Years of Experience
Happy Clients
Clean Claim Submissions
Expert Support to Navigate Orthopedic Billing and Coding Complexities
Specialized medical billing and coding expertise is vital to ensure efficient revenue cycle management (RCM) for your orthopedic practice. We provide comprehensive orthopedic billing and coding services to meet these specific needs.
With experienced certified medical coders and billing specialists and state-of-the-art technologies, we are well-positioned to optimize your claim submission process and ensure you receive the reimbursement you deserve.
We work as an extension to your practice.
Comprehensive RCM for Orthopedic Practices
Our robust orthopedic billing and coding services ensure accurate claim submission, prevent denials, and increase your cash flow.
Insurance Verification
Real-time verification of coverage, plan details, benefits, and deductibles. This reduces risk of claim denials and streamlines billing.
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Prior Authorization
Handling prior authorization for procedures like joint replacement, spinal surgery, imaging studies, etc. Timely approvals prevent care delays.
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Charge Capture
Documenting all billable services to ensure accurate coding and invoicing. This is crucial for timely and appropriate payment for services.
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Coding
Assigning the right medical codes for diagnoses and procedures according to ICD-10 and CPT coding rules. This promotes claim accuracy.
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AR Management
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Reporting and Analysis
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What Makes Us A Trusted Billing Partner?
How You Benefit from Our Cardiology Billing Services
- Dedicated manager
- System-based claims scrubbing before claims go out
- Comprehensive tracking of underpayments and non-payments
- Support to navigate the insurance appeals process
- Daily, monthly and weekly reports
- Customized TAT
- No long-term yearly contracts
- Cost savings of 30% to 40%
Orthopedic Coding by Experts
- AAPC-certified coders specialized in ICD-10, CPT and HCPCS coding
- Experts updated on AMA and CMS coding guidelines
- Rigorous quality assurance to minimize errors
- Adherence to all payer and industry regulations
- Advanced software to streamline coding
- Seamless EHR integration
- Real-time reports for performance tracking
- Robust data security for patient privacy
We serve all 50 states
Orthopedic Medical Billing and Coding Process
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Our Pricing Plans
Full-Time Equivalent
At present, we provide only the FTE pricing model for Accounts Receivable (AR). We are also considering a blended model for AR.
FAQs
Do you follow up on unpaid claims?
Yes, we do. Our billing experts thoroughly evaluate your accounts receivable position and identify denied claims, unpaid claims, and low payments. Claims are re-submitted with any additional information needed. With timely follow-up and appeals, we help accelerate your cash flow and minimize accounts receivable days.
How do you manage patient collections?
Is your company HIPAA-compliant?
Yes, we are fully compliant with HIPAA rules and standards. Our stringent data security policies are designed to ensure that all patient information remains safe and secure. Security measures are taken in-house as well as during the transfer of files. Our entire workforce is trained on privacy, security, and confidentiality, and all our employees must sign a confidentiality and non-disclosure agreement. Contractual agreements with all business parties are maintained and up-to-date.
To start off, do we have to entrust our whole revenue cycle management to you?
No. We are extremely flexible when it comes to our outsourced revenue cycle management.
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