Dermatology, podiatry, ophthalmology, and outpatient specialty — Praxia handles the back office so you can deliver world-class care.
Specialty procedures require authorization before treatment. Derm biopsies, ophthalmology procedures, podiatric surgery — each payer has its own rules. One missed auth means a denied claim for a $2,000 procedure.
Specialty credentialing is more complex than primary care. Payer enrollment for specific procedure codes, facility credentialing, and scope-of-practice verification all require ongoing management.
Specialty care requires clean referral documentation. Missing or expired referrals trigger denials. Coordinating between referring physicians and your practice takes time your staff doesn't have.
We manage authorization for every procedure type — including peer-to-peer appeals when payers push back. No procedure goes to denial for lack of auth.
Full credentialing management: payer enrollment, CAQH maintenance, Medicare/Medicaid, and scope-specific credentialing. Renewals tracked 90 days in advance.
We coordinate with referring providers to ensure documentation is complete, referrals are current, and your billing team has everything they need before the appointment.
Complex specialty coding requires expert billing. We submit clean claims, appeal denials, and manage A/R — Premier clients get end-to-end RCM.
Premier clients get real-time visibility into denial rate by payer, procedure-level clean claim rate, A/R aging, and provider productivity — across all specialties.
The complexity of specialty billing, prior auth at the procedure level, and credentialing requirements make Premier ($3,497/mo) the right fit for most specialty clinics. Multi-provider groups see the fastest ROI.