Medical Billing Services for Orthopedics

Medical billing services for orthopedics and Practice Management helps to navigate and operate the ever-changing insurance payment rules and regulations along with establishing the necessary revenue cycle management protocols for maximum allowable reimbursement for your Orthopedic Practice.

Orthopedic Contract Negotiation

Payer contract negotiations, evaluation, and re-negotiations are very critical to every Orthopedic practice, yet many practices only set up their managed contracts one time and allow them to renew without any negotiations automatically. Most Orthopedic practitioners lose additional revenue of 10-30 percent because they do not have the time or the required expertise to renegotiate contracts with insurance payers.

Our specialists can perform evaluations of your Orthopedics managed care consultation process, estimating each contract and devising a contract negotiation- renewal plan for your Orthopedic practice by using leverage points to maximize standard contract terms, resulting in important revenue increases for our customers.

Orthopedic Medical Billing and Coding

Now more than ever, it has become essential to have a professional medical billing company specializing in Orthopedic medical billing and coding that can successfully operate through the complexities of the Orthopedic specialty specifications.

Medical coding services and medical billing services specialized around the “Distinct Orthopedics’ set of codes and modifiers. Working together, our certified medical coders and Orthopedic specialized billers will identify past billing problems and denied claims, evaluate underpayments, submit claims appeals with correct documentation and bill appropriately with the correct ICD, CPT, and Modifier codes to ensure maximum reimbursement.

Our Orthopedic Surgery Billing and Coding specialists provide knowledge and expertise to the practice needs and ensure maximum reimbursement.

Our Orthopedic Billing Specialists will:

On track with current insurance specifications and regulations and ensure the fees are kept at the maximum allowable reimbursement. Analyse, recognize, and advise you regarding the advantages of reimbursement’s fee trending. Carefully analyse insurance payments and Explanation of Benefits to ensure accurate payment and take appropriate action for commercial, personal injury and worker compensation claims. Process Secondary Insurance claims upon receipt of the primary carrier Explanation of Benefits. Focus on accurate procedure and diagnosis codes, so claims are not suspended or rejected.

Our team of Orthopedic revenue cycle billing professionals will work closely with your practice to give the necessary and lasting education on the best documentation and billing practices for procedures conducted, which includes to keep your Orthopedics practice up to date with the modern coding and CMS Medicare, Medicaid billing and documentation demands, certifications and regulations.

We understand the challenges faced by modern Orthopedic practitioners. Our dedicated staff can code remotely and seamlessly blend with your staff, quickly familiarizing themselves with your practice. Recognizing trends, past billing predicaments and denied claims, we custom design a menu of operations for your business that will result in quickened revenue cycles and enhanced compliance.

Our accredited orthopedic medical billing experts can:

Capture and Improve Orthopedic Revenue

Evaluate and Manage Orthopedic Billing and Coding Functionalities

Provide and Establish an Increased Efficiency

Reduce Compliance Risk

Provide Professional Coding Services for Orthopedic practices