Orthopedic Billing Services
Are you struggling to manage the billing and coding needs of your orthopedic practice efficiently? Is this struggle leading to claims delays or denials? You will need a specialized billing partner to address these recurring challenges. We provide HIPAA-compliant orthopedic medical billing services to ensure accurate billing and timely reimbursement for the services rendered.
Get a QuoteHow We Streamline Orthopedic Medical Billing For Your Practice
Our services are tailored to meet the unique billing needs for orthopedic surgeries, joint replacement surgery, arthroscopic surgery, fracture repair, spinal surgery, osteotomy, and more. We cover end-to-end billing for these services, including coding and billing to electronic claims processing and payment processing. Our services comply with various regulations such as HIPAA and coding mandates set by AMA and AAPC. Here are the steps we follow to streamline your billing service:
- Integrate digital tools such as EDI, EHR, EMR, and PCS with orthopedic billing technology ecosystem to obtain real-time patient data for seamless electronic claims processing.
- Verify the patient's insurance coverage (provider information, registration numbers, effective dates, expiration dates, provider address, etc.) before scheduling the appointment.
- Fulfill pre-authorization needs from insurance payers before the orthopedic practice starts attending patients. This step is crucial to avoid any payment and reimbursement-related confusions after the medical procedure is done.
- Conduct real-time claims scrubbing to ensure billing codes accuracy (10021-69990 CPT code range, ICD-10, HCPCS Level II Codes, DRG codes, Evaluation and Management (E/M) Codes, revenue codes, and others).
- Submit clean claims to insurance payers such as government programs (Medicare, Medicaid), private insurance companies (Aetna, Anthem, Humana), Workers' Compensation, Tricare, Veterans Affairs (VA), Self-Pay, etc.
- Adhere to pertinent regulatory guidelines while handling various billing models, including value-based payment, fee-for-service, capitation, episode of care, telehealth etc.
- Perform a comprehensive claims review by analyzing Explanation of Benefits (EOBs), identifying reasons for denials, resolving any disputes, and initiating the appeals process when necessary.
- Analyze EOBs to calculate and report out-of-pocket expenses such as deductibles, copayments, and coinsurance to avoid any unbilled payments from the patients.
Our Comprehensive Orthopedic Medical Billing Services
The Invensis Advantage for Revenue Cycle Management Services
As an HIPAA-compliant outsourced revenue cycle management company, we have over 24 years of experience delivering healthcare revenue cycle management services to US-based health care practices. We have helped our clients adopt best practices, including prioritizing patient care, investing in advanced technology, collecting patient payments upfront, ensuring accurate charge capture, and timely claims filing. Over the years, we have seamlessly integrated people, processes, and technology to adapt to evolving legislation and industry needs. As a result, our RCM management services have helped our clients to eliminate waste, enhance efficiency, and receive comprehensive, value-based support. Our expertise has led to significant success for our clients, including a 20% reduction in claim denials and a 30% increase in collection rates. Outsource revenue cycle management services to us and reap the maximum benefits of back office support services.
You can reach us at:
Fill up the form and our team will get back to you within 24 hours.