Medical Billing for Orthopedics

Orthopedic Therapy Medical Billing Services for Your Practice

Medical billing for Orthopedics requires high accuracy and expertise for proper documentation, coding, and submission of claims. Our orthopedic billing solutions will help handle all the complexities of your practice, right from diagnostic codes to compliance with CMS guidelines. Our focus on accurate medical billing for orthopedics can help minimize claim denials, improve collections, and sustain the financial health of your practice.

Medical Billing Services for Orthopedic Therapy Challenges

Medical advancements have brought tremendous improvements to Orthopedic Therapy practices, but they have also created complex medical coding and billing challenges. Medical billing for Orthopedics in Orthopedic therapy requires precision to ensure accurate documentation and reimbursement for services.

The intricate nature of therapy billing codes means that errors can lead to significant revenue losses. A skilled billing team can reduce these errors and efficiently address denied or rejected claims, unlike inexperienced office staff who may struggle with resolving complex cases on time.

Challenges in Orthopedic Therapy Billing

Orthopedic therapy billing starts even before treatment; it begins with the critical scheduling process. Insurance coverage and payer requirements must be verified to avoid delays in reimbursement. Orthopedic therapy practices often face the added complexity of rescheduling appointments to align with specialists, therapy procedures, and recurring annual processes. 

High-Stakes Claims in Therapy Billing

In Orthopedic therapy, every claim matters because the value of treatments and procedures is significant. Unlike general medical practices, which have hundreds of
low-value claims filed daily, medical billing for Orthopedics involves fewer claims but with a much greater financial impact. One unpaid claim can have a huge effect on a practice’s revenue, making it crucial that claims are submitted accurately and timely.

Complex Procedures Require Specialized Coding

Orthopedic therapy involves complex treatments, which means medical billing and coding must be precise to ensure full reimbursement. The correct use of modifiers is crucial—even a small coding mistake can lead to claim denials, delayed payments, or underbilling.
Without experienced coders who understand the intricacies of orthopedic billing, your practice could be losing revenue without even realizing it. Don’t let coding errors impact your bottom line! Partner with experts who specialize in orthopedic therapy billing to ensure every service is accurately coded and fully reimbursed.

Expert Orthopedic Medical Billing with Advanced Coding Knowledge

Our expert coders are fluent with medical billing for Orthopedics. We use our expertise in coding for complex procedures to ensure accurate reimbursements and compliance. Our team is proficient in handling the unique coding requirements of Orthopedic practices, ensuring all claims are submitted with the highest accuracy.
Below are some of the commonly used CPT codes in Orthopedic procedures that our experts are skilled in managing:

  • CPT 29880: Arthroscopy, knee, surgical; meniscectomy (medial OR lateral, including any meniscal shaving)
  • CPT 27447: Total knee arthroplasty
  • CPT 23472 of shoulder joint replacement
  • CPT 24670: Repair of rotator cuff, acute or chronic
  • CPT 22612: Lumbar spinal fusion
  • CPT 20680: Removal of implant from bone
  • CPT 29855: Arthroscopy, shoulder, surgical; capsulorrhaphy

Maximize your Practice Revenue with Optimized Orthopedic Billing Services

Strategic Denial Management

Proactively reduce revenue interruption through expert Orthopedic medical billing techniques that discourage claim denials from arising.

Get deep understanding into Orthopedic billing procedures to see, examine, and methodically resolve possible revenues loss sources.

Our team applies expert knowledge in Orthopedic billing and coding to come up with planned appeal management that maximizes payment and systematic denial resolution.

Conduct regular compliance audits to identify potential areas of concern early on, avoid denials down the line, and ensure superior coding accuracy in Orthopedic medical billing.

We offer end-to-end Orthopedic medical billing solutions like patient enrollment, insurance verification, authorization management, specialty coding, payment posting, account reconciliation, AR management, patient collections, coding audits, and credentialing.

Partner with RCM Experts Who Know Your Practice

We work closely with our clients. Feel free to interact with expert billers and a dedicated account management team. Each healthcare center partners with seasoned professionals who understand your unique challenges and goals. Your dedicated team delivers hands-on support, proactive problem-solving, and industry-leading expertise to optimize your revenue cycle.

RCM Services Comparison: Integrity RCM vs. Industry Standards

Performance Metrics Integrity RCM Industry Average Benefits of Integrity RCM
Clean Claims Rate 98-99% 75-85% Higher first-pass acceptance, faster reimbursement
Days in A/R 14-30 days 45-55 days Improved cash flow and revenue cycle
Collection Rate 96-98% 85-90% Maximum revenue capture
Denial Rate <3% 5-10% Fewer rejected claims, reduced administrative burden
Coding Accuracy 99% 90-95% Minimized compliance risks, optimal reimbursement
Patient Satisfaction 95% 80% Better patient experience, fewer billing complaints
Customer Support 24/7 dedicated support team Limited business hours Faster issue resolution

Drive Success with Data-Driven KPIs

Track what matters with our comprehensive medical billing KPIs. We turn complex data into actionable insights, ensuring faster reimbursements, reduced denials, and optimized revenue cycles.

EMRs & EHRs We Work With

We are a medical billing company that knows the features and workaround of your EHR system. At Integrity RCM, we work with your
existing EHR to remove the hassle of shifting to a new one.

Nationwide Healthcare Services 

As a leading medical company in the USA, we deliver exceptional medical billing services across all 50 states. Integrity RCM combines cutting-edge technology
with expert knowledge to make your collection process smooth and efficient.  Our certified specialists ensure compliance, optimize reimbursements and maintain the
highest clean claims rates in the industry.

MNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYDC AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI

Take Control of Your Revenue Cycle

Don’t let coding errors and billing inefficiencies hold your practice back. Get data-driven medical coding solutions from Integrity-RCM. Don’t let billing errors cost you. Contact us today!

FAQs

Why is orthopedic medical billing unique compared to general medical billing?

Orthopedic medical billing entails sophisticated coding for complex treatments, procedures, and surgeries. Proper CPT and ICD-10 coding is crucial to guarantee accurate reimbursement and prevent claim denials.

How can your billing services minimize claim denials?

We maintain accurate documentation, proper coding, and CMS compliance. Our proactive denial management approach reduces errors and increases first-pass claim approvals.

How do you bill telehealth for orthopedic practices?

We remain current with telehealth billing rules and apply the appropriate CPT codes and modifiers to achieve maximum reimbursement for virtual visits and treatments.

What is your clean claims rate?

Our streamlined orthopedic billing services have a 98-99% clean claims rate, minimizing rejections and expediting reimbursement.

lady-doctor

Get Quote