Orthopedic medical billing entails precise computation based on complete documentation prior to, during, and following a patient’s visit. Because they specialise in orthopedic billing, PBC billers are the most knowledgeable about your pain points.

For this reason, they are always advancing with technology and billing reforms to reduce the number of claims that are denied. They should therefore be able to handle a variety of tasks, including:

• Providing precise and accurate codes for various processes
• Enabling billing on paper and via electronic means
• Frequent code audits to apply the right codes
• Examining accounts to avoid cash flow obstructions
• Speak with payers about any outstanding payouts.
• Creating financial reports on a daily, weekly, and monthly basis

Were you aware?

• When processing payments for diabetic shoe fitting and adjustment under CPT code A5500 Use of the KX modifier (both left and right foot) is required in order to receive reimbursement.
• Our staff is aware that the KX modifier is necessary for CPT code L3030 (removable foot implants) in order to prevent payer rejection (L3030LTKX for left foot and L3030RTKX for right foot).
• Our professionals are aware that, regardless of the patient’s left or right foot, modifier RT LT is not applicable when billing for CPT code 97597 (Removal of devitalized tissue) for up to 20 square centimetres.

Simple and efficient coding

Coding receives extra care in order to ensure error-free billing. Many clinical tasks may need the use of orthopedic practices: non-surgical orthopedics like podiatry, physiotherapy, chiropractic, occupational therapy, and kinesiology; surgical orthopedics like shoulder and hand surgery, and

orthopedic trauma, musculoskeletal oncology, surgical sports medicine, foot and ankle surgery, pediatric orthopedics, elbow surgery, and total joint repair (arthroplasty).

These operations are expensive, thus it’s imperative that they are tagged correctly to prevent being refused or underpaid for inaccurate coding. Because they understand the complete coding system, our coders can guarantee the greatest level of coding accuracy.

Flawless qualifications for coding and billing

Our orthopedic billing services are led by experts with a strong portfolio of qualifications. Here is a brief summary of the qualifications of our affiliates:

• The American Association of Professional Coders (AAPC) has certified you.
• knowledgeable about electronic health record software, such as NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, and so on.
• taught how to code with software.
• using common CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding in accordance with CMS regulations
• a successful history of processing medical bills for prestigious commercial insurance companies like Blue Cross Group, WellPoint, Aetna, Humana, HCSC, and United Health.
• Capacity to effectively bargain with Medicare and Medicaid laws that vary by state.

Enhancing your revenue cycle management process with relevant intervention

Patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and rescheduling, coding, billing, and account reconciliation are all done in a sequential manner. In terms of ease of document submission and retrieval, pre-audit coding, real-time report generation, appropriate modifier application, etc., our medical billing procedure can be valuable.

Therefore, our medical billing services, which include precise charge collection, complex procedure coding, electronic claim submission, and patient billing, A multi-tiered appeals procedure, initiatives to eliminate denials, and compliance standards are the remedy for streamlining your revenue cycle, achieving a noticeable rise in collection rates, increasing patient intake and referrals, and expanding your opportunities for medical research and development.

It should come as no surprise that orthopedic physicians who have opted to work with our billing specialists have been able to realise the essential value additions: increased practice income and improved clinical effectiveness.