6,500+ specialty providersVisit-ready
Keep authorization and coverage aligned before the appointment is booked.
Endocrinology PM & RCM Software
Endocrinology Practice Management and RCM Billing, Built to Perform
Automate continuous glucose monitor supply billing, insulin pump authorizations, and thyroid diagnostic coding. See why endocrinology practices choose Unlimited Systems for practice management and RCM software.
Why Endocrinology billing is different
Endocrinology practices manage a complex mix of chronic disease monitoring, high-cost supply billing, and pharmaceutical interventions for diabetes, thyroid disorders, osteoporosis, and metabolic conditions. Generic RCM systems cannot handle the intricate documentation requirements these conditions demand.
Continuous glucose monitors (CGMs) and insulin pumps require precise HCPCS coding, quantity limits, and documentation of medical necessity. Missing a single clinical indicator in the patient chart can trigger the full rejection of a high-cost supply order worth thousands of dollars.
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★★★★★5/5★★★★★5/56,500+ specialty providersSOC 2 certified
Trusted Payer & EHR Integration Partners
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6,500+
providers nationwide
$70B+
in claims processed annually
4.8/5
average client rating
Designed Around How Your Endocrinology Practice ACTUALLY Works
Our connected workflows are built to make you and your work easier to do and increase your revenue.
Claim-ready
Validate endocrinology codes, modifiers, and documentation before submission.
Practice-ready
Give teams one view of denials, margin, and A/R priorities.
Specialty RCM intelligence
Endocrinology Revenue Cycle Challenges
GLP-1s, biologics, and hormone therapies create emerging buy-and-bill complexity.
13%
Est. denial rate
7/10
Prior-auth burden
Where revenue is at risk
GLP-1 PA Explosion
Ozempic, Wegovy, and Mounjaro coverage varies widely; obesity versus diabetes indication determines channel and coverage.
How the platform addresses this
- Native prior authorization integration eliminates manual PA queues.
- Coverage criteria and documentation requirements are prompted at order entry.
- Renewals and denials are tracked through to resolution.
Buy-and-bill drug reference5 agents · codes, channel, prior-auth, and billing notes
| Drug | Code | Route | Channel | Cost | PA | Billing notes |
|---|---|---|---|---|---|---|
| Prolia (denosumab) | J0897 | SQ | Part B | $4K/yr | Yes | Every 6 months; refrigerated; cold chain critical. |
| Evenity (romosozumab) | J3111 | SQ | Part B | $22K/yr | Yes | 12-month limit; PA renewal at month 6. |
| Reclast (zoledronic acid) | J3489 | IV | Part B | $1K/yr | Sometimes | Annual infusion; PA often required. |
| Somatuline (lanreotide) | J1930 | SQ | Part B | $60K/yr | Yes | Acromegaly/carcinoid; deep SQ depot injection. |
| Signifor (pasireotide) | J2502 | IM | Part B | $80K/yr | Yes | Cushing's disease; narrow formulary coverage. |
Cabinet integration: Endocrinology practices administering Prolia and Evenity in-office have moderate cabinet integration need. Cold chain documentation for denosumab is critical, and EHR-linked dispensing ties temperature compliance records to the claim.
Hear It From Our Clients
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.
Video testimonial
Dunmore, Pennsylvania
“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- CEO
- Days in A/R shrank from 21 to 15, consistently.
- Charges go out the next day.
- Less manual work, more clean claims, and stronger cash flow.
Calculate Your RCM Revenue Leakage
Drag the sliders to estimate how much unrealized cash remains locked in your current specialty billing cycles before optimization.
Model your current claim volume
Adjust both inputs to match your practice.
1,500
200 claims15,000 claims
$250
$80 value$3,500 value
See your recovery estimate
Enter your work email to unlock your estimated annual recovery.
See Your Results ImmediatelyGoogle5/5Gartner5/5G24.8/5
One platform for every endocrinology workflow
Eight connected capabilities, grouped around the way your practice works.
Front office
Keep registration and appointment calendars in sync.
Before the visit
Verify coverage and catch charge risk early.
Revenue cycle
Post payments, route denials, and prioritize A/R.
Practice intelligence
See margin, performance, and value-based results.
The Endocrinology suite
Every part of the endocrinology revenue cycle, in one system
Each module is configured for the codes, modifiers, and payer rules endocrinology teams work with, not adapted from generic billing software.
Endocrinology Patient Intake SoftwareCapture diabetes device eligibility and verify CGM coverage limits prior to dispensing.Endocrinology Scheduling SoftwareBalance frequent A1C follow-ups, quarterly device checks, and thyroid panels in one grid.Endocrinology Financial Clearance SoftwareValidate insulin pump and CGM formulary requirements against active payer coverage criteria.Endocrinology Charge Validation SoftwareEnforce HCPCS device quantity limits and ICD-10 medical necessity matches before submission.Endocrinology Payment Posting SoftwarePost and reconcile durable medical equipment and pharmaceutical remittances automatically.Endocrinology AR Management SoftwareAuto-assemble medical necessity letters and A1C documentation for CGM and pump appeals.Endocrinology Analytics SoftwareTrack collections by diagnosis class, device type, and pharmaceutical category.Endocrinology Value-Based Care SoftwareSubmit MIPS quality measures on A1C control, eye exams, and nephropathy screening.
The cost of generic billing
You went into endocrinology to treat patients, not to chase claims
These are the places endocrinology practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.
Review your workflowCommon endocrinology revenue leaks
- Frequent denials on CGM device supplies due to missing formulary eligibility documentation.
- Complex insulin pump prior authorization renewals with strict medical necessity standards.
- Missed thyroid and bone density diagnostic scan billing on same-day evaluation days.
