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Comprehensive Orthopedic Surgery Medical Billing Services for Optimal Revenue Management

Our comprehensive orthopedic surgery medical billing services ensure accurate coding and timely claims submission, maximizing your practice's revenue. Trust our experienced team to handle all billing complexities, allowing you to focus on patient care.

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Orthopedic Surgery Medical Billing Services for Optimal Revenue Management

Rapid Revenue Recovery

0 Days

Revenue Increase

0 %

Denial & Rejection

5 5 %- 10 %

Short Turnaround Time

Hours

Electronic Claim

0 %

Electronic Payment

0 %

Client Retention

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First-Pass Resolution

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Enhance your Orthopedic Surgery with Pro Medical Billing Solutions

Comprehensive Orthopedic Billing Services

The accounts are regularly audited, and continuous communication with the insurance carriers ensures accurate and timely billing of the orthopedic practice.

Expert Coding Skills

Our certified coders, proficient in ICD-9/10, CPT, and HCPCS guidelines, are highly skilled in coding, covering all orthopedic procedures at a detailed level. This expertise significantly reduces errors and denials, ensuring accurate billing for your practice.

Advanced Technology and Data-Driven Solutions

Our advanced software generates reports with factual and periodic information, empowering your orthopedic practice to achieve maximum productivity and revenues.

24/7 Support and Education

Our dedicated support and educational guidance are a lifeline for your in-house billing experts, ensuring compliance, preventing pitfalls, and maximizing reimbursements.

Enhance your Orthopedic Surgery with Pro Medical Billing Solutions

Outsource Orthopedic Billing Services to Optimize Revenue through our Orthopedic Revenue Cycle Management in the U.S.

From Orthopedic Billing Solutions to Orthopedic Denial Management, Pro Medical Billing Solutions empowers offer affordably Orthopedic Billing Services to the Orthopedic healthcare providers in the U.S.

Orthopedic Billing Services - Make the Entire Medical Billing Process Smooth

Orthopedic Billing Services for Efficient Revenue Cycle Management and Financial Health Improve the health of your practice with incredible orthopedic billing services that streamline and manage the revenue cycle. With relentless pursuit, we assure you the reimbursement you deserve. Request Pricing on Our Orthopedic Billing Services!
The billing and coding for orthopedics have to be done with good knowledge of the health care services as approximately 35% of the claims are in error to the approximate claim amount, resulting in a rate of 25% denial. Denials of this type affect the revenue and, in addition, patient care, hence leading to financial strains.
Services at Pro Medical Billing Services for orthopedic medical billing are along the lines of continuous auditing, evaluation of the accounts, and efficacious communication with the insurance carriers. Reporting through the proper modality of timekeeping makes it possible for there to be gains about increased efficiency, quality, and profits for an orthopedic practice.
Our intelligent billing professionals work at the cutting edge of software and technologies to provide the most significant benefit to orthopedic practices. Our AAPC-certified coders specialize in ICD 9/10, CPT, and HCPCS coding guidelines to maintain compliance and correctness.
We are experts in coding orthopedic procedures, from pain pump insertions to PLC reconstructions and to arthroscopy. Our coders are certified and available 24 x 7 to avoid overusing the modifiers and to avoid providing extra support in training on-site so that the billing system goes smoothly and never stops.

Unrivaled Orthopedic Surgery Medical Billing Services Company for Improved Revenue

Outsourcing Orthopedic Surgery Billing needs to Pro Medical Billing Solutions assures a mélange of experience, accuracy, and expertise in the billing codes relevant to orthopedic surgeries. We will help you have your revenue cycle smooth for your practice. Our services span the entire process, starting from demographic entry of a patient to insurance confirmation, authorization, coding, billing, account reconciliation, and claims denial management. The approach is underpinned by analytics and is performance-driven, providing value-added service for your organization.
Orthopedic Surgery Medical Billing Services Company

Comprehensive Orthopedic Billing Services Ensuring Maximum Profitability and Efficiency

Orthopedic Billing Services Ensuring Maximum Profitability and Efficiency
Streamlined Orthopedic Surgery Revenue Cycle Management

Streamlined Orthopedic Surgery Revenue Cycle Management

Drawing from our vast experience working with top-of-the-line orthopedic surgery teaching facilities and hospitals, we offer efficient and pocket-friendly orthopedic surgery billing services that can escalate your revenue cycle. Pro Medical Billing Solutions helps orthopedic surgeons concentrate on their practice by managing their orthopedic surgery revenue cycle management.

