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

Basics of Arthroscopy Coding Guidelines To share arthroscopy coding guidelines, we referred National Correct Coding Initiative (NCCI) policy manual. CMS developed the NCCI manual to promote national correct coding of Medicare Part B claims. The Medicare NCCI promotes correct coding methodologies and controls improper coding leading to improper payment. Before going into detail about arthroscopy […]

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

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 denied […]

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 […]

How to manage Orthopedic Bundled Payments?

In a bundled payments model, providers and/or healthcare organizations receive a single payment for all the services delivered during an episode of care. When it comes to Orthopedic Bundled Payments, these models are becoming more sophisticated and standardized with the help of analytic insights based on collected data from surgeons. CMS has made numerous changes […]

Is orthotics the same as orthopedics?

Is orthotics the same as orthopedics? If you are looking for an answer then you are at the right place. An orthotic is a device that supports and stabilizes a joint or weakened/injured body part, creating proper alignment, pressure relief, and management of pain while orthopedics is a branch of medicine that focuses on the […]

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