Healthcare SBC

Endocrinology

Healthcare IT and billing built for an endocrinology practice

Diabetes management, device data integration and complex chronic care workflows for endocrinology.

A physician reviewing a treatment plan with a patient

Why endocrinology is different

Endocrinology is chronic disease management at its most data-intensive: continuous glucose monitors, insulin pumps, lab trends and medication titration across visits that are longer and more complex than the codes usually billed for them.

Healthcare SBC integrates device data into the chart, supports the documentation that justifies higher-complexity visits, and operates RPM and CCM programs that reimburse the between-visit management endocrinologists already provide.

Common challenges

Where endocrinology practices lose revenue

The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.

Device data fragmentation

CGM and pump data lives in vendor portals rather than the chart, forcing manual review across systems.

Undercoded complex visits

Long, cognitively demanding diabetes visits are routinely billed below the level the decision-making supports.

Unbilled between-visit work

Message-based titration and monitoring consumes hours that CCM and RPM codes are designed to cover.

Specialty drug authorization

GLP-1 agonists, insulins and CGM supplies carry heavy prior authorization and step-therapy burden.

How we address it

Built for endocrinology workflows

  • CGM and insulin pump data integration into the clinical chart
  • Diabetes-specific flowsheets with A1c, lipid and renal trending
  • Integrated RPM and CCM programs for chronic endocrine conditions
  • E/M documentation support for high-complexity decision-making
  • Prior authorization management for specialty endocrine drugs

Commonly billed codes in endocrinology

A sample of the codes our endocrinology coders work with daily.

Codes shown for reference only. Verify against current code sets and payer policy.

FAQ

Endocrinology, frequently asked questions questions

Can CGM data be reviewed inside the chart?
Yes. Continuous glucose monitor and insulin pump data is integrated into the patient record with trend visualization, so review happens in one place, and the interpretation is documented in a form that supports billing 95251.
How do you help capture RPM revenue?
We run the RPM program end to end: devices, patient onboarding, daily monitoring and documented treatment-management time, so the between-visit work endocrinologists already do becomes reimbursable rather than absorbed.
Do you assist with specialty drug prior authorizations?
Yes. Our team submits and tracks authorizations for GLP-1 agonists, insulins, CGM supplies and other specialty endocrine therapies, including step-therapy documentation and appeals.