Serving Orthopedics in the US

0%

48+

First Pass Resolutions for Orthopedic Practices in the US

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99%

Revenue increase for Orthopedic Healthcare Provider

0%

20%

Denials for Orthopedic Healthcare Provider in the US

0%

5% - 10%

Statistics That Define Our Company

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Serving States

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Specialties

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Healthcare Providers

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Claim Acceptance rate

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Compliance

FAQ’s

Frequently Asked Questions

We’ve have compiled a list of commonly asked questions to provide you with quick and informative anwers.

The key benefits of outsourcing orthopedic medical billing include

  1. Fewer billing errors due to expertise in Medical Billing and coding domains in Orthopedic Billing
  2. Quicker payment postings and reduced administrative burdens .
  3. Optimized reimbursement rates with a reduction in claim denials resulting in improved revenue collection 

Overall, outsourcing orthopedic medical billing can lead to increased efficiency, improved revenue, reduced administrative burdens, and enhanced compliance, allowing orthopedic practices to thrive.

An orthopedic billing service can enhance revenue collection through various methods:

  1. Competent coders ensure accurate coding, reducing claim rejections and denials.
  2. Efficient billing services promptly submit claims, resulting in quicker reimbursements.
  3. Proficient management of claim denials and appeals maximizes revenue recovery.
  4. Ensuring compliance with billing regulations prevents revenue loss due to non-compliance issues.

Certainly, here are some examples of common orthopedic billing errors and how our service aids in their prevention:

  1. Errors in procedure or diagnosis codes can cause claim rejections. Our certified coders ensure precise coding, thereby reducing the chances of mistakes and rejections.
  2. Inadequate patient information can result in claim denials. We collaborate with healthcare providers to guarantee thorough and accurate documentation, thereby minimizing denials.
  3. Misapplication of modifiers can lead to reduced payments or claim rejections. Our specialists educate in-house billing personnel on the correct usage of modifiers to prevent mistakes.

When a claim is rejected, we conduct a thorough examination of the reason for the denial, whether it stems from coding errors, inadequate documentation, or other issues. We take appropriate measures to rectify the specific problem and prepare comprehensive appeal submissions, in order to construct a compelling case for claim to be reconsidered.

 

Common Current Procedural Terminology (CPT) codes used in orthopedic billing include:
  1. 20610 – Arthrocentesis, aspiration, or injection, major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa).
  2. 27447 – Total knee arthroplasty (TKA), with or without autograft or allograft.
  3. 99213 – E/M service for an established patient with an expanded problem-focused history, examination, and medical decision-making.
  4. 73030 – Radiologic examination, shoulder; complete, minimum of two views.
  5. 72040 – Radiologic examination, spine, cervical; minimum of two views.
Common modifiers used in orthopedic billing include:
  • -50 (Bilateral Procedure): Indicates that a procedure was performed on both sides of the body during the same session.
  • -59 (Distinct Procedural Service): Indicates that a procedure was distinct or separate from other services performed on the same day.
  • -LT (Left Side): Specifies that a procedure was performed on the left side of the body.
  • -TC (Technical Component): Identifies that only the technical component of a service was provided by the physician.

To stay current with alterations in orthopedic billing and coding regulations, we implement various approaches:

  1. Ongoing Training and Vigilante Monitoring: Our billing and coding experts participate in regular training sessions and workshops.
  2. Membership in Relevant Associations: We are members of pertinent industry associations and organizations, such as the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA).
  3. Advanced Coding Software: We utilize sophisticated coding software that undergoes regular updates to integrate the most recent changes in orthopedic billing and coding regulations.
  1. We strictly adhere to the Health Insurance Portability and Accountability Act (HIPAA) regulations, implementing policies and procedures that safeguard the privacy and security of patient data.
  2. We employ advanced and secure electronic health record (EHR) systems and billing software with robust encryption and access controls to protect patient information from unauthorized access or breaches.
  3. We establish formal agreements with our clients, known as Business Associate Agreements (BAAs), outlining our commitment to maintaining the security and confidentiality of patient data.
We offer comprehensive reporting and analytics to help you track the performance of your orthopedic billing
  1. Detailed financial statements that provides an overview of revenue, collections, and outstanding balances, allowing you to assess the financial health of your practice.
  2. Reports that categorize outstanding balances by the age of the invoice, helping you identify and prioritize collections efforts.
  3. Tailored reports based on your specific needs and preferences, allowing you to focus on the metrics that matter most to your practice.

