payments, fewer denials, and peace of mind knowing your claims are audit-ready and HIPAA compliant.
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Accounts Receivable (AR) & Denial Management
Every provider knows the frustration of having thousands of dollars stuck in aging accounts or written off due to preventable denials. That’s where our AR and denial management expertise comes in. We proactively follow up on unpaid claims, aggressively pursue denials with thorough appeals, and identify the root causes to prevent repeat issues. Practices are drawn to this service because it recovers lost revenue they thought was gone for good. The value is simple yet powerful: more cash flow, fewer write-offs, and a stronger bottom line.
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Revenue Intelligence & Practice Analytics
Billing isn’t just about claims—it’s about strategy. Our revenue intelligence service transforms raw financial data into actionable insights. We provide real-time dashboards that track key metrics such as days in AR, denial trends, and net revenue per encounter. On top of that, we conduct compliance audits, payer contract reviews, and financial consulting to help you negotiate better rates and streamline workflows. This attracts providers because it gives them the transparency and control they often lack. The value is clear: smarter business decisions, better payer negotiations, and a practice positioned for growth.
Ambulance
Transportation
Cardiology
Home Health Care
Certified Specialty Billing Services
Internal Medicine
Mental Health
Gastroentrology
Orthopedic
Anesthesia
OB/GYN
Urgent Care
Radiology
Urology
Oncology
Physical Therapy
Nephrology
Certified Medical Coding Services for all Medical Specialties
Certified AAPC/AHIMA coders | Certified Risk Adjustment Coder (CRC)® | Specialty expertise | HIPAA-compliant | Denial reduction
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Pain Management Coding
Detailed coding for interventional and chronic pain procedures:
CPT Codes:
62323 (Lumbar epidural injection)
64483 (Transforaminal nerve block)
27096 (Sacroiliac joint injection)
ICD-10: M54.5 (Low back pain), G89.29 (Chronic pain)
Modifiers: 50 (bilateral), 59, RT/LT, 76 (repeat procedure)
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Cardiology Coding
We ensure accurate procedural and diagnostic coding, including:
CPT Codes:
92928 (Coronary stent placement)
93458 (LHC + coronary angiography)
93000 (EKG interpretation)
ICD-10: I25.10 (CAD), I21.4 (NSTEMI)
Modifiers: 26 (professional component), 59 (distinct), 51 (multiple procedures)
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Orthopedic Coding
Optimize documentation for surgical and non-surgical ortho care:
CPT Codes:
27507 (Open treatment of femoral fracture)
20610 (Large joint aspiration/injection)
29881 (Arthroscopic meniscectomy – knee)
ICD-10: M17.11 (Unilateral knee OA), S42.001A (clavicle fracture)
Modifiers: 50 (bilateral), RT/LT (right/left), 58, 59
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Nephrology & Dialysis Coding
Specialized for outpatient, inpatient, and chronic kidney care:
CPT Codes:
90960–90970 (ESRD-related services)
36147 (AV fistula evaluation)
ICD-10: N18.6 (ESRD), N18.3 (CKD S3)
Modifiers: G1–G6 (dialysis status), 25, 59
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Emergency Room (ER) Coding
High-volume ER coding handled with speed and accuracy:
CPT Codes:
99281–99285 (ER visit levels 1–5)
99291–99292 (Critical care)
ICD-10: R07.9 (Chest pain), S06.0X1A (Concussion)
Modifiers: 25 (E/M with procedure), 27 (multiple E/M), 57 (decision for surgery)
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Behavioral & Psychiatry Coding
Proper coding for therapy, medication management, and psych evals:
CPT Codes:
90791 (Psychiatric diagnostic evaluation)
90837 (60-minute therapy)
99213 + 90833 (E/M + psychotherapy)
ICD-10: F33.1 (MDD), F41.1 (GAD)
Modifiers: 25, 95/GT (telehealth), 59
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Radiology Coding
Support for diagnostic and interventional radiology providers:
CPT Codes:
71045 (Chest X-ray, 1 view)
74177 (CT abdomen & pelvis with contrast)
73721 (MRI lower extremity, joint)
ICD-10: R91.8 (Lung mass), M25.561 (Knee pain)
Modifiers: 26 (professional), TC (technical), 59
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Surgical & Procedural Coding
We handle documentation, global periods, and operative notes:
CPT Codes:
47562 (Laparoscopic cholecystectomy)
44970 (Laparoscopic appendectomy)
49505 (Hernia repair)
ICD-10: K80.20 (Gallstones), K35.80 (Appendicitis)
Modifiers: 58 (staged), 78 (return to OR), 79 (unrelated procedure)
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"Everest's risk adjustment coding team transformed our RAF scores."
