Outsourcing Orthopedic Billing for Better Practice Collections

Orthopedic Billing Challenges

Compared to other medical specialties, orthopedic coding and billing is complex and requires experienced, trained, and certified coders to accurately code the orthopedic procedures. Orthopedic coder works closely with the providers to educate and to obtain specific answers in order to code correctly. Orthopedic billing requires proper documentation before, during, and after a patient visit.

The billing team needs to carefully document and charge for all services provided. On average 35% of orthopedic surgery claims get rejected or denied due to patient demographics errors, coding errors, and lack of prior authorizations which can be easily avoided. Such high denial rates can lead to compromised practice collections and patient care, severally affecting the financial health of your orthopedic practice.

Outsourcing Can Make a Difference.

Although some providers believe in having an in-house billing team and properly training them, the orthopedic billing process is too complex to be sustained by an in-house team. Plus, it’s really difficult to find and retain orthopedic billing and coding experts. There is a simpler way, outsource your orthopedic billing and coding functions to one of the trusted medical billing companies like Medical Billers and Coders (MBC).

Our orthopedic billing services include: submitting clean claims, following up on rejections or denials, confirming accurate payment, posting payments, using your current medical billing software, and billing patients.

Our orthopedic billing services include regular audit checks, account analysis, and follow-up with payers. While working with us, you will receive regular reports which will give you an in-depth analysis of productivity, quality, and new revenue opportunities. Our expert billing and coding professionals use industry best practices to meet your exact billing requirements.

Medical Billers and Coders (MBC) Advantage

Partnering with Medical Billers and Coders (MBC) means having the opportunity to optimize your orthopedic medical billing. We act as an extension of your medical billing team and provide you with customizable and scalable billing solutions to ensure you experience greater efficiency. Here are some points to highlight how MBC orthopedic medical billing services makes a difference:

• Billing and Coding Expertise: Our highly trained and experienced team of professionals possess in-depth knowledge of the orthopedic medical billing process. Our AAPC certified coders are proficient in assigning ICD, CPT, HCPCS codes and modifiers to multiple procedures. Our experienced billing professionals have an outstanding performance history of processing claims with commercial and government payers.
• Adherence to Compliance: The revenue cycle regulatory environment is becoming more complex each day. It is important, now more than ever, to adapt to these changing regulations and guidelines to ensure compliance. We help clients transform their orthopedic billing by leveraging our well-defined and updated processes to avoid any severe non-compliance penalties.
• Reduced Costs: Managing billing in-house is expensive, the in-house staff comes with expenses like salaries and benefits, hardware installations, and training costs to name a few. With our orthopedic medical billing services, not only do you save costs but you also accelerate revenue due to timely claims submission and better collections.

Our Orthopedic Billing Services

• Orthopedic Billing Services: Our orthopedic billing services include capturing patient demographics data, entering charges, submitting claims, and posting payments. Our experience and expertise will ensure that your claims are submitted accurately and in a timely manner while maintaining compliance. Our billing team will not only improve your clean claim submissions but also reduce financial losses that could result from claim rejections or denials.
• Orthopedic Coding Services: Healthcare institutes and orthopedic practices struggle to remain updated with the constantly changing payer coding guidelines. Our certified medical coders ensure that your claims are coded accurately and to the highest level of specificity.
• Eligibility Verification and Prior Authorization Services: We will verify benefits and insurance coverage for every patient and also obtain prior authorization whenever required. You will be able to collect patient portions at the time of service with our eligibility and benefits reports. With our eligibility and benefits services, you will be able to reduce eligibility-related rejections and denials which are difficult to recover afterward.
• Accounts Receivable Management: We have an experienced team of collection specialists to follow up with insurance companies, work on unpaid claims, respond quickly to claim rejections, and resubmit corrected claims. Our team of AR analysts also identify and categorize denial reasons and take necessary steps to prevent them from occurring again in the future.

Medical Billers and Coders (MBC) brings years of orthopedic coding and billing experience to your practice. Our coding and billing team has the skills and experience to handle complex surgical procedures.

To know more about how outsourcing orthopedic billing can help you to achieve better practice collections, please contact us at info@medicalbillersandcoders.com/ 888-357-3226