Orthopedic coders need to keep up pace with the coding changes. Even a small coding error can lead to a potential fraud and result in a claim denial. There is a strong need to minimize the time being spent on combating coding issues. Providers need to place more focus on boosting their practice’s revenue, reducing […]
Rising healthcare costs and declining Medicare payments and are two key business challenges being faced by orthopedic practices. Due to the drastic impending cuts in professional fees, providers are finding it difficult to run their business smoothly. Many physicians have already left the Medicare program as they are unable to stay afloat in the current […]
The process of coding and billing can be quite complex for orthopedic practices. Codes and specific modifiers required for obtaining maximum revenue are always changing and this has resulted in a unique set of orthopedic billing challenges for this specialty. To make matters worse, orthopedic fee schedules are getting reduced every year. It is becoming […]
Compared to any other medical specialty, orthopaedic surgeons perform a greater variety of procedures. However, they barely receive one third of what is billed. Insurance companies continue to slash the amount they pay out to doctors and hospital; due to all these reasons orthopaedic practices are facing tremendous pressure to stay afloat amidst rising costs. […]
2013 brought new changes to orthopedic billing and coding, making timely reimbursements even more daunting for physicians. At a time when reduction in fee schedules and Medicare cuts have affected the financial health of orthopedic practices, preparation for ICD-10, compliance to new technology and dealing with varied payer mix has increased billing challenges for them. […]
With the introduction of new coding and billing changes for Orthopedics in 2013, reimbursement and timely billing has become even more challenging. Orthopedic physicians are facing Medicare cuts and their fee schedules are reducing. It has become vital for them to be compliant with the required technology for conducting operational functions putting increased pressure on […]
Orthopedics have been on upward growth trajectory thanks to a host of conducive factors – continued pro-orthopedic Medicare reimbursement reforms, innovative care procedures, breakthroughs in orthopedic technology and anesthesia administration have largely been responsible for upsurge in practice volumes. The combination of these factors has enabled shifting orthopedic from hospital-based inpatient form to a more […]
Insurance underpayments continues to be a major concern for medical practices across the United States; more so for orthopedic surgeons, who, despite serving in a more critical specialty, find it hard to fully recover their medical cost. Because most of the orthopedic procedures happen to be highly expensive, even a marginal percentage of insurance underpayments […]
This year’s CPT Manual has spelt out extensive coding changes and revisions to orthopedic surgical codes. In all, there are 500 code changes to the Category I codes, including 251 revisions, 151 new codes and 100 deletions. Moreover, there has been significant overhauling of nerve conduction studies, some revisions to the radiology section, and E/M […]
Orthopedic billing has its own share of challenges that seem to get complex with changes in orthopedic-specific CPT codes and modifiers every year or as deemed fit whenever by the governing body for monitoring and recommending coding changes. Quite parallel to this challenge is the orthopedic fee schedules (published by the CMS), which are progressively […]
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