Orthopedic Surgery Billing Services waqas khan October 27, 2024

Billing Support for Orthopedic Surgical Practices

Orthopedic Surgery Billing Services That Simplify Claims and Maximize Payouts

We handle your billing for orthopedic surgeries with accurate coding, real-time claim tracking, and hands-on denial resolution.

  • Surgical coding for joint, trauma, and spine procedures
  • Modifier accuracy for bundled and staged claims
  • Payer-specific checks for pre-authorizations
  • Seamless integration with your EHR or system
Start Your Ortho Billing Review
Orthopedic Surgery Billing

15+

Years in Ortho Billing

150+

Healthcare Providers

30+

Billing Platforms

50+

Specialties Supported

Why Orthopedic Surgery Practices Choose Us

We provide billing support tailored to the high-volume, procedural nature of orthopedic care. Our team works directly within your systems, with expertise in coding for joint replacements, fracture care, and injections while aligning with payer-specific requirements from day one.

With orthopedic-trained billing specialists, real-time claim tracking, and proactive AR workflows, we help reduce denials, accelerate collections, and ensure billing accuracy for both inpatient and outpatient surgical cases.

Consult with Orthopedic Billing Experts
99% First-Pass Rate

Claims are submitted clean and accurate, resulting in faster approvals and fewer delays. That way, your team stays focused on operations instead of chasing down rejections.

Up to 30% Revenue Growth

Our clients typically see improved collections within the first 90 days of service, resulting in stronger cash flow and fewer revenue gaps from the very start.

120+ Days AR Recovery

We prioritize high-value claims, apply payer-specific follow-up strategies, and track recovery metrics to ensure nothing slips through the cracks.

100% System Integration
We work within your existing EHR and PM systems, ensuring a smooth and efficient setup. Integration is quick and your workflow stays uninterrupted.

RCM Solutions Tailored for Orthopedic Surgery Billing

Specialized RCM support focused on orthopedic procedures, surgical coding accuracy, payer requirements, and improved revenue performance.
Onboarding

Patient Onboarding & Eligibility Verification

Prevent denials with upfront insurance checks and streamlined registration.
charge

Charge Capture & Medical Coding

Expert medical coders ensure precise billing, no missed charges, full compliance.

AR Management & Patient Communication

Claims Submission & Monitoring

Accurate, timely submissions with continuous tracking and follow‑up.

Denial Management & Appeals

Denial Management & Appeals

Swift recovery of rejected claims and prevention of future denials.

Payment Posting & Reconciliation

Payment Posting & Reconciliation

Ensure all payments are matched, discrepancies resolved, and books balanced.

Claims Submission & Monitoring

AR Management & Patient Communication

Proactive collections with empathetic patient support and transparent billing.

Proactive AR Follow-Ups

Proactive AR Follow-Ups

Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.

Transparent Patient Communication

Transparent Patient Communication

We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.

Reporting & Regulatory Compliance

Reporting & Regulatory Compliance

Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.

Book Your Free RCM Consultation
Onboarding

Patient Onboarding & Eligibility Verification

Prevent denials with upfront insurance checks and streamlined registration.

charge

Charge Capture & Medical Coding

Expert medical coders ensure precise billing, no missed charges, full compliance.

AR Management & Patient Communication

Claims Submission & Monitoring

Accurate, timely submissions with continuous tracking and follow‑up.

Denial Management & Appeals

Denial Management & Appeals

Swift recovery of rejected claims and prevention of future denials.

Payment Posting & Reconciliation

Payment Posting & Reconciliation

Ensure all payments are matched, discrepancies resolved, and books balanced.

Claims Submission & Monitoring

AR Management & Patient Communication

Proactive collections with empathetic patient support and transparent billing.

Proactive AR Follow-Ups

Proactive AR Follow-Ups

Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.

Transparent Patient Communication

Transparent Patient Communication

We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.

Reporting & Regulatory Compliance

Reporting & Regulatory Compliance

Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.

Book Your Free RCM Consultation

Ready to Improve Your Orthopedic Surgery Billing Outcomes?

If your orthopedic practice is dealing with delayed payments, coding errors, or unresolved AR, it’s time to upgrade your billing operations. We specialize in orthopedic surgery billing with a focus on accurate surgical coding, proper modifier use, pre-authorization handling, and compliance for joint replacements, fracture care, injections, and more.

Getting started is simple. Our onboarding is fully managed and tailored to your workflow. From initial consultation to full billing launch, we ensure a secure, smooth transition without disrupting patient care.

Get Your Free Orthopedic Billing Review
1
Call Icon
Consultation Call
  • Talk Today
  • Call Scheduled
  • Form Submitted
2
Meeting Icon
Solution Meeting
  • PROMBS Intro
  • Needs Discussed
  • Start Date
3
Contract Icon
Contract Finalization
  • Terms Agreed
  • Docs Signed
  • Inquiries Resolved
4
Rocket Icon
Operations Kickoff
  • Billing Transfer
  • Roles Assigned
  • Systems Ready
5
Transition Icon
Successful Transition
  • Strategy Set
  • Goals Aligned
  • Launch Confirmed

Why We Are Best at Orthopedic Surgery Billing Across the U.S.

