Specialists (MD, DO) Medical Billing & Credentialing Services
Complete RCM Support for Physicians in Private Practice, Group Clinics & Multi-Specialty Centers
Whether you’re an internist, cardiologist, ENT, or any board-certified specialist (MD or DO), navigating medical billing, credentialing, and payer regulations has become more complex than ever. At Oakview Medical Billing Solutions, we provide tailored, specialty-specific Revenue Cycle Management (RCM) solutions that help you maximize reimbursements, minimize denials, and get credentialed faster with top payers.
Why Billing for Specialists Requires Precision & Strategy
Physicians with MDs and DOs face unique billing challenges depending on their area of practice:
Specialty-specific codes for surgical procedures, diagnostics, and E/M visits.
Modifier usage (e.g., -25, -59, -LT/RT) that changes payment outcomes.
Bundling & unbundling restrictions depending on payer policies.
Pre-authorizations that vary by CPT, payer, and state.
High-cost procedures that attract stricter auditing and pre-payment review.
Incorrect coding, incomplete documentation, or credentialing delays can directly impact your monthly revenue. That’s why you need a billing partner who doesn’t just process claims—but understands your specialty inside out.
Specialized Billing Support for All MD & DO Subspecialties
We support all specialties including but not limited to:
Internal Medicine
Cardiology
Orthopedics
Gastroenterology
Neurology
Urology
Pulmonology
Ophthalmology
General Surgery
Endocrinology
Rheumatology
ENT
Infectious Disease
Nephrology
And more
No matter your specialty, our certified coders, billers, and credentialing coordinators tailor your workflows to your services, payers, and local regulations.
How Oakview Supports MDs & DOs Like You
Accurate Coding by Specialty Experts
Our certified coders use your clinical documentation to assign the most accurate CPT, ICD-10, and HCPCS codes—ensuring compliance and maximum reimbursement. Specialty-specific modifiers and bundling rules are applied to reduce denials.
Seamless Credentialing for MDs & DOs
From CAQH setup to payer enrollments, we handle the entire credentialing process for you. Whether you're starting a new practice or adding a new insurance panel, we ensure your applications are complete, tracked, and submitted correctly.
Clean Claim Submissions & Aggressive Follow-Up
We process claims within 24–48 hours of charge capture and follow up aggressively on unpaid or underpaid claims, ensuring nothing is left behind.
Pre-Authorization Management
We handle authorizations for high-cost imaging, infusions, in-office procedures, and surgeries—keeping your schedule full and your payments uninterrupted.
Monthly Analytics & Compliance Reports
You’ll receive easy-to-read performance dashboards on charges, collections, denials, top procedures, and more. We also help with documentation audits and compliance checks for Medicare and commercial payers.
Why MDs & DOs Choose Oakview
✔ Experience with over 30+ medical specialties
✔ Dedicated account manager & credentialing specialist
✔ Transparent workflows & live application tracking
✔ Real-time claim and payment reports
✔ HIPAA-compliant systems and processes
Whether you’re an independent physician, part of a group practice, or managing multiple locations, Oakview becomes a seamless extension of your office—handling all things billing and credentialing while you focus on delivering exceptional care.
You're the Specialist. Let Us Handle the Back Office.
Stop losing money to coding errors, delayed credentialing, or inefficient billing staff.
Let Oakview Medical Billing Solutions show you what optimized RCM looks like.
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271 W. Short Street, Suite 410 Lexington,
KY 40507
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