# Built for y|

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

## 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

[Learn more →](https://www.amperos.com/request-a-demo)

### 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

[Learn more →](https://www.amperos.com/request-a-demo)

### 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

[Learn more →](https://www.amperos.com/request-a-demo)

### 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

[Learn more →](https://www.amperos.com/request-a-demo)

### 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

[Learn more →](https://www.amperos.com/request-a-demo)

### 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

[Learn more →](https://www.amperos.com/request-a-demo)

### 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

[Learn more →](https://www.amperos.com/request-a-demo)

### 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

[Learn more →](https://www.amperos.com/request-a-demo)

### 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)

[Learn more →](https://www.amperos.com/request-a-demo)

### 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

[Learn more →](https://www.amperos.com/request-a-demo)

> "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."

> "Our goal is simple: remove friction from the revenue cycle so our teams can more efficiently chase revenue, with resources spent focusing on patient care and growth"

> "Amperos came to us as a referral from another ophthalmology PPM, and despite their strong reputation, they’ve exceeded our expectations—both in the quality of their AI and their high-touch support."

MitziYue

SVP of Finance, Boulder Care

[Read their story](https://www.amperos.com/blog/boulder-care-a-leading-telehealth-substance-use-disorder-platform-engages-amperos-to-automate-denial-and-collections-work-with-ai-agents)

## Start recovering more revenue from insurance claims

[Request a demo](https://www.amperos.com/request-a-demo) [Calculate your ROI](https://www.amperos.com/roi)