45 Dan Road, Suite 125 Canton, MA 02021 United States

Medical Billing. Bigger Earnings!

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Specialty Focused

Expert Billing tailored for 8 specialties

Billing tailored for Pedorthic, Radiology, Dieticians & DME

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Faster Payments

Reduced denials and optimized cash flow.

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Our Medical Billing Services

Delon Health Medical Billing Services

Mental health billing is one of the most complex and compliance-sensitive areas in healthcare, often involving a mix of CPT codes, time-based documentation, telehealth rules, and prior authorizations. Solo therapists, psychologists, social workers, and psychiatrists frequently struggle to stay on top of evolving payer requirements, especially with parity laws and behavioral health carve-outs. At DelonHealth, we specialize in simplifying the billing process for mental health providers—whether you offer psychotherapy, psychiatric evaluations, group sessions, or crisis interventions.

We understand common challenges like documentation errors, bundling issues, incorrect POS (place of service) codes for telehealth, and the misuse of modifiers like 95 and GT. Our team ensures each claim is submitted cleanly within 24–48 hours of receiving encounter notes. We verify eligibility, track authorization limits, and handle appeals for denied or underpaid claims. We also support Medicaid, Medicare, and private payers, including those with behavioral carve-outs like Beacon, Optum, and Magellan.

Whether you’re billing for 90834, 90791, or H0031, we guide your team on the appropriate documentation and coding to reduce denials and maximize reimbursement. We also handle patient invoicing with compassion and clarity, so you can focus on client outcomes—not financial admin.

With our dedicated account managers, HIPAA-compliant workflows, and customized monthly reporting, mental health professionals trust DelonHealth to reduce administrative burden and increase financial clarity. We’re your back-office partner, so you can focus on delivering transformative care without worrying about billing chaos.

Pedorthic billing is a highly specialized field involving claims for custom and off-the-shelf footwear, foot orthotics, ankle-foot orthoses (AFOs), and therapeutic inserts—often under Medicare DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) guidelines. Because this billing category involves precise documentation, HCPCS Level II codes (e.g., A5500–A5513, L1902–L3031), and complex modifier usage (LT, RT, KX, GK), many clinics and pedorthists face high denial rates, long payment cycles, and frequent audit risks.

DelonHealth has become one of the few U.S.-based billing companies with dedicated expertise in pedorthic billing. We’ve served providers in Massachusetts, Oregon, California, and beyond—offering end-to-end support for diabetic shoe programs, orthotic devices, and custom bracing services.

We ensure each claim includes the required documentation such as the Statement of Certifying Physician (SCP), Detailed Written Order (DWO), proof of delivery, and any PDAC verifications. Our billing workflow integrates with your DME management system, verifies insurance eligibility upfront (including Medicare and Medicaid requirements), and flags documentation issues before claims are submitted.

If your practice struggles with prior authorization delays, documentation compliance, or frequent rejections, we’ll take over the entire billing cycle—from claim generation and submission to appeal handling and payment posting. We also generate monthly performance reports to track KPIs like denial trends, AR aging, and revenue by item code.

With DelonHealth, pedorthists can eliminate billing complexity, stay compliant, and increase revenue without hiring in-house billing staff. Let us manage your reimbursement so you can focus on patient mobility and comfort.

Dietician billing involves navigating complex payer rules for services like Medical Nutrition Therapy (MNT), preventive counseling, chronic disease support, and wellness coaching. Reimbursement varies depending on diagnosis codes, payer type, visit frequency, and whether services are delivered in-person or via telehealth. Without specialized billing support, many Registered Dietitians (RDs) and Licensed Nutritionists lose revenue due to incomplete documentation, incorrect coding, or missed authorization requirements.

DelonHealth helps dieticians nationwide streamline their billing workflow, ensuring claims are submitted cleanly and paid on time. We understand the nuances of billing codes like 97802, 97803, and G0270, and how they relate to diagnoses such as diabetes, CKD, obesity, and hypertension. Whether you're billing through Medicare, commercial insurers, or Medicaid programs like Medi-Cal, we tailor your billing process to meet each payer’s requirements.

We perform real-time eligibility checks, confirm benefits (including preventive nutrition coverage), and ensure prior authorizations and referrals are in place when needed. For telehealth providers, we apply the correct modifiers and POS codes to ensure virtual visits are paid at parity.

Our billing team also manages patient invoicing, handles appeals, and delivers detailed monthly reports so you always know your financial performance. Whether you're a solo practitioner, part of a multidisciplinary wellness team, or scaling a multi-location nutrition practice, DelonHealth helps you stay compliant and get paid faster—with less stress.

