Orthopedic Medical Billing and Coding Services

Optimize Your Orthopedic Practice with Expert Billing Services

Arthroscopic surgeries, aneurysmal repair, and reconstructive rheumatic are some of the diverse and complicated surgeries that orthopedic practices undertake, each of which has its own method of billing. The orthopedic billing consultants employed at Philadelphia Medical Billing Services are steeped in the coding protocols and payer rules pertinent to orthopedic services.
Unlike other typical billing services, we have comprehensive revenue cycle management that includes coding complicated surgeries and managing DME claims to make sure you receive the correct attention required to increase your revenue and reduce reimbursement time. We provide specialized services aimed at optimizing the billing process so that you can effectively handle the needs of the practice in terms of orthopedic patient care.

Orthopedic-Specific Services Provided by Philadelphia Medical Billing Services

At Philadelphia Medical Billing Services, we consider ourselves the one-stop solution for your orthopedic billing issues, where we offer services that may be required by an orthopedic practice.

Specialized Orthopedic Coding Services

Our certified coders specialize in orthopedic CPT, ICD-10, and HCPCS coding, ensuring accurate coding for surgeries like arthroscopy and spinal fusions to maximize reimbursement.

Advanced Surgical Procedure Billing

Orthopedic operations typically include procedures that are billed in unclear circumstances, such as bundled payments and many procedure claims.

Comprehensive Pre-Authorization Management

Getting pre-authorization for orthopedic interventions can be a stringent and time-consuming process. This responsibility is shouldered by our committed staff, making it a point to obtain all the necessary permits.

Durable Medical Equipment (DME) Billing

Orthopedic practices often encounter issues related to the prescription and documentation of DME, including braces and splints and prosthetics. We navigate the complicated paperwork and billing process of DME.

Orthopedic-Specific Denial Management

Our denial management strategies are geared towards our area of specialty to combat the most frequent cases in orthopedic practices, such as bundling issues, medical necessity denials, and improper coding rejections, among others.

Integration of Custom Orthopedic Billing Software

Our billing services can be easily interfaced with your current practice management software and/or electronic health record system. The team directly collaborates with your employees to minimize interface issues and avoid excessive paperwork.

Real-Time Eligibility Verification

We offer real-time eligibility verification, allowing your practice to check insurance coverage before treatment, reducing claim rejections and boosting patient satisfaction.

What Philadelphia Medical Billing Can Do for You?

Complex Fracture Care Billing

Charges for most fracture care are usually based on separate visits as well as imaging and follow-up sessions. Billing for fracture care is complex, and we oversee the process by getting the details of the treatment, including follow-up appointments after surgery, reimbursed.

Injection and Pain Management Billing

Many offices with orthopedic medical doctors treat with injections and perform pain management, which are complex to code. Our team properly codes and bills all pain management services, whether epidural injections, nerve blocks, or viscosupplementation, thereby increasing your claims’ reimbursement.

Physical Therapy and Rehabilitation Billing

Most orthopedic patients need regular physical therapy and rehabilitation practices during their patient care process. For these services, we oversee the billing process, handling procedures like the application of therapy caps and compliance with payer therapy regulation that will allow your practice to continue with patient service unhampered by cash shortages.

Orthopedic Telehealth Services Billing

Telemedicine is a new trend in orthopedic practices, and a significant number of them now provide teleconsultation and follow-up. We focus on telehealth billing to guarantee that your practice is paid fairly for all remote orthopedic services, such as patients’ follow-up examinations and physical therapy sessions.

Subspecialty-Specific Billing

Hand surgery, sports medicine, and orthopedic oncology are some of the common sub-specialties found in orthopedic practices. Each subspecialty has its own specific coding, documentation, and billing peculiarities, and acquiring our services will help your practice recover the maximum sum of money in such cases.

Worker’s Compensation and Auto Injury Claims

Worker’s compensation and auto injuries are two other significant areas of specialization in orthopedic practices, and both come with strict billing rules and documentation. Our team has sufficient knowledge on how to handle these claims, documentation, the filing, and processing of the same.

Common Orthopedic Procedures We Handle

Philadelphia Medical Billing Services takes pride in providing medical billing and coding services for various orthopedic procedures to maximize your reimbursement. Here are some of the key procedures we expertly manage:

Joint Replacements

Such as hip replacements, knee replacements, and shoulder replacements.

Arthroscopic Surgery

Incorporating knee, shoulder, and hip arthroscopies.

Fracture Care

Surgical procedure (open reduction and internal fixation ORIF) and various non-surgical measures.

Spinal Surgeries

Such as spinal surgeries like fusing your vertebrae and widening the spaces between the bones of your spine.

Sports Medicine

Surgical operations such as anterior cruciate ligament reconstructions and rotator cuff reconstructions, among others

Hand and Foot Surgeries

Such surgeries as carpal tunnel release and bunionectomy.

Pain Management

Charges related to injections, nerve blocks, and radiofrequency ablation.

Why Choose Us for Your Orthopedic Billing and Coding Services

When it comes to orthopedic medical billing and coding, expertise matters. Here are the reasons why you choose us for your orthopedic practice:

Specialized Knowledge: Have worked for several years focusing on orthopedic billing and have mastered coding and compliance procedures, and as a result, have improved the rates of approved claims by 20%.
High Clean Claims Rate:Have a clean claims rate of 98% to help eliminate slow processes and enhance the payment process.
Customized Solutions:Reliable billing services that can target the needs of your practice and enhance your revenue by 15%.
Proactive Denial Management: Denials are handled professionally, where about 30% of revenue is regained through appeals.
Comprehensive Revenue Cycle Management: Optimization of the billing process leads to an increase in cash flow by 25%.
Pain Management: Charges related to injections, nerve blocks, and radiofrequency ablation.

Maximize Your Orthopedic Billing Efficiency

Looking for ways to improve the billing for your orthopedic practice and increase its revenue? Get in touch with Philadelphia Medical Billing Services now to find out how our tailored billing services solve your concerns. Contact us today for your FREE consultation!