At TNT, we know that specialty clinics face unique billing challenges, and we’re built to handle them. From mental health groups navigating Spravato and TMS coding rules, to nephrology and rheumatology practices managing dialysis claims or high-cost drug infusions, we’ve supported providers across a wide range of complex care. We understand the nuances: prior auths, modifier usage, inventory tracking, and payer-specific quirks. Our approach is never one-size-fits-all—we tailor our workflows, reporting, and support to fit each clinic’s specialty, volume, and goals.
Specialty Billing Expertise: Spravato, TMS, and psychotherapy codes with nuanced payer rules
Authorization & Compliance: Handle complex prior auths, incident-to billing, and telehealth modifiers
Cash Flow Support: Monitor session count thresholds, assist with denied sessions, and track patient balances
Customized Reporting: Monthly breakdowns by clinician for hours worked (if provided by practice) vs. billed to help optimize productivity
Hospital Coverage Billing: Round-the-clock inpatient nephrology coding and hospitalist billing
Complex Claims Handling: Dialysis (CPT 90935–90999), chronic care management, and prolonged services
Payer-Specific Protocols: Familiarity with Fairview, M Health, and local health plan payer edits
Revenue Optimization: Catch undercoded E/Ms
Rapid Claim Turnaround: Daily claims batching to keep revenue flowing in high-volume environments
Infusion Drug Billing: Extensive experience billing high-cost biologics (e.g., Remicade, Orencia)
Authorization Management: PA tracking for specialty drugs
Inventory & Reimbursement Tracking: Drug units administered vs. reimbursed matched monthly
Coding Accuracy: Ensure correct linking of CPT, HCPCS, and J codes with supporting diagnoses
Rapid Claim Turnaround: Daily claims batching to keep revenue flowing in high-volume environments
After-Hours Care Coding: Ensure urgent care codes reflect evening/weekend modifiers for max reimbursement
Rapid Claim Turnaround: Daily claims batching to keep revenue flowing in high-volume environments
Coordination with Labs & Imaging: Ensure outside services (like x-rays) are properly billed and tracked
ER Diversion Emphasis: Support payer conversations around cost-savings for non-ER care
Full Revenue Cycle Support: From insurance verification and eligibility to denials, appeals, and patient billing
Annual Wellness & Preventive Visit Optimization: Capture additional allowable services under preventive care
Chronic Care & Remote Monitoring (RPM/CCM): Guidance on when and how to bill for these evolving services
Patient Engagement Tools: Statements, collections, and balance tracking with soft-touch communication
Rapid Claim Turnaround: Daily claims batching to keep revenue flowing in high-volume environments
We start by getting to know your team, your patients, and how your practice runs—because no two clinics are the same. From there, we build in automation where it helps most, like eligibility checks and claim tracking, but we never hand off your account to a bot. You’ll always have a dedicated billing partner who knows your practice and answers when you call. Real people. Real support. Every step of the way.
We’ll schedule a brief call to learn about your specialty, current billing process, and goals.
You’ll receive a customized overview of our services, including experience with your specialty and billing needs like Spravato, TMS, and high-cost infusions. Then we’ll send a tailored proposal.
We’ll answer any final questions and provide a service agreement for review and signature.
Once signed, we’ll coordinate: EMR and portal access, payer setup, and reporting preferences.
We’ll schedule a brief call to learn about your specialty, current billing process, and goals.
You’ll receive a customized overview of our services, including experience with your specialty and billing needs like Spravato, TMS, and high-cost infusions. Then we’ll send a tailored proposal.
We’ll answer any final questions and provide a service agreement for review and signature.
Once signed, we’ll coordinate: EMR and portal access, payer setup, and reporting preferences.
We’ll schedule a brief call to learn about your specialty, current billing process, and goals.
You’ll receive a customized overview of our services, including experience with your specialty and billing needs like Spravato, TMS, and high-cost infusions. Then we’ll send a tailored proposal.
We’ll answer any final questions and provide a service agreement for review and signature.
Once signed, we’ll coordinate: EMR and portal access, payer setup, and reporting preferences.
We’ll schedule a brief call to learn about your specialty, current billing process, and goals.
You’ll receive a customized overview of our services, including experience with your specialty and billing needs like Spravato, TMS, and high-cost infusions. Then we’ll send a tailored proposal.
We’ll answer any final questions and provide a service agreement for review and signature.
Once signed, we’ll coordinate: EMR and portal access, payer setup, and reporting preferences.
Absolutely. You'll be paired with a dedicated billing specialist who understands your practice, your workflow, and your priorities. We also cross-train backup team members, so even if your main contact is unavailable, you’ll always have consistent, knowledgeable support without any disruption.
We don’t let denials sit. Our team proactively tracks, corrects, and appeals denied or rejected claims—following each one through to final resolution. When needed, we escalate with the payer to get results. We also analyze denial trends and adjust workflows to prevent the same issues from recurring.
Yes. We provide guidance on payer-specific prior authorization requirements and help your team stay ahead of expirations by tracking units and renewal dates. If you prefer, we can also handle the full authorization process on your behalf for an additional fee—just let us know during onboarding and we’ll build that into your support plan.
Onboarding typically begins within 5–7 business days after the contract is signed. We’ll work closely with your team to coordinate EMR access, payer portal setup, and any necessary clearinghouse updates. During this time, we also review your current workflows to ensure a smooth, disruption-free transition. While we’re happy to move as quickly as your practice needs, we take the time to put the right tools and processes in place to support long-term billing success from day one.
We work with a wide range of medical specialties, including mental health, nephrology, rheumatology, urgent care, primary care, and ophthalmology. Our team has strong experience with Spravato, TMS, high-dollar infusion drug billing, workers’ compensation, and motor vehicle accident claims.
If we haven’t worked in your specialty yet, we’d love the opportunity to connect and learn more about your needs. We’re always open to building new partnerships and tailoring our approach to support your practice effectively.