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Orthopedics billing

Orthopedic billing for surgery, DME, and workers' comp

From surgical global periods to DME and workers' comp claims, orthopedic billing needs specialists. We provide them.

Physician consulting with a patient

The problem

Where orthopedics practices lose money

  • Surgical global periods and modifiers
  • DME billing and documentation
  • Workers' comp and auto claims
  • MRI and surgery authorizations

How we handle it

What we put in place

Surgical coding

Modifiers 24, 25, 57, 58, 59, 78, and 79 applied correctly.

WC & PI billing

Workers' comp and personal injury claims tracked to resolution.

DME

Brace and DME billing with compliant documentation.

Surgical auths

Authorizations secured before the case is scheduled.

Workflow

How a orthopedics claim moves through our team

  1. 01Auth
  2. 02Op note coding
  3. 03Submit
  4. 04WC follow-up
  5. 05Posting
  6. 06Reporting

Client example

Orthopedic surgery group, 11 surgeons

The situation. A/R over 90 days had grown past a third of the total, mostly from surgical and global period claims.

What we did. A dedicated A/R team worked the aged balance by payer while global period edits stopped new errors.

AR > 90
-64%
recovered
$480K
days in AR
33

Client details anonymized. Results vary by practice.

Find out what your billing is really costing you

Send us 90 days of claims data and we'll show you where revenue is slipping through, how much is recoverable, and what we would fix first. It's free and there's no obligation.

We sign a BAA before any patient data changes hands.