Specialty revenue recovery

Precision RCM for high-complexity specialties.

Generic billing companies miss up to 30% of specialized claim value due to unbundled codes, missed modifiers, and unworked denial edits. Curify's AAPC certified coders recapture your lost revenue.

Specialty claims dashboard Live auditing
98.4%
Clean claim rate
< 21d
Avg days in A/R
Cardiology (Mod 25) Recovered $4,280
Orthopedic surgical bundle Under appeal
Oncology J-code units Approved
98.4%
First-pass clean claim acceptance across specialty claims
< 21 Days
Average A/R turnaround, down from the industry average of 45+ days
28.4%
Average lost revenue recovered in the initial 90-day cycle
100%
HIPAA-compliant BAA guaranteed on every account

Tailored clinical workflows

Specialty-specific revenue recovery modules.

Every clinical specialty operates on unique billing rules. We deploy coders certified specifically in your clinical area to ensure zero lost revenue.

Surgical specialty

Orthopedic groups

31.2% Average net collection increase
  • 97.6% first-pass clean claim rate
  • Automated authorization matching for surgical bundles
  • Eliminated global surgical package (Modifier 58, 78, 79) rejections
  • DME & physical therapy billing integrated
EHR: Modernizing Med, NextGen • Encrypted PHI
Infusion & drug billing

Oncology & infusion clinics

24.8% Unbilled drug revenue recovered
  • 99.1% clean claim rate on high-dollar J-codes
  • Zero missed chemotherapy drug units or waste units (JW/JZ)
  • Real-time prior authorization tracking & re-auth alerts
  • JW/JZ modifier compliance verified per CMS rules
EHR: OncoEMR, Varian, Epic • Encrypted PHI
Interventional specialty

Neurology & pain management

26.5% Reduction in 90+ day aging A/R
  • EMG and nerve conduction study authorization compliance
  • Exact epidural injection coding (CPT 62322–62323) with fluoroscopy
  • Substance abuse & behavioral health cross-coding
  • Pre-service insurance eligibility verification
EHR: AdvancedMD, Kareo, eCW • Encrypted PHI
Endoscopy & surgery center

Gastroenterology (GI)

29.1% Endoscopy claim yield improvement
  • Screening vs. diagnostic colonoscopy coding (PT modifier)
  • Pathology specimen line-item reconciliation
  • ASC facility fee + professional fee dual billing
  • Anesthesia concurrency billing accuracy
EHR: gMed, Provation, Athena • Encrypted PHI
High volume clinics

Urgent care & multi-specialty

98.8% Same-day batch submission rate
  • Rapid 24-hour claim scrubbing and clearinghouse batching
  • X-ray and rapid lab test unbundling prevention
  • Self-pay and patient copay automated statement generation
  • Occupational health & workers' comp billing support
EHR: Experity, Practice Velocity, eCW • Encrypted PHI

Why specialty billing breaks

General billing vs. Curify specialty precision.

Specialty audit comparison Verified audit rules
RCM feature Traditional billing companies Curify specialty RCM
Coder certification General CPC coders without specialty credentials AAPC specialty certified (CCC, COSC, CHONC, etc.)
Modifier 25 / 59 rules Appended manually; causes frequent NCCI edit denials Pre-scrubbed via AI engine to match clinical notes
Prior authorization Left to practice staff; leads to retrospective denials Fully managed pre-visit authorization verification
Denial appeal workflow Batch written off or resent without new clinical documentation Worked to root cause with custom clinical appeal packets
A/R aging management Focuses on easy 0–30 day claims; ignores 90+ day aging Oldest-first strategy; recovers aging claims before timely filing expires
100% HIPAA compliant & audit-ready RCM We strictly adhere to federal HIPAA security standards, Protected Health Information (PHI) privacy rules, and AAPC-certified coding guidelines across all 50 states.
HIPAA verified
VERIFIED
HIPAA compliant
AAPC official
AAPC AFFILIATED
Certified coders

Free specialty audit

Find out what your practice is losing each month.

Send us one month of denied claims. Our AAPC coders deliver a written audit breaking down denial patterns, unbilled modifiers and aging A/R recovery potential.

Request free practice audit →