Built for

We know the payors, the denial patterns, and the collections complexity that define your world.

Tend
Atlantic Vision Partners
US Urology Partners
Providence
Partner logo
Precision Orthopedics
Tend
Atlantic Vision Partners
US Urology Partners
Providence
Partner logo
Precision Orthopedics
Tend
Atlantic Vision Partners
US Urology Partners
Providence
Partner logo
Precision Orthopedics
Tend
Atlantic Vision Partners
US Urology Partners
Providence
Partner logo
Precision Orthopedics

Explore specialties

Denial patterns differ by specialty. See how Amperos handles the unique insurance recovery challenges your RCM team faces.

Orthopedics

Key pain points

  • Workers' comp payor complexity
  • Surgical prior auth requirements
  • Multi-procedure bundling rules
  • Global period and split-care billing

Top denials resolved

  • Medical necessity
  • Prior authorization
  • Bundling edits and modifier errors

DME / HME

Key pain points

  • CMN documentation and renewals
  • Rental vs. purchase reimbursement
  • HCPCS coding specificity
  • Payer-specific LCD requirements

Top denials resolved

  • Invalid or expired CMN
  • Medical necessity
  • Prior authorization

Cardiology

Key pain points

  • Diagnostic testing prior authorization
  • TC / 26 component billing
  • Cath lab documentation requirements
  • E/M downcoding on complex visits

Top denials resolved

  • Prior authorization
  • Medical necessity
  • Downcoding and modifier errors

Behavioral health

Key pain points

  • Session authorization requirements
  • Telehealth modifier and POS errors
  • Session limit and frequency denials
  • Carve-out plan billing complexity

Top denials resolved

  • Authorization
  • Insufficient documentation
  • Coordination of benefits

Ophthalmology

Key pain points

  • Medical vs. vision benefit routing
  • Drug injection and ASC billing
  • Diagnostic frequency limitations
  • Exam level downcoding (MA plans)

Top denials resolved

  • Benefit routing / wrong plan billed
  • Prior authorization (retinal and IOL)
  • Downcoding and E/M level reductions

Anesthesiology

Key pain points

  • Time unit calculation rules
  • Medical direction documentation
  • Contracted rate discrepancies
  • Concurrency and supervision denials

Top denials resolved

  • Modifier errors
  • Timely filing
  • Underpayments

Dermatology

Key pain points

  • Cosmetic vs. medical classification
  • Mohs and pathology billing
  • Biologic prior authorization requirements
  • E/M leveling and Modifier 25 scrutiny

Top denials resolved

  • Medical necessity
  • Prior authorization for biologics
  • Downcoding and global period violations

Urology

Key pain points

  • Advanced diagnostic prior authorization
  • Buy-and-bill drug administration
  • In-office vs. ASC billing differences
  • J-code and NDC coding specificity

Top denials resolved

  • Medical necessity
  • Prior authorization
  • J-code / NDC mismatches

Dental

Key pain points

  • Medical-dental crossover routing
  • Aging claim follow-up
  • Sleep apnea and TMJ classification
  • CDT-to-CPT crosswalk errors

Top denials resolved

  • Wrong benefit plan (dental vs. medical)
  • Coordination of benefits
  • Medical necessity (oral surgery)

Oncology

Key pain points

  • Buy-and-bill drug claim denials
  • Formulary and step therapy denials
  • Off-label regimen justification
  • Multi-cycle treatment billing errors

Top denials resolved

  • Prior authorization (drug-specific)
  • Medical necessity (treatment protocols)
  • J-code / NDC mismatches
Boulder Care
"Boulder Care is expanding rapidly to reach more patients who are in critical need. The reality is that we need to adapt our operations for scale in the modern age."
MitziYue
SVP of Finance, Boulder Care

Start recovering more revenue from insurance claims