Accurate Billing for Fracture Care, Joint Surgery & Post-Op Management
From office-based injections to complex orthopedic surgeries, our team ensures accurate modifier use, global billing compliance, and full payment for every procedure. We simplify claims for trauma, sports medicine, spine, and joint care so your practice stays profitable.
Orthopedic Billing Services Designed for Surgical Precision
RCM firms provides specialized billing for orthopedic practices, surgical centers, and trauma clinics. We manage the full revenue cycle for services like fracture care, joint replacements, spinal procedures, and sports medicine treatments. Our experts understand the intricacies of surgical modifiers (-54/-55/-58), hardware billing, and post-op bundling rules.
Whether you're billing a Level III shoulder arthroscopy or a multi-stage spinal fusion, we ensure claims are submitted correctly, paid quickly, and fully documented. Our team reduces your billing burden while protecting revenue lost to global periods, unbilled implants, or poor documentation.
What Sets Us Apart
- Surgical Modifier Accuracy (-54/-55/-78/-79)
- Fracture Care & Global Period Billing
- Implant & DME Coding Compliance
- Post-Surgical Follow-Up Billing Optimization
- EMR Integration with Modern Ortho Platforms
Mission Statement
We empower orthopedic providers to focus on healing bones and joints—while we handle the complex billing codes, documentation, and payer guidelines behind the scenes. Our mission is to deliver clarity, compliance, and maximum reimbursement for every orthopedic procedure.
Why Orthopedic Surgeons Trust RCM firms
Orthopedic billing demands precision across pre-op, surgery, and post-op phases. We handle bundled payments, global periods, surgical modifier usage, and implant charges with accuracy—so you get reimbursed for every procedure, every time.
Surgical Modifier Precision
We apply modifiers -54, -55, -58, -78, and -79 correctly for pre-op, surgery, and post-op care—avoiding bundled payment losses.
Procedure & Implant Coding
We ensure accurate CPT/HCPCS coding for joint replacements, spinal fusions, and implants—maximizing surgical reimbursements.
Audit-Ready Documentation
We review op-notes and scrub claims for compliance with payer rules and documentation standards before submission.
Hospital & ASC Integration
Whether you bill independently or through a facility, we handle split billing, place-of-service accuracy, and clean data exchange.
Flexible Orthopedic Billing Plans
Whether you're a solo orthopedic surgeon or part of a multi-specialty surgical center, our pricing aligns with your case volume and service structure. No onboarding fees. No restrictive contracts. Just performance-based billing that supports your growth.
Small Practices
Perfect for orthopedic clinics billing under $30,000/month.
Large Practices & ASC Groups
For orthopedic centers or high-volume surgical teams billing over $30,000/month.
What’s Included
- Surgical billing for joints, spine, trauma, and sports injuries
- Modifier & global period compliance (-54/-55/-79)
- Denial management and appeals for orthopedic claims
- Monthly reporting on claim trends and payer performance
Need custom pricing for multiple specialties or facilities? We’ll design a plan that fits your exact orthopedic billing workflow.
Orthopedic Billing Made Simple in 4 Clear Steps
From fracture care to total joint replacements, our orthopedic billing workflow ensures accurate coding, reduced denials, and faster reimbursements—whether you’re in private practice or an ASC group.
Practice & Coding Audit
We assess your surgical mix, coding gaps, modifier usage, and documentation flow to build a specialty-specific billing strategy.
System Setup & Payer Enrollments
We connect to your EHR, set up fee schedules, verify insurance participation, and begin clearinghouse and payer credentialing.
Coding & Claims Submission
We code all surgical and office visits with correct CPTs, modifiers, and diagnosis links—then submit claims within 24 hours.
Follow-Up, Appeals & Reporting
We track unpaid claims, file appeals where needed, and deliver monthly insights on collections, denials, and payer trends.
0%
Orthopedic Claim Accuracy
0 Days
Avg. Payment Turnaround
0%+
Revenue Increase for Ortho Practices
Orthopedic Billing Services That Secure Every Dollar
From same-day surgeries to complex spine and joint procedures, we handle your entire orthopedic billing cycle—accurately, compliantly, and quickly. Let us focus on the revenue, so you can focus on mobility and recovery outcomes.
Surgical Coding Expertise
We handle CPT coding for orthopedic surgeries including arthroscopies, joint replacements, fracture repairs, and spinal fusions.
Modifier & Global Period Accuracy
Correct application of -54, -55, -58, -78, and -79 modifiers to avoid payment reductions in surgical episodes.
Fast Claim Submission
All charges from surgical logs and clinic visits are coded and submitted within 24–36 hours for rapid revenue flow.
Denial Defense
We catch documentation issues, validate medical necessity, and appeal denials quickly for orthopedic-specific scenarios.
Prior Authorization & Benefits Check
We verify orthopedic-specific coverage (including implants and injections), so procedures aren’t delayed due to auth issues.
Surgical Revenue Analytics
Detailed reporting on per-case reimbursement, denied CPTs, and payer-specific trends in orthopedic billing performance.
Frequently Asked Questions
Answers to common questions about our orthopedic billing solutions, surgical coding accuracy, modifier use, and denial management process.
Speak With Our Orthopedic Billing Experts
Whether you're running a high-volume surgical practice or a growing orthopedic clinic, we’re here to help you reduce denials, improve revenue flow, and simplify compliance. Let’s connect for a free consultation.
IL 62701 United States