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Orthopedic Surgery Medical Billing Services


Get maximum Reimbursements and Error-free
Orthopedic Surgery Medical Billing Services

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Orthopedic Surgery Medical Billing Services


Get maximum Reimbursements and Error-free Orthopedic Surgery Medical Billing Services

Orthopedic Surgery Medical Billing Services

Orthopedic Surgery Medical Billing Services

Orthopedic Surgery Medical Billing plays a crucial role in ensuring a smooth claim process, minimizing claim rejections, and maintaining a healthy cash flow. It serves as the financial backbone of the overall process, making it essential for success. When it comes to billing, there are several key aspects that must be remembered and executed with precision. These include a thorough review of patient information, verification of coverage, accurate coding, and prompt claim submission. Achieving proficiency in these areas is vital for accurate billing and requires expertise. At Pro Medical Billing Solutions, we are an industry leader in providing orthopedic surgery medical billing services. With a wealth of experience and a track record of serving numerous clients across the USA, we excel in meeting our client’s requirements and providing comprehensive support throughout our collaborations.

Orthopedic Surgery Medical Billing Services We Offer

Over the past 15 years, we have established ourselves as providers of diverse services within the realm of orthopedic surgery coding in medical billing industry. Our extensive experience has allowed us to gain a deep understanding of our clients’ needs and requirements. Through careful analysis, we have identified specific areas within our services and divided them into distinct sub-services. Let’s explore these sub-services individually.


Patient Onboarding and Demographic Entry Services

Accurate patient data is crucial to avoid claim rejections from insurance payers. When you entrust Pro Medical Billing Solutions with this task, we handle patient interactions and meticulously record all necessary requirements and demographics. Our QA team double-checks the information to maximize reimbursements.


Authorizations and Network Verification Services

We collaborate closely with orthopedic practitioners and insurers to obtain pre-authorizations, minimizing financial risks and administrative burdens. By monitoring authorized labels regularly, we streamline claim processing and enhance reimbursement rates, ensuring a smoother experience for patients.


Orthopedic Coding Services

Our team of AAPC-certified experts stays up-to-date with the latest ICD coding system, insurance claim guidelines, and terminologies. Utilizing cutting-edge tools and software, we guarantee that our coding practices align with client expectations and industry standards.


Billing and Account Reconciliation

We take charge of the entire revenue cycle, from payment posting to account reconciliation, to optimize collections. Our billing practices adhere to HIPAA-compliant methods, incorporating account-specific rules that are audited prior to claim transmission.


Follow-up on Collections

Timely collections are vital for uninterrupted business operations. Our professional team handles slow-paying and non-paying clients, proactively urging them to make on-time payments. We maintain detailed records of claim statuses and provide insurance providers with comprehensive daily, weekly, and monthly reports.

Efficient Billing Solutions for
Orthopedic Procedures

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Our Orthopedic Surgery Medical Billing Process

Even with a skilled team, robust infrastructure, extensive experience, and advanced tools and software, the absence of an efficient process flow can impede timely project completion. At Pro Medical Billing Solutions, we have developed our own highly efficient process flow based on our past experience. Allow us to guide you through the distinctive process flow we follow for orthopedic surgery medical billing services.


Initial Consultation

We begin by conducting an initial consultation with the client to understand their specific requirements, challenges, and goals regarding orthopedic surgery medical billing.


Data Gathering

We work closely with the client to gather all necessary patient, clinical, and insurance data. This includes demographic information, medical records, insurance coverage details, and any other relevant documentation.


Data Verification and Validation

Our expert team meticulously verifies and validates the data to ensure accuracy and completeness. We cross-check patient information, insurance coverage, and other relevant details to minimize errors and avoid claim rejections.


Coding and Billing

Our AAPC-certified coding professionals leverage their expertise and the latest coding systems, such as ICD-10, to assign accurate codes to procedures, diagnoses, and treatments. We use advanced billing software to generate claims and ensure compliance with HIPAA standards.


Claim Submission

Once the claims are generated, we submit them electronically to the appropriate insurance providers. We follow the specific guidelines and formats required by each payer to maximize the chances of timely reimbursement.


Payment Posting and Reconciliation

As payments are received from insurance providers, we post them accurately in the client's accounts receivable system. We perform thorough reconciliation to ensure that all payments are properly accounted for and discrepancies are addressed.


Denial Management and Appeals

In the event of claim denials or underpayments, we analyze the reasons for denial, identify any errors or discrepancies, and initiate the necessary appeals or resubmissions to maximize reimbursement for the client.


Reporting and Analytics

We provide regular reports to the client, offering insights into key metrics such as claim status, reimbursement trends, and revenue cycle performance. These reports help the client make informed decisions and optimize their billing processes.


Ongoing Support and Optimization

Our team remains accessible to the client throughout the engagement, providing ongoing support, answering queries, and continuously identifying areas for process improvement and optimization.

By following this comprehensive process flow, we strive to ensure efficient and accurate orthopedic surgery coding and medical billing, ultimately leading to improved revenue outcomes for our clients.

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Why Choose Pro Medical Billing Solutions for Orthopedic Medical Billing Services?

Pro Medical Billing Solutions has established itself as the preferred choice for orthopedic medical billing services by offering a range of distinct advantages. Here are some of the key reasons why clients consistently choose us and why we stand out from our competitors:

We offer flexible pricing options that are tailored to meet the specific needs of our clients. This means that you only pay for the services you require, making our services more affordable and cost-effective.

We take data security very seriously and have strict protocols in place to ensure the confidentiality and safety of your data. We use secure FTP servers, and our employees are only given restricted access to your files and folders. We are an ISO certified company, so you can be assured that your information is always in safe hands.