With dietician billing getting more complex across states, DelonHealth is your go-to partner to reduce administrative burden and build a healthier practice.

Independent Nurse Practitioners (NPs) are among the fastest-growing solo healthcare providers in the U.S.—especially in states like Massachusetts, Texas, Arizona, and California where full or partial practice authority allows them to operate without direct physician oversight. But with that independence comes billing complexity, especially for NPs managing everything from E&M codes to chronic care management, immunizations, preventive services, and telehealth.

DelonHealth helps independent NPs streamline their billing operations so they can focus on patient care instead of chasing claims. We understand how to bill appropriately for 99213–99215 office visits, G2212 for prolonged services, and additional procedures like labs, injections, and wellness screenings. We help ensure that your documentation supports your coding—protecting your revenue and reducing your audit risk.

Our team verifies insurance eligibility before each visit, handles prior authorizations, and submits claims within 24–48 hours of receiving chart notes. We also manage claims to Medicare, Medicaid, and commercial insurers—and follow up on denials with appeals and documentation support.

Whether you’re running a primary care clinic, a family wellness practice, or providing concierge or mobile care, our HIPAA-compliant workflow integrates with your EHR or billing software without disruption. We also generate monthly billing reports and conduct review calls to help you understand how your practice is performing financially.

With DelonHealth, independent NPs don’t need to worry about billing errors, underpayments, or costly rejections. We give you peace of mind, faster payments, and a smoother revenue cycle tailored to your growing practice.

With DelonHealth, independent NPs don’t need to worry about billing errors, underpayments, or costly rejections. We give you peace of mind, faster payments, and a smoother revenue cycle tailored to your growing practice.

At DelonHealth, we help WHNPs simplify and optimize their revenue cycle. From Pap smears to STI screenings, contraceptive counseling, and menopausal care, we ensure each claim reflects proper coding and documentation. We’re well-versed in CPT codes like 99394–99397 for annual wellness exams, 58300 for IUD insertions, and diagnostic codes related to PCOS, endometriosis, irregular cycles, and more.

We verify insurance coverage for both preventive and problem-oriented visits, avoiding issues related to visit frequency, bundled codes, or telehealth restrictions. Our team applies appropriate modifiers and POS codes when you offer virtual services or bill for multiple visits in one encounter.

For WHNPs offering specialized services like weight management, hormone therapy, fertility tracking, or integrative care, we work with your EHR to ensure non-traditional services are billed when covered—or recorded for documentation.

DelonHealth helps WHNPs across the country get paid accurately, quickly, and consistently. Whether you’re billing through commercial plans, Medicaid, or hybrid cash-insurance models, we’re your partner in maintaining financial clarity while delivering care that supports every stage of a woman’s life.

Applied Behavior Analysis (ABA) therapy is vital for individuals with autism spectrum disorders and developmental delays, especially children. But billing for ABA is incredibly detailed and time-intensive, requiring knowledge of time-based CPT codes, behavior plan tracking, session logs, and compliance with payer-specific rules. Solo BCBAs and small ABA clinics often struggle with documentation, authorizations, and rejections due to inconsistent insurer expectations.

DelonHealth offers comprehensive billing services for ABA providers, including Board Certified Behavior Analysts (BCBAs), RBTs, and clinical directors. We help you manage the entire billing process—from eligibility verification to appeals—so you can focus on patient progress instead of paperwork.

We’re experienced in coding systems that include 97151 (behavior assessment), 97153 (1:1 therapy), 97155 (supervision), and G codes for Medicaid plans. We also support commercial payers like Aetna, Anthem, UnitedHealthcare, and state-specific Medicaid programs.

Prior authorization is a critical part of ABA billing, and our team ensures plans of care, authorizations, and progress notes are aligned before billing. We also manage time logs, session duration validations, and parent/caregiver signature requirements for documentation compliance.

Our team handles denials and appeals, submits secondary claims when applicable, and provides detailed monthly reports with KPIs like units billed, revenue by CPT, and claim resolution speed.

With DelonHealth, ABA providers can simplify revenue management, reduce payer conflicts, and stabilize cash flow—allowing more time for client success stories and less for administrative burdens.

Functional medicine providers often combine traditional diagnostic tools with holistic and personalized treatment plans. Services may include advanced lab work, hormone panels, gut health evaluations, IV therapy, nutritional counseling, and chronic disease prevention. Many functional medicine clinics work on a cash-pay model—but as patient demand grows, more providers are looking to integrate insurance billing to make care more accessible.