“We were struggling with incomplete documentation and inconsistent RAF scores—until we partnered with Everest A/R Management Group. Their certified CRC coders not only reviewed and cleaned up our historical charts, but also implemented a clear documentation improvement plan for our providers. Within just one quarter, we saw a measurable improvement in our risk adjustment accuracy and a significant reduction in rejected claims. Their team is knowledgeable, responsive, and truly understands the stakes when it comes to value-based care. Highly recommend them to any group taking risk contracts seriously.”
— Practice Administrator, Multi-specialty Group in Florida
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"Their expertise in cardiology coding helped us recover thousands in missed revenue."
“Cardiology coding is complex, and we had ongoing issues with under-coded procedures and frequent payer denials. Everest A/R Management Group stepped in with a team of certified coders who knew exactly how to navigate cardiovascular CPT and ICD-10 codes. They conducted a full coding analysis, corrected documentation gaps, and trained our staff on best practices. Within 60 days, our collections increased noticeably, and our denial rate dropped significantly. I only wish we had found them sooner.”
— Director of Billing Operations, Cardiology Group in Gainesville, FL
Benefits of Partnering with Everest’s Billing & Coding Team
Increased Revenue: Maximize your practice's profitability by capturing the correct reimbursement for services rendered.
Time Savings: Free up your staff to focus on patient care instead of time-consuming coding tasks.
Improved Efficiency: Our streamlined processes and technology reduce errors and improve efficiency.
Enhanced Compliance: Ensure adherence to coding guidelines and regulations to avoid penalties and fines.
Peace of Mind: Trust our expertise to handle your medical coding needs with accuracy and reliability.
Offer Risk Adjustment Coding Services that Protects Revenue
“Case Study: Partnered with one of Gainesville’s largest cardiology groups to clear a critical coding backlog in 30 days; ongoing coding support has increased their collection ratio by 18% over 12 months.”
This leverages the user‐provided success story (largest cardiology group – backlog cleared in one month, service continuing).
Accurate risk adjustment coding is essential for Medicare Advantage and ACA plans. Our CRC-certified coders ensure chronic conditions are properly documented and coded, boosting RAF scores, reducing audit risk, and increasing reimbursements.
Trusted by top providers. Powered by expertise.
Request a Free Billing and Coding Consultation
Cut Claim Rejections in Half—See How Our Coders & Billers Can Help?
"Honestly, Everest has taken a lot of pressure off our internal team and allowed us to focus more on our patients. I’d recommend them to any oncology group looking for reliable help with coding."
Dr. A. Mehta, MD | Board-Certified Oncologist
FAQs Regarding Medical Billing & Coding Services
Q1. How quickly can I see results after outsourcing my billing to Everest A/R?
Most practices see measurable improvements in collections and cash flow within the first 60–90 days. Our team works on a rapid onboarding model with a 24–48 hour claim turnaround, so you don’t have to wait long to experience results.
Do I lose control of my billing once I outsource?
Not at all. You stay in full control. We provide transparent reporting, real-time dashboards, and dedicated account managers who keep you updated. Think of us as an extension of your in-house team—only more specialized and cost-efficient.
How much does outsourcing billing cost compared to in-house staff?
Our pricing is performance-driven, often costing less than hiring and training full-time staff. Practices typically save 20–40% compared to in-house billing while increasing net collections. We can provide a custom ROI estimate during your free consultation.
What if I only want help with AR cleanup or coding audits, not full billing?
Absolutely. Our services are flexible. You can engage us for full-cycle billing, AR follow-up, coding audits, or even one-time cleanups. We’ll tailor a plan that fits your practice’s needs.
What specialties do you handle?
We cover more than 40+ medical specialties, including cardiology, orthopedics, internal medicine, behavioral health, urgent care, emergency medicine, and more. Our certified coders are trained in specialty-specific CPT, ICD-10, and modifier rules to ensure maximum compliance and reimbursements.
How do you ensure my practice stays compliant with HIPAA and payer requirements?
Compliance is at the core of what we do. We are fully HIPAA compliant, our staff undergoes regular compliance training, and our systems are protected with advanced data security. We also keep up with CMS, payer, and state-level regulations so your claims stay error-free and audit-ready.
Do you work with my existing EHR or practice management software?
Yes. We integrate seamlessly with all major EHRs and billing platforms. Whether you use Epic, eClinicalWorks, Kareo, Athenahealth, or a custom solution, our team adapts to your setup—no expensive system switch required.
What happens if my claims get denied?
We don’t just submit claims—we fight for your revenue. Our denial management team reviews every denial, appeals when necessary, and fixes root-cause issues to reduce repeat denials. This means more revenue recovered, faster.
How do I get started?
Getting started is simple:
Schedule a free consultation.
We analyze your current billing workflow.
You receive a customized proposal with ROI projections.
Our team begins onboarding and claims submission within days.
Why should I choose Everest A/R over other billing companies?
With 25+ years in medical billing, a 98% clean claims rate, certified coders, and proven results across 1,000+ providers, we offer more than just billing—we offer a guarantee of improved collections, reduced denials, and faster reimbursements.