We provide end-to-end RCM services built specifically for orthopedic surgery practices. Our team brings deep knowledge of surgical coding, global periods, modifier use, and payer requirements related to joint replacements, fracture care, injections, and spine procedures. We help orthopedic providers improve collections, reduce denials, and recover aging AR without interrupting clinical workflows. By integrating directly with your EHR, we ensure a smooth and scalable billing process that keeps your revenue cycle moving efficiently. Our orthopedic focus is the reason surgical practices nationwide rely on us to manage their billing with accuracy and accountability.

What Our Clients Achieve with Our Orthopedic Surgery Billing Services

Rapid Revenue Recovery
0 Days
First-Pass Resolution
%
Denial & Rejection
0 % - 10%
Short Turnaround Time
0 Hours
Electronic Claim
0 %
Electronic Payment
0 %
Client Retention
%
Revenue Increase
0 %
Get Free Ortho Billing Consultation Speak with an orthopedic billing specialist today and streamline your revenue cycle.

    Medical Billing Software We Leverage for Revenue Cycle Management

    Here are some Industry top listed EHR being operated by us.

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    Our Esteemed Clients' Testimonials

    Frequently Asked Questions

    Orthopedic surgery billing involves submitting claims for procedures such as joint replacements, spinal surgeries, and fracture care. Unlike general billing, it requires in-depth knowledge of surgical coding, global periods, and modifier usage. Billing must be precise due to bundled payments and higher reimbursement values. An experienced orthopedic billing team ensures compliance with payer-specific rules, reducing denials and speeding up payments.

    Outsourcing orthopedic billing helps reduce administrative overhead and improve cash flow. Surgical coding and payer policies are complex, and errors can lead to costly denials. A specialized billing partner ensures accurate coding, manages pre-authorizations, follows up on unpaid claims, and maintains clean claim submissions. This allows orthopedic providers to focus on clinical care while ensuring reliable revenue management.
    Common orthopedic CPT codes include 27447 (total knee arthroplasty), 27130 (total hip replacement), 22551 (cervical fusion), and 20610 (joint injection). These codes often require detailed documentation and modifier accuracy. Understanding bundled services and global periods is essential. Our billing team handles all surgical and non-surgical orthopedic coding with payer-specific compliance in mind.
    Global periods refer to the post-operative time frame in which follow-up care is included in the surgical fee. We track global periods for each procedure, apply correct modifiers (like 24, 25, 78), and ensure additional services during the period are coded and billed correctly when eligible. This helps avoid denials and protects your revenue.
    Yes, our team integrates directly with your existing EHR and practice management software. Whether you use Athenahealth, eClinicalWorks, ModMed, or another system, we adapt to your workflow without requiring changes. This allows for a smooth transition with minimal disruption to your operations.
    Our billing team includes certified coders with orthopedic-specific training. We review operative reports, apply accurate CPT and ICD-10 codes, and use correct modifiers for staged or bilateral procedures. We also stay updated on payer rules and policy changes to maintain compliance and minimize rework.
    We support billing for a wide range of procedures including joint replacements, spinal surgeries, fracture repairs, arthroscopies, and orthopedic injections. Our team understands the documentation requirements and coding nuances for high-complexity surgical care and tailors billing to your procedure mix.
    Yes, we handle insurance verifications and obtain pre-authorizations for orthopedic procedures. This includes gathering medical necessity documentation and submitting requests for surgeries like joint replacements and spinal interventions. We reduce denial risk by ensuring payer requirements are met before the procedure.
    We monitor all claims and identify denials quickly. Our team investigates the reason, corrects the issue, and resubmits the claim promptly. We also manage appeals and payer follow-ups to recover underpayments and resolve aged AR. This ensures you don’t leave money on the table.
    Most orthopedic practices see noticeable improvements in collections and claim approvals within 60 to 90 days. Our onboarding is smooth and fully managed. We begin optimizing your revenue cycle from day one, which leads to faster payments and reduced billing errors.

    Yes. We deliver detailed reports on collections, denial rates, AR aging, and claim status. Reports are shared weekly or monthly based on your preference. These insights help orthopedic practices track revenue performance and make data-driven decisions.

    Absolutely. We follow strict HIPAA compliance protocols to protect patient data and ensure secure claim handling. Our team is trained in privacy best practices, and our systems are designed to safeguard your practice from compliance risks.
    Yes, AR recovery is a key part of our service. We identify outstanding claims over 60 or 90 days, follow up with payers, and resolve missing or incorrect documentation. Our process reduces write-offs and improves overall cash flow for orthopedic practices.
    Yes. Whether you’re a solo provider or a multi-location orthopedic group, we tailor our billing services to fit your volume, specialties, and workflow. We scale with your needs and provide consistent support across all levels of practice size.

    We specialize in orthopedic surgery billing, not general healthcare billing. Our team understands surgical coding, global periods, payer rules, and orthopedic-specific revenue risks. This focus helps us deliver more accurate claims, faster reimbursements, and stronger results compared to generalized billing services.

    Head Office | Houston

    857 Tristar, Suite A1,
    Webster, TX 77598, US.

    Nevada Office

    2300 W Sahara Avenue, Suite 800,
    Las Vegas, NV 89102, US.

    Colorado Office

    1600 Broadway, Suite 1600,
    Denver, CO 80202, US.

    Las Vegas Office

    732 S 6TH ST, STE R,
    LAS VEGAS NV 89101, US.

    Virginia Office

    5600 General Washington Dr Ste B207,
    Alexandria, VA, 22312, US.

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