Our Solutions

Our advanced Infrastructure and Strategies are designed to determine issues in your Revenue Cycle Management and improve them with precisely streamlined processes. We recognize that healthcare providers face a variety of challenges, including missed charges, under pricing, non-reimbursed errors, coding errors, and more, which can lead to significant revenue loss each year.

Therefore, we have designed our Medical Billing & Coding Services as well as Physician Credentialing to prevent any discrepancies and provide accurate deliverables, ultimately helping healthcare providers achieve optimal Revenue generation

Medical-Billing-Coding

Medical Billing & Coding Services

Credentialing-Contracting.

Physicians Credentialing Services

Revenue-Cycle-Management

Revenue Cycle Management

Ar-Denial-Management

AR & Denial Management Services

Medical-Billing-Coding-Audit.

Medical Billing and Coding Audit

Verification-Prior-Authorization-Services

Verification & Prior Authorization

Ambulatory-Surgical-Center-Billing

Ambulatory Surgical Center Billing

Contact-Center-Patient-Scheduling-Management

Contact Center & Patient Scheduling

We're here to help

We're available 24/7 - Schedule a call with one of our experts now.

Free Billing Audit

Medical Billing Software We Leverage for Revenue Cycle Management

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

Our Esteemed Clients' Testimonials

Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. They are excellent at communicating with the insurance providers and are prompt in addressing issues. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.

Dr. Jorge Guevara - MD
Dr. Jorge Guevara | MD Outcomes Detox & Recovery Center (Texas)

For the past 15 months, Pro Medical Billing Solutions has consistently delivered incredible collection results, with first-pass rates surpassing industry standards. Their high responsiveness and effective Revenue Cycle Management services make them the go-to choose for any practice looking to take control of their billing.

Dr. Mukherjee Ranadev -MD CO-FOUNDER
Dr. Mukherjee Ranadev | CO-FOUNDER Digestive Associates (Nevada)

We rely on Pro MBS for our medical billing operations and analysis. Our collaboration with Pro MBS has allowed us to excel over the last five years. We had a few patients’ inflows initially, and we ended up getting many more clients, Pro MBS helped us scale.

Dr. Charles Sisson
Dr. Charles Sisson | MD Integrated Medical Consultants (Colorado)

Thanks to Pro Medical Billing Solutions, our practice has seen a significant improvement in our billing and collection processes. Their team is always up-to-date with the latest industry changes, and they have provided excellent support to our staff. We would highly recommend their services to any healthcare provider.

Jennifer Hartley-Administrator
Jennifer Hartley | Administrator Adams Physical Therapy Services, Inc. (Indiana)

We have been using Pro Medical Billing Solutions for several months, and we have been extremely satisfied with their services. They have helped us to optimize our billing and coding practices, resulting in improved cash flow for our practice. We highly recommend them to other healthcare providers.

Marissa Vazquez - Office Manager
Marissa Vazquez | Office Manager Presence Therapy (Nevada)

Pro MBS has provided excellent satisfaction for our Medical Billing and Coding operations. We conduct regular meetings with their team. They are updated with current industry trends and keep very high standards for quality service. We consider them as an extension of our business office.

Huiping Xu- M.D
Huiping Xu | MD Whole Health Professional PLLC (Texas)

Pro Medical billing Solutions has numerous strengths. One of many is effective communication, which kept me aware of billing updates and claim processes. I am impressed with the swift claim processing and the turnaround time for claims. appreciate Pro Medical Billing Solutions for providing constant support.

Sandra Diaz
Sandra Diaz | CEO South Main Clinic (Texas)

We are pleased with Pro Medical Billing Solutions' billing and coding services and highly endorse them to anyone looking for a proficient billing company. Collaborating with Pro Medical Billing Solutions has been effortless, and we are deeply grateful for their services.

Jennifer G. Walker- D
Jennifer G. Walker D | DC Colorado Chiropractic Center (Colorado)

As the CEO of Big Dog Pharma, I would highly recommend Pro Medical Billing Solutions for your Medical Billing and Coding processes. Over the past four years of collaboration, I have found them responsive, prompt, and helpful. Through our extension, we reduced our staff requirements and significantly improved our revenue stream.

Johnny Gilbert-CEO
Johnny Gilbert | CEO Bird Dog Pharma (Texas)

I look back over the past five years of our relationship, and I can predict what the coming five years would look like. I can see immense growth opportunities for both of our organizations with the partnership that we have been able to develop. I absolutely recommend Pro Medical Billing Solutions.

Dr. Michael Farrel-D
Dr. Michael Farrel | DC Spine Correction Center (Colorado)

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