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 becoming smaller every year. In between these two, orthopedic billing and coding environment continues to be influenced by technology so much so that it is virtual impossible to conduct operational functions without being compliant with the requisite degree of automation. The sum total of these three challenges puts so much pressure on orthopedic physicians that they are left with no option but to entrust their orthopedic billing to specialists outside their clinical facilities.
Orthopedic medical billing specialists can bring a host of services to the table, notably of which are:
- Medical coding
- Medical billing
- Denial management
- Complete AR Follow up
- Weekly and Monthly reports
- Feedback to providers
This array of value-added services can translate into real benefits to providers, such as:
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Therefore, it is vital that orthopedic facilities or physicians source services from orthopedic medical billing specialists that are acquainted with evolving changes in orthopedics codes and payer requirements, which will ensure that your claims are submitted accurately in time to have them reimbursed as early as possible. Amongst the traits that define orthopedic billing specialists are their being knowledgeable of:
- Complex orthopedics billing codes and rules
- Orthopedics-related terminology
- Office notes and operative notes
- Coding for surgical procedures
- Code variations related to multiple procedure rules
While orthopedic physicians may be required to assess their prospective orthopedic billing specialists’ competence, Medicalbillersandcoders.com offers them ready pool of resources that have verifiable credentials for being consistent with evolving orthopedic medical billing practices and technology systems. Thus, orthopedic physicians can expect to have:
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