The Leading Practice Management and RCM Billing Software for Occupational Medicine

Occupational medicine clinics operate a hybrid billing model unlike any other specialty, splitting revenue between traditional payer claims, direct employer invoicing for physicals and drug screens, and workers' compensation claims governed by state-specific fee schedules that bear little resemblance to standard Medicare or commercial rates. Generic RCM platforms default to standard fee schedules and payer claim formats, causing systemic underpayment on workers' comp claims and lost revenue on employer-billed services that fall outside insurance billing entirely.

A single occupational medicine visit might involve a workplace injury evaluation billed to a workers' compensation carrier under that state's specific fee schedule, a DOT physical billed directly to the patient's employer with no insurance involvement at all, and a post-accident drug screen billed under yet a third arrangement, each with different documentation requirements, authorization processes, and payment timelines. Without a system that can route each service line to the correct billing pathway and apply the correct state-specific workers' comp fee schedule, clinics either bill everything at standard rates and absorb the variance, or spend enormous administrative effort manually routing each claim type.