Reduce denials by 25% and boost revenue by up to 20% with our expert endocrinology billing solutions. Let us manage your endocrine billing complexities, allowing you to focus on caring for patients. We want to listen your problem and offer expert guided solution. We Offer
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Managing an endocrinology practice involves treating complex conditions such as diabetes, thyroid disorders, hormonal imbalances, and metabolic diseases. However, endocrinology medical billing presents unique challenges—especially when billing for CGM devices, insulin pump management, and advanced hormone therapies.
Each service requires precise documentation, accurate CPT and ICD coding (E10.9, E11.65, E05.90; CPT 95249–95251, 95970), and strict payer compliance. As experts in endocrinology billing services, Hello MDs’ certified professionals deliver scalable, compliant, and efficient solutions tailored to your practice.
Hello Mds
Navigating Endocrinology Medical Billing isn’t easy, and you can not do it on your own. Here are key hurdles and their impact on your practice:
Complex Endocrinology Coding - Conditions such as diabetes, thyroid disorders, and adrenal diseases require precise coding using ICD-10 codes like E10.9, E11.65, and E05.90, increasing the risk of errors and payment delays.
Device Billing Complications - Billing for CGM systems and insulin pumps involves multiple CPT codes such as 95249, 95250, and 95251, along with strict documentation requirements tied to endocrinology EMR software.
Prior Authorizations - Many insurers require prior approvals for CGM devices, hormone tests, and pump supplies—delaying care and impacting revenue if not handled proactively.
High Denial Rates - Incomplete documentation, coding mismatches, and device-related errors often result in repeated denials and administrative overload.
At Hello MDs, our endocrinology medical billing and coding solutions are designed to manage these complexities from end to end.
Our certified experts apply the latest CPT codes including 84443 (TSH testing), 83036 (HbA1c), 95251 (CGM interpretation), and 95970 (insulin pump programming) to ensure clean, compliant claims.
Our in-house experts team identify root causes of denials, correct documentation gaps, and resubmit claims quickly to protect revenue and reduce AR days.
Our dedicated team manages prior authorizations for lab work, CGM device placements, and pump therapy, ensuring continuous patient care without cash flow disruption.
Our team manages authorizations for CGM devices, lab tests, and pump therapy—ensuring uninterrupted patient care and steady cash flow.
Persistent AR follow-up ensures older claims are recovered fast, maximizing your revenue and maintaining billing efficiency.
Our AAPC-certified specialists understand complex endocrine cases and integrate seamlessly with your endocrinology EMR software.
We tailor workflows for solo providers and group practices, delivering efficient, disruption-free outsourced endocrinology billing services.
Get real-time updates, transparent dashboards, and ongoing support for claims, denials, and revenue performance across all health services.
Clients consistently see reduced AR days, higher clean-claim rates, and improved collections through proactive billing management.
Hello MDs maintain strict data security and regulatory compliance, ensuring patient information is protected at every billing stage.
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Higher clean claim rates mean faster payouts, often improving collections by 15-20%.
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Our proactive claim reviews cut denials for complex endocrinology and CGM procedures.
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Free up your team to focus on clinical care instead of insurance paperwork.
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We maintain full HIPAA and CMS compliance for every service billed.
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Detailed analytics help spot trends in endocrinology EMR data for smarter decisions.
| Challenges | Solutions |
|---|---|
| Inaccurate Coding for Hormone or Device Services | Use certified coders for precise CPT codes like 83036 (A1c), 95249–95251 (CGM analysis), and E11.65 (diabetes with hyperglycemia) to ensure precise documentation. |
| Delays in Prior Authorizations | Efficient pre-verification for CGM and insulin pumps, ensuring faster insurer approvals. |
| High Claim Denials | High Claim Denials Denial management identifies recurring issues in device and therapy claims to prevent repeat rejections. |
| Bundled Service Billing Issues | We properly unbundle pump management (95250) or lab services with appropriate modifiers for full reimbursement. |
| Compliance with Evolving Regulations | Compliance with Evolving Regulations Regular audits ensure compliance with CMS and private payer updates on endocrinology billing. |
| Administrative Overload | Outsourcing to Hello MDs streamlines billing, AR, and prior authorization so staff can prioritize patient care. |
The feedback and experiences shared by our clients inspire us to continually improve, innovate, and deliver smarter solutions.
Schedule a free audit with Hello MDs and discover how our specialized expertise in CGM devices, insulin pump billing, and hormone therapy coding can grow your revenue and reduce denials.
It’s the process of submitting claims for endocrine services, including diabetes care, CGM devices, and insulin pump management, to ensure accurate reimbursement.
Key challenges include complex device coding, prior authorizations, denials, and frequent regulatory changes.
Outsourcing reduces claim errors, accelerates payments, and boosts collections, especially for CGM and insulin pump claims.
By maintaining precise coding, timely submissions, and expert denial follow-ups, we ensure clean claim rates across all endocrinology services.