As a HIPAA compliant company and ISO: 9001: 2015 certified, we are committed to following the highest compliance standards in the industry. Our team of experts is well trained and follows Medicaid and Medicare regulations, and we use standard coding systems such as CPT, HCPCS, and ICD-10 to ensure accurate coding.

Our auditing processes and compliance with high-quality standards and regulations ensure that we deliver uncompromised Orthopedic billing services to our clients. We continuously review and improve our systems, technologies, and infrastructure to ensure that we provide the best possible services.

We assign a dedicated project manager to each client, ensuring that they have a single point of contact throughout the billing process. This helps to eliminate any confusion and ambiguity when updating our clients about the status of their claims and settlements and answering their queries.

Our team of customer care executives is available 24/7 to assist clients with any queries or questions they may have regarding our services. We operate across different time zones, ensuring that we are available whenever you need us.

We understand that the needs of our clients may change over time, and we are fully equipped to handle any scale-up requirements. Our manpower and technology can be upscaled at any point based on the client's requirements, ensuring that we can meet their evolving needs.

Outsource Orthopedic Surgery Medical Billing Needs To Pro Medical billing Solutions

Pro Medical Billing Solutions has established itself as the preferred choice for orthopedic medical practitioners throughout the USA, building a strong reputation over the past 15 years. Our commitment to upholding HIPAA regulations and obtaining ISO certification has solidified our credibility in the industry, earning the trust of numerous clients.

We recognize the significance of cost-effectiveness, and as a result, our orthopedic medical billing and coding services are tailored to align with your budgetary requirements. Our distinctive process, complemented by experienced professionals and cutting-edge infrastructure, ensures a seamless reimbursement process with reduced waiting times.

To experience the advantages of our services, we encourage you to reach out to your dedicated team without delay. Seize this opportunity to elevate your orthopedic  medical billing services to us.

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 Services

Dive deep into the horizons of Medical Billing & Coding Services for ensuring accuracy and efficiency


Physicians Credentialing Services

Explore new heights in healthcare by streamlining with our expert Physician Credentialing Services


Revenue Cycle Management

Optimize your practice’s financial health by elevating the Revenue Cycle with our solutions.


AR & Denial Management Services

Recover your lost income and supercharge revenue with our AR & Denial Management Services


Medical Billing and Coding Audit

Ensure compliance with boosting revenue by enhancing your profit with our Billing & Coding Audit Services


Verification & Prior Authorization

Explore new heights in healthcare by streamlining with our expert Physician Credentialing Services


Ambulatory Surgical Center Billing

Maximize revenue by optimizing billing for Ambulatory Surgical Centers (ASC) with the assistance of our experts.


Contact Center & Patient Scheduling

Solutions for smoother appointments, happier patients, by  our Contact Center & Patient Scheduling Services

We're here to help

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Here are the top specialties, We are helping healthcare physicians throughout the United States to address their Medical Billing challenges.

Our team comprises of extremely skilled and well-experienced Medical Billing and Coding professionals who are capable of handling any type of Billing requests – Being an ISO certified organization, you can rest assured that all the Medical Billing & Coding Services delivered by our team will be of the best quality and error-free.

If you are searching for a dependable Medical Billing Company - You've found it - Contact us today to learn more about Our services!

Our Solutions

- Medical Clinic Setup

- CAQH Registration

- CLIA Setup


- Software Setup

- PECOS Registration

- Contracts Renegotiation

- Credentialing

- Re-Credentialing

- Hospital Re-Appointments

Medical Billing Software We Leverage for Revenue Cycle Management

Here are some Industry top listed EHR being operates by Us.

Our Valued Clients

Thanks to Pro Medical Billing Solutions, our transition from one E.H.R to another was seamless. Their prompt response to our inquiries and knowledgeable billing staff have been instrumental in achieving an all-time high reimbursement ratio since partnering with them

Sam Carr | MD Olympic RCM (Texas)

Having worked with Pro Medical Billing Solutions for nearly 8 years, I'm thoroughly satisfied with their Revenue Cycle Management services and up-to-date knowledge of changing guidelines. Their positive and professional attitude, coupled with timely reporting, have significantly increased our practice's collections.

David Feeback | CFO Colorado Health and Providers (Colorado)

Appreciation for you guys. You all have made a life here smoother than I could have imagined! Your response times are impressive! Your staff is Awesome! You all have been the best, outsourced billing company I’ve worked with.

Nell Sampson | Practice Admin G&A Wellness Clinic

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. With them, we no longer worry about collections.

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

We're delighted to have found Pro Medical Billing Solutions as the perfect billing service solution. Since switching to them, our revenues have improved, and we couldn't be more grateful. Their professional and dedicated team is always available to help.

Maria Balderaz | Practice Administrator Alliance Risk Group (Texas)

Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.

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

After having a bad experience with some billing companies, we've been working with Pro Medical Billing Solutions for the past three years. Their talented team of young professionals runs our business with great ease, and we couldn't be happier with their services

Dr. Charles Sisson Integrated Medical Consultants (Colorado)

I am highly satisfied with Pro Medical Billing Solutions' exceptional service. Their team is always prompt in responding to my inquiries, and our repayment rate is consistently healthy. We receive timely reports, and they proactively identify and solve problems.

Steffhanie Laurel | Director of Operations Colorado Clinic (Colorado)

I am grateful for Pro Medical Billing Solutions for making our lives so much smoother than we ever thought possible! Their response times are truly impressive, their staff is fantastic, and they are by far the best billing company we've ever worked with. Thank you so much for your exceptional services

Kenny Anderson | Vice President G&A Wellness Clinic (Texas)

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 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 Presence Therapy (Nevada)

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