Partner with NeuraBill for orthopedic billing services and experience the ultimate financial success. Let us handle the billing intricacies, from charge entry to payment posting and everything in between.
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At NeuraBill, we have conducted thorough industry research, including surveys, and utilized various testing methods to understand the orthopedic revenue cycle management (RCM) and billing challenges that practices typically face. We then designed and perfected industry-ready solutions that align with the specific needs of orthopedic practices of all sizes across the country.
What’s more? Our goal is not to rip your rightful profits but to ensure you achieve a healthier revenue cycle by streamlining your orthopedic medical billing and coding workflow. Besides, we only charge a small percentage of your monthly collections and share financial reports regularly to help you make data-driven decisions. Consider us the financial backbone your orthopedic practice can lean on.
Orthopedic practices face unique billing challenges. These may include coding complex procedures, appending appropriate modifiers, fighting claim denials, and staying current with coding system updates and regulatory changes. These specialty-specific complexities often result in revenue leakage and administrative burdens. After working side-by-side with orthopedists and observing them navigate insurance billing difficulties, NeuraBill has designed tailored orthopedic medical billing services to help practices thrive.
Our dedicated team of certified coders and orthopedic billing experts understands how to streamline orthopedic billing operations. This ensures a higher clean claim rate, lower denial rate, and improved collections. Trust NeuraBill’s orthopedic billing solutions to optimize your revenue cycle while you focus on delivering exceptional patient care.
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First Pass Ratio
Revenue Increase
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Orthopedic procedures often involve treatments, surgeries, and follow-up care. Coding multiple components is complex on a single claim. It raises error risks, such as upcoding and unbundling, which lead to claim denials, unfair reimbursement, or audits.
Modifiers provide supplemental information to ensure orthopedic billing and coding specificity. However, the incorrect use of modifiers, such as overusing or misusing them or appending the wrong one, can result in reimbursement delays and claim denials.
Orthopedic coding is ever-evolving with new CPT and HCPCS codes for emerging treatments and devices. Failing to adapt to these updates correctly triggers orthopedic billing errors. As a result, you experience a strained revenue cycle and unsteady cash flow.
Orthopedic billing rules and policies significantly vary across payers. Therefore, orthopedic practices must strive to understand the relevant payer guidelines and obtain pre-authorization (when needed) to avoid non-compliance and resulting payment rejections.
Orthopedic practices handle a high claims volume due to increased daily patient visits, frequent treatments, and surgeries. Processing the high volume of claims without in-house orthopedic RCM and billing specialists increases error risks and payment delays.
Adequate and accurate documentation is essential for timely claim processing as it helps demonstrate medical necessity. Incomplete or erroneous documentation will result in inconsistent payment, a high denial rate, and increased reworks and resubmissions.
Thousands of diagnostic, procedural, and service codes and their frequent updates make it challenging to manage orthopedic billing and coding in-house. At NeuraBill, our proven orthopedic billing solutions simplify this complexity. With a team of AAPC-certified professional coders (CPCs), we precisely code every procedure, from bone repairs to amputations, ensuring accurate billing and maximized reimbursements.
21315-21497
Fracture and/or Dislocation Procedures on the Head
21920-21936
Excision Procedures on the Back and Flank
23700-23700
Manipulation Procedures on the Shoulder
24800-24802
Arthrodesis Procedures on the Humerus (Upper Arm) and Elbow
25000-25040
Incision Procedures on the Forearm and Wrist
25500-25695
Fracture and/or Dislocation Procedures on the Forearm and Wrist
25900-25931
Amputation Procedures on the Forearm and Wrist
27650-27745
Repair, Revision, Reconstruction Procedures on the Leg and Ankle Joint
27880-27889
Amputation Procedures on the Leg (Tibia and Fibula) and Ankle Joint
27892-27899
Other Procedures on the Leg (Tibia and Fibula) and Ankle Joint
Despite 27,000 active orthopedic surgeons in the USA, bone health care is under strain. Orthopedic medical billing challenges like complex procedures, frequent CPT coding updates, and diverse payer guidelines complicate billing, leading to coding inaccuracies, higher denials, and revenue leakage. Therefore, many multi-specialty practices find medical billing for orthopedic services a burden.
We partner with numerous orthopedic practices nationwide, offering tailored orthopedic billing solutions to address these issues. Our team helps practices overcome the hurdles of modifier usage, documentation, and high claim volumes. This collaboration helps maximize revenue and streamline financial operations.
At NeuraBill, we have designed our orthopedic billing services to meet all your unique billing requirements. Everything is involved, from charge entry and payment posting to claim follow-up and denial management, to offload the administrative burden from your shoulders.
Unlike average orthopedic billing companies, we take the complex healthcare regulatory landscape seriously since non-compliance can lead to adverse consequences. Thus, we hire only certified coders and train our billing specialists to stay current on the evolving laws and regulations. Our team employs standard practices while filing medical claims to ensure compliance with the relevant state, federal, and payer rules.
When you outsource orthopedic billing services to professionals at NeuraBill, you save money, time, and effort on hiring coders and billing specialists in-house, purchasing advanced equipment, and leasing a place. On top of all these benefits, you experience enhanced collections and reduced denial rates, leading to a healthier revenue cycle.
It generally takes 3 to 6 months to notice a significant improvement in your overall revenue cycle. However, you will experience a steady cash flow and timely payments in the first two months of acquiring our orthopedic billing and coding services.
Yes, orthopedic appointments are generally covered by major insurance payers, including Medicare, Medicaid, and other commercial payers.