Specialties
Revenue cycle, built around your specialty.
Each specialty has its own coding traps and denial patterns. Quilven runs the full revenue cycle for independent, physician-owned practices, paid as a percentage of collections, month to month.
Dermatology
Modifier 25 downcoding, lesion excision sizing, Mohs stage and block rules, cosmetic versus medical, biologic prior authorization.
Gastroenterology
Screening colonoscopy conversions, NCCI bundling of biopsy with polypectomy, MAC anesthesia denials, capsule and biologic prior auth.
Cardiology
Professional and technical splits, device monitoring intervals, imaging prior authorisation, and what changed in the 2026 fee schedule.
Orthopedics
Global periods and the modifier family (58, 78, 79), modifier 22, workers' compensation, in-office DME, and what changed in the 2026 fee schedule.
Behavioral Health
Time-based coding, medical necessity denials, parity appeals, Part 2 confidentiality, closed panels, and telehealth rules that keep changing.
OB/GYN
Global obstetric package and its five failure points, the 2027 code deletion, transfers and mid-pregnancy payer splits, LARC device margins, and Medicaid.
Ophthalmology
Eye codes versus E/M, testing edits, injection and drug billing, the modifier 25 review, and where percentage pricing fails a retina panel.
ENT and Otolaryngology
95165 unit counting, same-day endoscopy, balloon denials, septoplasty appeals, and audiology routing by reason ordered.
Urology
In-office pathology and the Medicare prostate substitution, urodynamics dependency rules, 2026 biopsy code family, and why our fee does not sit on drug pass-through.
Podiatry
Routine foot care coverage, Q modifiers and class findings, MAC variation, diabetic shoes, honest dispensing guidance, and the OIG audit that found 49 of 100 claims noncompliant.