Wisely Choose Your Orthopedic Billing Partner

Outsourcing is Need of the Hour Nowadays, most of the practices feel comfortable passing the burden of billing and coding onto medical billing partners. Billing companies have medical specialty-wise billing and coding experts who streamline the revenue cycle process for healthcare practice. But not all medical billing companies are the same, some of them may […]

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Understanding Comprehensive Care for Joint Replacement (CJR) Model

In line with the Obama Administration’s efforts to provide high-quality care while reducing costs, in April 2016 CMS announced an initiative to implement bundled payments for hip and knee replacement surgeries, called Comprehensive Care for Joint Replacement (CCJR). Recently in May 2021 CMS published an 81-page final rule to extend and change the Comprehensive Care […]

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Telehealth Billing Guidelines for Orthopedics

During the COVID-19 public health emergency, reimbursements for telehealth continue to evolve. The federal government, state Medicaid programs, and private insurers have expanded coverage for virtual health care services. More Medicare Fee-for-Service (FFS) services are billable as telehealth during the COVID-19 public health emergency. In this blog, we shared telehealth billing guidelines for medical billing […]

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Improve Orthopedic Collection Process

Orthopedic practice owners are struggling to maintain the financial stability of their practice. There are many reasons for this struggle as expenses aren’t declining while reimbursement from payers isn’t increasing. As per a recent orthopedic billing survey, more than 30% of orthopedic surgery claims are incorrectly submitted. Such a high portion of rejected and denial […]

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Understanding Global Period for Orthopedic Surgery

Basics of Global Period In Orthopedic surgery, the global period can be an important consideration for the billing of services. A global period is a period of time starting with a surgical procedure and ending some period of time after the procedure. Many surgeries have a follow-up period during which charges for normal postoperative care […]

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Impact of COVID-19 pandemic on Orthopedics

COVID-19 has impacted the day-to-day life of people, businesses, manufacturers, and even the healthcare industry. COVID-19 pandemic has also affected the orthopedics field by which doctors are not effectively concentrating on their regular patients. The shortage of physicians and support staff and even the ventilators, medicine, and other equipment and devices are the major concerns […]

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Common Practice Challenges Faced by Orthopedic surgeons

There are many distinctive as well as common practice challenges faced by orthopedic surgeons over and again. These encounters mainly hinder their business cycle, and sometimes you may also find orthopedic healthcare units closing down. Challenges like rising or unavailability of implants and their costs, healthcare reform implementation, and a clean revenue cycle in the […]

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CMS 2018 Final Rule To Impact Orthopedics ASCs

The Center for Medicare and Medicaid Services (CMS) has issued the final rules on Ambulatory Surgical Center (ASC) reimbursement and changes that could have important implication on the orthopedics billing in ASC. The rule includes update to payment policies, payment rates and also the quality provisions for the services provided under the Physician Fee Schedule […]

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How To Do Accurate Coding For Your Orthopedics Practice In 2018?

With a fleet of changes in ICD-10 and updates, 2018 can be a troublesome year for orthopedic practitioners. If your ICD-10 orthopedic coding is not up to the mark, you are likely to suffer on the reimbursement front. Most of the changes in CPT 2018 have been made to the Musculoskeletal System codes (20005-29999) and […]

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Avoid Denials For Your Orthopedics Billing

Getting paid by insurance timely and accurately in any medical specialty including orthopedics is a vigorous process. The introduction of new billing and coding rules is a regular part of all practices, and billers and coders must aware of all coding updates, policies, and conventions required for coding aptly for accurate reimbursements. There are numerous […]

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