Understand What Differentiates Common Billing Firms

Few physicians may know that commercial carriers process orthopedic surgery claims incorrectly about 35 percent of the time. These claims often result in errors and get sent back to the orthopedic surgeon as denied. In fact, more than 25 percent of submitted medical claims result in denial – and even worse, 15 percent of those are never resubmitted for appeal. This means that orthopedic surgeons are leaving money on the table as a result of preventable billing errors.

Orthopedic providers need an experienced medical billing team that is dedicated to their specialty and understands its unique billing requirements. For example, an expert orthopedic surgery biller would know that pain pump insertions provided for post-op pain relief must be performed by a physician other than the orthopedic surgeon in order to be billable. Orthopedics billers should also understand the rules surrounding payer-specific coverage policies, ICD and CPT codes, and post-operative modifiers.

An orthopedics billing company should increase your reimbursements. In fact, it should be far more efficient and effective at billing than your own office. An orthopedics billing company should let you and your personnel focus on practicing medicine. Whether you own a private practice or work in a hospital or multi-provider facility, an orthopedics billing service can make your practice vastly more profitable.