Conquer the Complexities of Orthopedic Billing
Orthopedic practices have a very different set of challenges when it comes to billing. Such challenges include complexities associated with surgical global periods and procedure bundling, as well as very specific modifier rules (‑22, ‑52, ‑59). A specialized partner is required to properly navigate the codes for arthroscopy (CPT 29881, 29888), joint replacements (CPT 27130, 27447), fracture care (CPT 25605, 27750), and spinal fusions (CPT 22612, 22630).
BCS (Billing Care Solutions) is well-versed in the local coding complexities of the musculoskeletal system that stretch across different areas of the body. We are the ones who submit the claims for everything from office visits and casting (CPT 99213, 29125) to major surgeries accurately and thus save you from making costly mistakes and getting denied. We, through our close and continuous monitoring of Accounts Receivable and adherence to regulations, ensure that your orthopedic practice remains financially viable and you can then concentrate on giving back to your patients their lost mobility.
Our Expertise in Orthopedics Billing
- ✔Experienced Professionals: Our billing team possesses extensive knowledge of orthopedic coding and reimbursement, ensuring accuracy in claims.
- ✔Data-Driven Insights: Utilizing analytics, we offer valuable insights into billing trends and financial performance.
- ✔Tailored Services: Our solutions are customized to meet the unique needs of orthopedic practices, ensuring optimal revenue management.
- ✔Comprehensive Solutions: We provide end-to-end billing services, from initial claim submission to follow-up on denials.
- ✔Compliance Focused: We prioritize adherence to all relevant regulations, reducing the risk of penalties for your practice.
Optimize Revenue and Accuracy in Your Orthopedic Practice
< 25
Days in AR
40%
Revenue Increase
< 5%
Denial & Rejection
99%
Clean Claims Rate
100%
Client Retention
What You Need to Know About Orthopedic Billing Services
We provide a full range of orthopedic billing services that are tailored to deal with the intricacies and large volume of the services that are normally the case in orthopedic practices, thus making sure that every operation, test, and supply is properly billed and reimbursed.
We are performing coding, documentation review, claim submission, and compliance for a wide range of services such as major surgeries, fracture care, arthroscopy, joint injections, and durable medical equipment.
We enable orthopedic practices to increase their income, decrease their administrative burden, and keep their financial condition stable through the timely and effective monitoring of claims and denials, thus allowing your staff to concentrate on patient care and surgical outcomes.
Fracture Care Coding and Billing
Accurate coding for both surgical and non-surgical fracture treatment, ensuring correct reimbursement.
Arthroscopy and Joint Injection Billing
Specialized handling of codes for minimally invasive procedures and therapeutic joint injections.
DME and Supply Billing
Proper billing for durable medical equipment, braces, and surgical supplies used in patient care.
Modifier Usage and Bundling Edits
Expert application of modifiers to bypass NCCI bundling edits and prevent claim denials.
Workers' Compensation Billing
Streamlined handling of the specific requirements and forms for workers' compensation claims.
Global Surgical Package Billing
We expertly manage the billing for the global period of major and minor orthopedic surgeries.
Why Choose Our
Orthopedic Billing Solutions
Engage with specialists that are knowledgeable about the intricacies of mental health billing, who can facilitate the revenue cycles journey from billing to collection, and who can lessen the administrative burden, thus enabling your team to concentrate on quality patient care.
Nationwide Orthopedic Practice Support
Partner with a team that understands your specialty, enhances revenue cycles, and reduces administrative burdens, allowing your practice to focus on quality patient care and sustainable growth.
Why Do Healthcare Professionals Choose BCS Medical Billing Services?
24/7 Rapid Response Time
Practice Health Plan
Error Free Billing
Practice Health Audit
Constant Revenue Boost
Claims Submission Success Rate
Fast Revenue Restoration
Free Consultantion Call
Orthopedic Billing FAQ's
Our certified coders are fully capable of correct and precise usage of the right set of modifiers, and they also supervise the issuing of the bills in cases of compliance when multiple orthopedic procedures are performed together.
We proficiently handle the whole period of fracture care that may take place in different locations, and at the same time, we make sure that the billing for the services that are not related to the fracture is done properly. Also, we take care of the documentation that is required for the follow-up visits.
Our certified coders are fully capable of correct and precise usage of the right set of modifiers, and they also supervise the issuing of the bills in cases of compliance when multiple orthopedic procedures are performed together.
We not only make sure that the coding is complete for every component of the prosthesis and every surgical approach, but we also manage the payer requirements that are specific to joint procedures.
Yes, we are experienced in coding for complex spinal surgery with accurate counting of levels and proper documentation of instrumentation for obtaining the highest possible reimbursement.
We are very thorough in documenting and coding for all arthroscopic procedures, including the determination of the surgical approach and the identification of the anatomical structures in our billing.
We achieve less than 4% denial rates by implementing specialized orthopedic claim scrubbing and having a deep understanding of musculoskeletal billing requirements.
We ensure the proper coding of injections through accurate documentation of the materials utilized and the medical necessity for each service.
Every member of our team is committed to regular training in their field of expertise, and they are always updated with the annual coding changes and payer policy revisions for orthopedic services.
Definitely, we are the professionals who accurately carry out the coding of sports medicine procedures, such as the surgical repair of ligaments and cartilage, with the correct procedural and anatomical specificity.
What Our Clients Say
Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.
Jennifer Aaron
Cardiologist, HeartCare Clinic“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”
David Lieske
Chief Strategy Officer“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”
Linh Tran
Chief Finance Officer, My CHN“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”
Ashley Sahakian
Owner, Express Wellness LLC“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”
Zahid Mehmood
Manager BD, CRM“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”
Melissa Renteria
CEO, Family Health Center“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”
Emily Kariuki
Owner, Home Health Agency“Great service. Professional, friendly, people who get the job done. The best”
Donna Taylor
Manager“very professional and great customer service. Would highly recommend”
Judy Kariuki
Operations Coordination Manager“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”