Orthopedic Medical Billing
A third of orthopedists’ report spending at least ten hours per week completing paperwork and administrative tasks, which contributes to burnout.
As a branch of medicine, orthopedic surgery or orthopedics treats conditions related to the Musculoskeletal System, which includes bones, joints, ligaments, tendons, and muscles.
The field of orthopedic medical billing encompasses a wide range of healthcare services and procedures. It is essential for orthopedic medical billers to have a solid understanding of coding, the billing process, and the insurance specific guidelines. As part of being proactive and receiving revenue as quickly as possible, the Orthopedic Billing/Coding Specialist is responsible for coding procedures and diagnosis codes and works closely with providers to obtain specific answers.
Many doctors and internal teams struggle to keep up with the constantly changing medical coding guidelines, as well as payor guidelines. Providing regular education sessions is crucial for both professional coders and billers, as well as for providers.
Similar to other specialties, orthopedic billing codes are based on criteria established by the ICD-10-PCS. With these specific codes, medical billing specialists can bill the appropriate procedures to the patient’s insurance company, creating a more unified billing and coding process. When providing expert coding services, it is important to be familiar with standard CPT and ICD-CM diagnosis codes, as well as supply codes that adhere to CMS guidelines.
The procedures involving the tendons and ligaments, such as a PLC reconstruction, are significantly different. Repair procedures for those parts, which typically requires submitting orthopedic surgery claims, would begin “0L” and “0M,” respectively. This includes:
Account Receivable and Denials:
Eligibility and Verification:
Utilization of the right technology:
Expert Orthopedic Billing and Coding Team:
Expert AR Management:
Fast and Easy Access to Customer Support:
Our billing services for Orthopedic can increase your revenue and relieve you of the distractions and stress related to billing so that you can concentrate on your patients.
You are under no obligation, so request a free AR analysis today!