DelonHealth specializes in helping functional medicine providers create sustainable hybrid billing models that combine insurance-based reimbursements with cash-pay or membership services. We identify which CPT codes and ICD-10 diagnoses are typically accepted by insurers, and we ensure you’re billing correctly for wellness visits, chronic condition management, nutritional counseling, and lab interpretations.

Our team helps functional medicine practitioners submit claims for:

  • Evaluation and Management (E/M) services (e.g., 99213-99215)
  • Preventive visits and screenings
  • MNT or nutritional consults (97802, 97803)
  • Diagnostic testing, when medically necessary
  • Telehealth or remote services

We verify benefits in real-time, flag non-covered services, and build a billing plan that prioritizes compliance without sacrificing care quality. We also help prepare superbills for cash-paying patients who wish to self-file.

Whether you’re running a virtual integrative clinic, a wellness center, or a solo practice with a broad scope of care, DelonHealth ensures your insurance billing is clean, compliant, and aligned with your clinical philosophy.

We help you bring functional care to more patients—without the headache of rejected claims and unclear revenue streams.

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Speech-language pathologists (SLPs) provide essential services that help children and adults overcome communication, swallowing, and language challenges. Yet despite the critical nature of their work, many solo SLPs and small speech therapy clinics face major billing obstacles. These include time-based coding, documentation standards, pre-authorizations, therapy caps, and high denial rates—especially when billing Medicaid or managed care plans.

At DelonHealth, we offer tailored billing support for SLPs across private practice, home health, telehealth, and school-based therapy environments. Whether you’re delivering early intervention in California or treating stroke patients in Massachusetts, we help you submit accurate claims and get paid faster.

We handle the billing process for CPT codes such as:

  • 92507 (individual speech therapy)
  • 92508 (group therapy)
  • 92521–92524 (speech and language evaluations)
  • 92610 (swallowing eval)

We verify insurance benefits before each session, check authorization status, and ensure documentation aligns with payer guidelines. We also monitor service units, session limits, and plan renewals to avoid denials.

Our team works within your EHR or practice management system and submits claims within 24-48 hours. For denied or underpaid claims, we manage appeals with supporting notes and session logs. You'll also receive monthly reports that show your revenue, claim status, and aging accounts.

With DelonHealth, SLPs can spend less time on admin and more time helping clients find their voice. We’re your billing partner for smoother reimbursements and long-term practice growth.

Why Choose Us

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Specialty-Focused Billing Teams

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24/7 Client Support

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Personalized Billing Support

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Reduced Denial Rates

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Affordable Pricing with No Hidden Fees

Frequently Asked Questions

We specialize in medical billing for independent practitioners and small clinics including Mental Health professionals, Dieticians, Functional Medicine providers, Speech Therapists, ABA Therapists, Pedorthists, and Nurse Practitioners (NPs and WHNPs) across Massachusetts and other U.S. states.

No. We integrate seamlessly with most major EHR and practice management systems. Whether you're using SimplePractice, Kareo, TheraNest, or custom platforms, we’ll adapt to your workflow and streamline billing.

Claims are typically submitted within 24 to 48 hours of receiving complete encounter notes and documentation. Our goal is to get you paid faster with minimal delays.

We work with Medicare, Medicaid, commercial insurers (e.g., Blue Cross Blue Shield, Cigna, Aetna, UnitedHealthcare), and managed care organizations (e.g., Beacon, Optum, Magellan), including those with behavioral or DME carve-outs.

Yes. Our team handles claim denials, underpayments, and appeals. We identify the root cause, correct documentation or codes, and resubmit with supporting notes to ensure proper reimbursement.

We support full telehealth billing, including applying the correct modifiers (95, GT) and Place of Service (POS) codes to ensure compliant and reimbursable virtual sessions.

We offer transparent, competitive pricing—often based on a percentage of collections or a flat monthly rate. There are no hidden fees, and we tailor pricing to fit your practice size and claim volume.

Absolutely. We provide eligibility verification, benefit checks, and prior authorization management for services that require payer approval before treatment.

Yes. We provide detailed monthly reports that include AR aging, denial trends, revenue by CPT code, and more. These insights help you track performance and make informed decisions.

Getting started is easy. Just schedule a free consultation through our website or email us at info@delonhealth.com. We'll review your needs, assess your current billing setup, and tailor a solution to boost your revenue and simplify your workflow.

Boost your cashflow. Let’s talk.

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