- High administrative lag tracking patient self-monitoring logs and A1C compliance reports.
Challenges we solve for endocrinology
The work that generic platforms leave to your staff is the work endocrinology margin actually turns on.
CGM Supply Eligibility
Automated eligibility checks validate CGM dispensing frequency rules before each order.
Insulin Pump Prior Auth
Centralized authorization dashboard monitors renewal windows 60 days in advance.
Same-Day Diagnostic Billing
Charge scrubber identifies and appends diagnostic codes with proper -25 modifiers.
Legacy software vs. Unlimited Systems
See why endocrinology practices move off general-purpose billing platforms.
CRITERIA
LEGACY SYSTEM COMPROMISE
UNLIMITED SYSTEMS VALUE
CGM Supply Eligibility
✕Claims rejected because frequency limits and prior CGM use documentation are not verified.
✓Automated eligibility checks validate CGM dispensing frequency rules before each order.
Insulin Pump Prior Auth
✕Staff manually tracks complex pump authorization renewals across multiple payer portals.
✓Centralized authorization dashboard monitors renewal windows 60 days in advance.
Same-Day Diagnostic Billing
✕Bone density and thyroid scan fees are missed on days with office evaluation claims.
✓Charge scrubber identifies and appends diagnostic codes with proper -25 modifiers.
Still evaluating
Not Ready to Switch Yet? That's Exactly When to Start the Conversation.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many endocrinology practices talk with us months before a contract renewal or system evaluation to understand where GLP-1 prior authorization, Prolia/Evenity documentation, CGM and DME billing, and hormone therapy rules may already be showing up.
A conversation can help identify where GLP-1 PA growth, Prolia and Evenity bone-density documentation, CGM/DME channel splits, and hormone therapy medical-necessity rules may be reducing clean-claim performance.
Less billing work between the visit and payment
Specialty rules and connected data keep your team focused on the exceptions that need judgment.
Verify before the visit
Coverage and authorization stay tied to the order.
Validate specialty charges
Code, unit, and modifier checks happen before filing.
Work the right accounts
Denials and A/R are ranked by value and filing risk.
35%less manual workflow time
One platform
The rest of the platform your endocrinology practice runs on
The same connected system handles the operational work that sits either side of billing.
Patient Intake
Digital intake, eligibility, and demographic capture before the visit.
Explore Patient IntakePatient Scheduling
Smart calendars and resource scheduling across providers and locations.
Explore Patient SchedulingFinancial Clearance
Automated eligibility checks and prior authorization management.
Explore Financial ClearanceCharge Validation
Pre-claim scrubbing for coding, modifiers, and compliance accuracy.
Explore Charge ValidationBuilt for endocrinology
Follow one endocrinology patient from intake to payment
Eight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.
Walk the workflow with us- 1Patient Intake for endocrinologyDigital intake and demographic capture built around endocrinology visit types.
- 2Patient Scheduling for endocrinologyCalendars and resources that reflect how endocrinology appointments actually run.
- 3Financial Clearance for endocrinologyEligibility and prior authorization resolved before the patient arrives.
- 4Charge Validation for endocrinologySpecialty scrubbing on codes and modifiers before the claim leaves the building.
- 5Payment Posting for endocrinologyERA and EOB posting reconciled automatically against what was billed.
- 6AR Management for endocrinologyWorklists ranked by dollar value, aging, and timely-filing deadline.
- 7Healthcare Analytics for endocrinologyLive visibility into denials, yield, and performance by provider and procedure.
- 8Value-Based Care for endocrinologyQuality measures and episode costs tracked under alternative payment models.
Sub-specialties
RCM software for Endocrinology sub-specialties
Each sub-specialty has its own coding, authorization, and payer rules. See how Unlimited Financials handles yours.
Frequently asked questions
Yes. We maintain distinct HCPCS billing pathways for the CGM receiver, transmitter, and disposable sensor supplies, each with correct quantity limits and frequency rules per payer.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
We Love Hearing From Our Users
Practices like yours, on what changed after moving to Unlimited Financials.
★★★★★4.8/5
★★★★★5/5
“
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Mel Davies
CFO, Oregon Oncology Specialists
“
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Erin Wilcher
Executive Director, Commonwealth Cancer Center
“
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Ernelita Dacumos
Billing Manager, SHOM
“
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
Melissa Shook
Medical Biller, SHOM
“
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Renee Bernacchi
Accounts Receivable Coordinator, COAS
“
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Mel Davies
CFO, Oregon Oncology Specialists
“
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Alisha Haslem
Patient Advocate Manager, Utah Cancer Specialists
“
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
Erin Wilcher
Executive Director, Commonwealth Cancer Center
Don't Love Your Current RCM Software Provider?
That's putting it nicely based on what we hear every day.
A support line that never picks up. An overseas call center that's never heard of your account. Errors nobody catches until the denial shows up. We're Midwest-based, not offshore, and the team that answers already knows your account. Practices that switch tend to wish they'd done it sooner.
- Located in Cincinnati, Ohio — no offshore call centers
- Founded by healthcare leaders, not tech-bros
- Industry leaders in innovation, technology, and automation
“I would recommend Unlimited Financials to other specialty practices.”
Michelle LeandriCEO, NEPA
“We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.”
GinaAdministrator, FOUR
“We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.”
Renee BernacchiAccounts Receivable Coordinator, COAS
GET STARTED
Optimize Your Specialty Revenue Cycle
Connect with a specialized Endocrinology RCM expert for a personal workflow walkthrough, and see where your current setup is creating avoidable revenue risk.
★★★★★4.8/5★★★★★5/5★★★★★5/5
★★★★★5/5★★★★★5/56,500+ specialty providersSOC 2 certified