Need of Orthopedic Billing Service Provider in New York

Orthopedic practices in New York face numerous challenges when it comes to billing and revenue management. The complex nature of orthopedic procedures, insurance policies, and evolving regulations often result in billing errors, delayed reimbursements, and revenue loss. To address these challenges, many orthopedic practices are turning to professional orthopedic billing services. In this article, we […]

Medical Billers and Coders (MBC) – Leading Orthopedic Billing Service Provider in NJ

Medical Billers and Coders (MBC) provides orthopedic billing services for New Jersey orthopedic groups, covering the full cycle from coding and claim submission to payment posting, denial management, and performance reporting. Its billers and coders handle everything from routine office visits to complex multi-procedure surgeries, keeping claims aligned with current coding standards and payer rules. […]

Medical Billers and Coders (MBC): Leading Orthopedic Billing Services Provider

Challenges in Orthopedic Billing Orthopedic billing is a complex and challenging task that requires expertise in medical billing and coding. Compared to other specialties, orthopedic billing is even more complicated and requires a deeper understanding of the services provided by orthopedic providers. The billing team needs to carefully document and charge for all services provided, […]

Arthroscopy Coding Guidelines

Arthroscopy coding follows one core rule: a surgical arthroscopy includes the diagnostic arthroscopy, so only the surgical code is reported when both happen in the same encounter. Knee and shoulder procedures add their own bundling rules for debridement, loose body removal, and synovectomy under the NCCI policy manual. Basics of Arthroscopy Coding Guidelines To share […]

Wisely Choose Your Orthopedic Billing Partner

Outsourcing is the 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 […]

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 […]

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 […]

Improve Orthopedic Collection Process

To improve the orthopedic collection process, share accurate procedure estimates before surgery, collect the patient’s portion at the time of service, and track collection metrics such as weekly collections, write-offs, denials, and AR by 30-60-90-120 day buckets. Patient collections matter more each year as high-deductible plans shift costs to patients and office services grow to […]

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 […]

Medicare Reimbursement for Orthopedic Surgery

The Centers for Medicare & Medicaid Services (CMS) sets reimbursement rates for Medicare providers and generally pays them according to approved guidelines such as the CMS Physician Fee Schedule. Medicare reimbursement for orthopedic surgery follows the same set of rules; however, recently the amount of Medicare reimbursement for orthopedic trauma surgery has fallen by nearly […]

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Orthopedics billing services