Orthopedic Billing Services That Simplify Revenue Management
40% More Revenue Recovered
50% Less Administrative Burden
80% Reduction in Claim Rejections
60% Less Time Spent on Appeals
2+
Satisfied Providers
26+
Medical Specialties
6+
Billing Experts
Why Orthopedic Practices Trust Medical Biller
Orthopedic billing demands precision in coding for complex surgeries, sports medicine, and post-op care. Errors in joint replacement documentation, workers’ compensation claims, or physical therapy billing lead to denials, delayed payments, and audit risks. Medical Biller ensures your practice thrives with:
Surgical Billing Precision
Sports Injury Expertise
Workers’ Comp Mastery
Physical Therapy Compliance
DME Billing Support
Telehealth for Post-Op Care
Denial Recovery
Medicare/Medicaid Compliance
Essential Billing Toolkit:
Streamline Your Billing & Maximize Revenue
Gain access to expert strategies that eliminate costly errors, speed up payments, and boost profitability. This guide is packed with actionable tips, automation hacks, and pre-built templates for seamless billing.
Key Benefits
Fracture Care Coding
Bill closed & open reduction procedures accurately (e.g., 25605, 26615).
Joint Replacement Reimbursement
Ensure proper coding for total knee (27447) and hip (27130) replacements.
Spinal Surgery Billing
Maximize revenue for laminectomy (63047) and fusion procedures (22633).
Sports Medicine Claims
Code PRP injections (0232T) and arthroscopic repairs correctly.
DME & Bracing Coverage
Bill custom orthotics (L3020) and knee braces (L1833) with proper documentation.
Physical Therapy & Rehab Billing
Optimize reimbursements for post-op therapy (97110, 97140).
Trauma & ER Orthopedic Coding
Avoid denials for emergent fracture and dislocation treatments.
Workers’ Compensation Expertise
Navigate state-specific billing rules for workplace injuries.
How It Works
1
Share Your Challenges
“Struggling with surgical denials or slow payments? Let’s talk in 10 minutes.”
2
Get a Custom Audit
Medical Biller identifies gaps in surgical, sports injury, and workers’ comp billing.
3
Focus on Patients, Not Paperwork
We handle claims, compliance, and denials—you prioritize restoring mobility.
How Medical Biller Helped Peak Orthopedic Clinic Recover $850K
Peak Orthopedic Clinic faced 40% denials for joint replacement claims and 75-day delays in workers’ comp reimbursements. Staff struggled with physical therapy coding and prior auth bottlenecks for spinal surgeries.
Detailed Insights:
Denied Joint Replacements: Missing operative notes and implant documentation.
Slow Workers’ Comp Payments: Coding errors in injury claims and state forms.
Post-Op Rehab Gaps: Undercoded physical therapy sessions and modalities.
Automated Prior Auth Workflows: Streamlined approvals for surgeries and advanced imaging.
Specialized Training: Staff educated on workers’ comp documentation and state-specific rules.
Real-Time Alerts: Implemented to catch physical therapy coding errors before submission.
$850K Revenue Recovered: Achieved within 6 months by overturning denied claims and accelerating payments.
Zero Audit Penalties: Maintained compliance for Medicare and workers’ comp billing.
Patient Satisfaction: Fewer billing disputes and a smoother post-op care process.
“Medical Biller cut our joint replacement denials by 85%. Practice transformed!”
Dr. Emily Carter
“Workers’ comp claims now process in days, not months. Game-changer!”
John Smith
“Physical therapy billing is flawless. Revenue grew by 50%!”
Sarah Lee
“Spinal surgery prior auths take 48 hours. Lifesaver for our patients!”
Dr. Raj Patel
“24/7 support resolved a coding error during an emergency fracture repair.”
Nurse Jane Doe
“DME billing for braces and implants is now error-free. No more losses!”
Ryan Grant
“Telehealth for post-op care is seamless. Patient adherence improved!”
Dr. Noah Kim
Streamline Your Orthopedic Billing Process
Optimize your orthopedic billing with our expert services. We ensure precise coding, reduce claim rejections, and maximize reimbursements for musculoskeletal procedures, joint replacements, and physical therapy.
Challenges in Orthopedic Billing & Revenue Optimization
30%
Increase in claim denials due to incorrect modifier usage in orthopedic procedures.
$5.2B
Lost annually by orthopedic practices due to undercoding and delayed reimbursements.
45%
Reduction in billing errors for orthopedic practices that use specialized RCM solutions.
Orthopedic Billing Services That Ensure Maximum Reimbursements
Orthopedic billing involves handling complex CPT codes for fractures, joint replacements, and physical therapy. Our expert team ensures accurate coding for surgical and non-surgical orthopedic treatments while maintaining compliance with payer regulations.
We specialize in managing prior authorizations, minimizing claim denials, and streamlining reimbursement processes. Our end-to-end orthopedic billing solutions help practices reduce administrative burdens, optimize revenue cycle management, and accelerate payments from insurance providers.
Any Questions?
We ensure operative reports include implant details, approach, and medical necessity.
Yes! We submit MRI results, conservative therapy history, and surgical plans promptly.
We use E/M codes with modifier 95, documenting range-of-motion assessments and wound checks.
Absolutely. We code for closed treatments, splints, and follow-up care per payer rules.
We align with state-specific forms, injury codes, and employer documentation requirements.
Yes. We ensure prior auths, detailed prescriptions, and delivery documentation.
We document surgical findings, repair techniques, and anesthesia time meticulously.
Yes. We comply with CMS bundled payment rules (CJR model) and audit standards.
We rebut with treatment plans, progress notes, and functional outcome measures.
Yes. We code for therapeutic exercises, modalities, and athletic training sessions accurately.