Specialty billing
Orthopedics medical billing
Orthopedic revenue leaks in two predictable places: visits inside a surgical global period, and equipment handed to the patient but never billed.
Book a Free ConsultationWhat we handle for orthopedics practices
Surgical global periods, modifiers and DME billed without missed charges.
Global period tracking
Post-operative periods tracked so related visits are not billed in error, and unrelated ones are not missed.
Staged and related procedures
Modifiers 58, 78 and 79 applied to return visits to theatre.
Durable medical equipment
Braces, supports and supplies dispensed in office, billed with their documentation.
Fracture care
Billed globally or itemized, depending on what the payer and the episode require.
Common pitfalls
Where orthopedics claims go wrong
These are the errors we look for first when reviewing a practice in this specialty. If any sound familiar, a billing review will tell you what they are costing.
- Unrelated care inside a global period billed without modifier 24, so it is denied as included.
- Bracing and supplies dispensed at the visit and never charged at all.
- Assistant surgeon claims filed without the documentation the payer requires.
Other specialties we support
Not sure where your revenue is leaking?
Book a free review. We will look at your recent claims, denial patterns and A/R aging, and tell you what we find — whether or not you work with us.