Orthopedics Billing Services
Leveraging financial performance and boosting patients care through expert orthopedic billing solutions
Complexities Faced in Orthopedic Billing
With orthopedic medical billing being highly intricate, correct documentation before, during and after every patient’s visit is very important. Since the visit may include different sessions, every service must be recorded without a mistake and billed without an error like incomplete demographic data or failed verification of insurance eligibility both of which can be the leading cause of claim denials. Furthermore, neglection of insure specific details or late deadlines can highly affect the revenue collection.
As the complexity of orthopedic billing is higher than any other speciality, an indepth and all inclusive knowledge is required of payer rules and procedures. According to Kyle H. Cichos, professor in the field of orthopaedic surgery has claimed that 34% of orthopedic surgery claims are filled with error, while 235 of them getting rejected. With the denial rate skyrocketing, both patients’ care and revenue can be highly compromised.
By hiring and training an in-house medical billing team can be useful to mitigate penalties, the complexities of orthopedic billing are way beyond what internal teams can handle. This makes it important for practitioners to collaborate with specialized, tech-experts billing teams like USA MedWorks, which makes it easier to lessen administrative burden and enhance payments. With our team responsible for regular audits, payers follow-ups and account analysis, providers can maximize revenue and focus on patients.
Make USA MedWorks your trusted partner for orthopedic practices.
At USA MedWorks, we are proud to serve a diverse client base of almost 50 states that covers hospitals, orthopedic practices and medical billing companies. With over 15 years of experience in orthopedic billing and coding, we promise to provide all inclusive solutions that are catered to the outstanding needs of orthopedic practitioners.
Our team members are AAPC- certified orthopedic coders that attain full fledged knowledge in ICD-10 orthopedic coding, CPT codes for orthopedic procedures and HCPCS orthopedic codes, following the updates protocols set by AMA and CMS. OOur top notch coders also specialize in a broad range of solutions such as orthopedic surgery billing, fracture care billing, joint replacement coding and sports medicine billing.
USA MedWorks takes full responsibility at every stage of the revenue cycle for orthopedic claim submission, prior authorization for orthopedic services, to denial management and orthopedic billing compliance. We also provide orthopedic billing outsourcing services that incorporate smooth and hassle free processes into your existing systems that include EHR integration for orthopedic billing so an efficient and accurate financial performance is received.
Our expertise in Orthopedics
By studying and understanding the intricacies of orthopedic medical billing that include accurate coding for operation like pan pump insertions, arthroscopies and PLC reconstruction. Our expert team of certified coders are made available 24/7 to ensure that the right and proper use of modifiers is made to address expected billing issues. We also partner with your in-house billing staff for providing ongoing knowledge and support errors and streamline reimbursements.
Our expert and experienced orthopedic billing specialist specialize in reducing claim denials and boosting reimbursements. We achieve these goals by efficiently optimizing operations that expedite orthopedic billing solutions. Our building blocks lay on the approach of advanced technology and data-driven strategies, allowing USA MedWorks to provide services that reduce denials and improve revenue. Our expertise in Orthopedics includes is not limited but includes:
General Orthopedics
● Diagnosis and non-surgical treatment of musculoskeletal conditions ● Pain management ● Physical therapy referrals
Orthopedic Surgery
● Joint Replacement Surgery Total hip replacement Total knee replacement Shoulder replacement ● Arthroscopy Minimally invasive surgery for joint issues (shoulder, knee, ankle) ● Fracture and Trauma Surgery Treatment of broken bones Complex fracture reconstruction
Sports Medicine
● Treatment of sports-related injuries ● ACL repair, meniscus surgery ● Rotator cuff repairs ● Tendon and ligament injuries
Spine Surgery and Care
● Treatment for back and neck pain ● Herniated disc and spinal stenosis ● Spinal fusion, laminectomy, and discectomy