Our specialized team understands that orthopedic practices face unique challenges in documentation, coding, and insurance reimbursement. That’s why we provide accurate, compliant, and timely billing solutions that help your practice stay financially healthy while you take care of your patients.
Orthopedic billing is one of the most complex areas of medical billing due to the wide range of procedures, from joint replacements and spine surgeries to sports medicine and fracture treatments. Each service requires precise coding under ICD-10, CPT, and HCPCS guidelines.
Frequent coding updates, payer-specific rules, and the growing burden of administrative work can make it difficult for orthopedic physicians to keep up. In fact, many orthopedic practices lose significant revenue due to errors, delayed claims, and denials. At Your Medical Billing Solutions, no claim goes unpaid and no revenue opportunity is overlooked.
Getting providers properly credentialed and contracted with payers can feel like an endless maze of paperwork, follow-ups, and strict requirements. We simplify this critical process. Our credentialing and contracting support ensures that your practice is recognized by insurance networks, receives timely reimbursements, and avoids compliance pitfalls.
Whether you manage a large hospital, an urgent care, or a private specialty practice, our credentialing experts ensure providers are enrolled quickly, contracts are negotiated effectively, and renewals are never missed. We partner with you at every stage to keep your revenue cycle moving forward.
Frequent Coding Changes: Orthopedic codes are complex and frequently updated by CMS and AMA. Missing even minor details can cause claim denials.
Account Receivable (AR) Delays: High deductibles and reduced filing timelines make AR management more difficult for orthopedic practices.
Insurance Verification Issues: Failure to verify patient eligibility and prior authorizations can result in rejected claims.
Denials and Underpayments: Many orthopedic practices write off claims after one or two rejections, causing unnecessary financial loss.
Administrative Overload: Surgeons and staff often spend valuable hours on paperwork instead of patient care.
We provide an end-to-end Orthopedic Billing service that handles everything from eligibility verification to payment posting. Our goal is simple: to improve your cash flow, minimize denials, and ensure compliance with payer and regulatory requirements.
We proactively verify insurance coverage and obtain required authorizations before procedures. This helps prevent claim denials and improves first-pass acceptance rates.
Our certified coding team stays current with ICD-10, CPT, and HCPCS updates to ensure your procedures are coded accurately. From tendon and ligament repairs to joint replacements, every code is carefully reviewed to reflect the correct body part, procedure, and approach.
We submit clean claims electronically and follow up aggressively on denials or underpaid claims. Our AR specialists track every submission, ensuring your practice collects every dollar it deserves.
Our billing professionals analyze denial trends, correct recurring issues, and reprocess claims promptly. This ensures faster reimbursements and minimizes future errors.
We utilize advanced orthopedic billing software with customizable templates that streamline documentation and integrate easily with EHR systems. This enables real-time tracking, error-free submissions, and faster reimbursements.
We strictly adheres to HIPAA, CMS, and AMA guidelines. We protect patient data while ensuring your practice remains compliant with the latest healthcare billing regulations.
We proudly service a wide range of orthopedic specialties, including:
Our expertise across subspecialties ensures that each claim is managed by professionals who understand your specific procedures and payer nuances.
Partnering with us means gaining a trusted team that’s dedicated to your practice’s success. We bring together medical billing expertise, advanced technology, and a deep understanding of orthopedic procedures to help you:
We service orthopedic practices, clinics, and hospitals across the country, helping them enhance their revenue cycle while focusing on exceptional patient care.
Our dedicated AR team is committed to recovering every outstanding dollar. Whether it’s old, denied, or partially paid claims, we pursue each one until resolution. With a strong focus on aging claims, we help restore your revenue flow and reduce write-offs significantly.
We know that communication is key to maintaining a smooth billing process. That’s why our clients enjoy 24/7 access to our customer support team via phone, email, or text. Every client is assigned a dedicated account representative who provides real-time updates and fast solutions.
Managing orthopedic billing in-house can be time-consuming, costly, and stressful. You gain a reliable partner that takes care of the complexities while helping your practice grow. From accurate coding and timely submissions to aggressive AR follow-up and compliance assurance. We’ve got every detail covered.
Learn how Your Medical Billing Solutions can turn your orthopedic practice’s financial performance. Contact us today for a Free Billing or AR Analysis and experience the difference of expert, technology-driven orthopedic billing support.
