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Orthopedic Medical Billing Services

MBC billers, specializing in orthopedic billing, understand your pain-points better than anyone else. That is why they are continuously evolving with billing reforms and technology so that there would be fewer claim rejections. As a result, they can be expected to perform a host of services such as:

Assigning correct and accurate codes to multiple procedures
Providing both electronic and paper billing
Regular code audit checks to apply appropriate codes
Analyzing accounts to prevent blockages in cash flows
Follow up with payers for pending payouts
Generating daily, weekly and monthly financial reporting

Did you know?

While billing for CPT code A5500 (diabetic shoe fitting and modification left and right foot) use of the KX modifier is mandatory in order to be reimbursed
Our team is aware of the importance of the KX modifier for CPT code L3030 (foot inserts removable) in order to avoid rejection from payers - L3030LTKX (left foot) and L3030RTKX (right foot)
Our experts understand that modifier RT & LT is not applicable while billing for CPT code 97597 (Removal of devitalized tissue) for up to 20 square centimeters, irrespective of left or right foot

Find in-house billers and coders through MBC’s comprehensive database

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BILLER PROFILE	PROFILE_DESCRIPTION	SPECIALTY	SIMILAR PROFILES
Jessica C Connors	Jessica C Connors has been on the Medical billing industry for the last five years and is an sucessful owner of a Medical billing company. He carries ...	Orthopedic	View Similar Profiles
John Connors	John Connors has been on the Medical billing industry for the last five years and is an sucessful owner of a Medical billing company.	Orthopedic	View Similar Profiles
Kristie Suarez	Kristie Suarez has ten years experience in all aspects of insurances including verification. She possesses excellent organizational, interpersonal, an ...	Orthopedic	View Similar Profiles
Lia Koroi	Lia Koroi wishes to obtain a position as a Medical Biller, where her education and skills will be an asset in providing the highest level of ser ...	Orthopedic	View Similar Profiles
Marion Duffey	Marion Duffey is a Medical Billing Professional working in the industry since 1993. She currently leads a small team with a wide exposure to many spec ...	Orthopedic	View Similar Profiles

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Match your requirements with the skills of the hundreds of our expert orthopedic billers in your area.

Effective and streamlined coding

Special attention is given to coding so as to make billing error-free. Orthopedic practices may be required to perform numerous clinical activities: non-surgical orthopedics such as physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology; surgical orthopedics such as hand surgery, shoulder and elbow surgery, total joint reconstruction (arthroplasty), pediatric orthopedics, foot and ankle surgery, spine surgery, musculoskeletal oncology, surgical sports medicine, and orthopedic trauma. Given the high-cost value of these procedures, it is critical to have them accurately coded so as to avoid being denied or underpaid for coding inaccuracy. Our coders, knowledgeable of the entire coding system, can ensure highest coding accuracy.

Impeccabl billing and codineg credentials

Our orthopedic billing services are driven by specialists who have an impressive repertoire of credentials. Here is quick glance of our affiliates’ credentials:

Certification from The American Association of Professional Coders (AAPC)

Familiar with medical billing software such as Lytec, Medic, Misys, Medisoft, NextGen, and many more

Trained on coding software such as EncoderPro, FLashcode, CodeLink, etc.

Being able to apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines

Successful track-record of processing medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.

Ability to negotiate successfully with Medicare and state-specific Medicaid policies.

Improving your revenue management cycle through pertinent intervention

Traversing a sequential order – patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts – our medical billing process can add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, application of suitable modifiers, etc.

Thus, our medical billing service – complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards – is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.

Quite expectedly, orthopedic physicians who have chosen to engage our billing specialists have been able to make the crucial value-additions: appreciation in practice revenues and clinical efficiency.

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Expertise in Orthopedic

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Client Testimonial

“I am a mental health counselor and was previously in a group practice for several years. During this time I put my complete trust in our billing professional without truly knowing the ins and out of billing process. So when I recently became an individual practitioner I was very nervous about having to possibly figure it all out on my own.

Medical Billers and Coders was recommended to me by a colleague who was also an individual practitioner. I was completely put at ease from the start after calling and inquiring about their services. Being able to find a comprehensive service that meets my needs by providing: insurance verification and eligibility; charge and demographic entry; denial management; account analysis and follow up; payment postings; and patient scheduling has been extremely stress relieving. I was pleasantly surprised to find out that their service rate is only 7% of my collections, which is much less than what I was paying in the group practice.

The Practice Mate system was confusing to navigate at first because I was just not used to it. However, the customer service representatives were able to train me quickly in mastering the system. I have been extremely pleased with all customer service individuals I have spoken with.

My personal billing specialist has been very genuine, professional, and attentive. He has taken the time to answer all of my many questions about the process and my patient accounts. I was surprised at how thorough he has been in emailing me the minutes of our phone conversations. He is always available for me to contact.

I would strongly recommend Medical Billers and Coders to any healthcare provider who wants to work with a comprehensive billing company and professional staff that gives great results.

Juxon Morgan Lankford
Licensed Professional Counselor
Wilmington, North Carolina

Med X Medical Management Services holds your company in the highest regard as far as customer service & expertise goes; it is exceptional & very knowledgeable in all aspects of the medical claims management industry. Our decision to contract your services had as much to do with your quick, accurate, & competent response to our question, as it did with the service itself. We would never hesitate in doing business with you!

-Glorisa Harvilla