MBS for Physicians
Orthopedic
Billing Services
Optimize Your Practice Revenue & Billing Efficiency
Getting Started
At the heart of our orthopedic medical billing services is a deep understanding of the unique challenges faced by orthopedic professionals. We provide seamless solutions to optimize your revenue cycle and streamline your administrative processes.
Our specialized team ensures accurate coding, efficient claims management, and faster reimbursements. By staying updated with the latest orthopedic billing regulations and payer requirements, we help practices minimize denials, enhance cash flow, and maintain full compliance, allowing physicians to focus entirely on patient care.
Medical Billing At A Glance
Discover key insights that reflect our dedication to efficient coding practices and maximized reimbursement outcomes.
Claims Processing Metrics
First Pass Resolution Rate
Percentage of claims paid successfully on first submission.
Average Days to Payment
Average number of days it takes for claims to be paid, typically within 21 days.
Financial Metrics
Net Collection Rate
Percentage of total charges collected successfully.
Denial Resolution Velocity
Average number of days taken to fix and resolve a denied claim, typically within 30 days.
Operational Metrics
Average Monthly Claims
Volume of claims submitted.
Staff Productivity Rate
Claims processed per biller per day.
Orthopedic Billing Services
Maximizing claim accuracy and compliance to drive superior revenue outcomes.
Medical Billing for Orthopedics involves meticulous documentation and coding before, during, and after a patient’s visit. MBC’s specialized orthopedic billing and coding team understands the unique challenges faced by orthopedic practices. Our experts are committed to evolving alongside billing reforms and technologies to reduce claim rejections and improve efficiency.
Accurate calculation and documentation ensure smoother billing processes.
Our team evolves with billing reforms for improved claim acceptance.
Our team performs a wide range of services to ensure optimal financial outcomes for your practice. From coding accuracy to regular financial reporting, we provide solutions to manage all aspects of orthopedic medical billing seamlessly.
Assigning correct and accurate codes for multiple procedures.
Generating daily, weekly, and monthly financial reports for better oversight.
Orthopedic billing often requires precise coding for a variety of clinical and surgical procedures. Given the high-cost value of these treatments, accurate coding is critical to avoid denials or underpayments. Our coding team’s deep knowledge ensures that every claim is processed correctly.
Expertise in handling non-surgical and surgical orthopedics.
Use of the KX modifier is mandatory for CPT code A5500 (diabetic shoe fitting and modification) to ensure reimbursement.
Appropriate modifiers are applied for CPT codes L3030 (foot inserts removable), including L3030LTKX (left foot) and L3030RTKX (right foot).
RT LT modifiers are not used with CPT code 97597 (Removal of devitalized tissue), ensuring compliance and proper claim handling.
Our orthopedic billing specialists are highly credentialed, with certifications and hands-on experience in the latest billing software and coding standards. This ensures seamless billing and compliance with payer-specific requirements.
Certified by the American Association of Professional Coders (AAPC).
Proficiency in leading EHR and billing software like NextGen, Epic, and Athenahealth.
Our billing process adds significant value at every stage, from patient enrollment to final claim reconciliation. We streamline the submission and retrieval of necessary documents, ensuring that all required information is accurately recorded. In addition, we conduct pre-audit coding checks to ensure accuracy and compliance with all payer requirements. We also apply appropriate modifiers for error-free billing, which ensures proper reimbursement and minimizes the risk of claim denials.
Accurate charge capture to prevent underbilling and optimize revenue.
Denial elimination strategies that proactively address and resolve potential issues.
Thorough monitoring to ensure compliance with CMS guidelines, guaranteeing that all codes and claims meet the latest regulatory standards.
Timely follow-ups and systematic tracking of claims to ensure maximum reimbursement and reduce payment delays.
Sports medicine billing involves coding for complex procedures like arthroscopies, ACL repairs, and joint injections. These procedures require high precision due to their complexity and the need for accurate documentation to maximize reimbursements. Our experts ensure compliance with payer requirements and coding accuracy, significantly improving reimbursement rates for sports-related injuries.
Expertise in ACL repair, meniscectomy, tendon reconstruction, and other orthopedic procedures.
In-depth knowledge of coding for joint injections, arthroscopic procedures, and other specialized treatments.
Proactive strategies to ensure accurate claim submission and timely reimbursement.
Rheumatology billing is a specialized field that focuses on chronic conditions like arthritis, lupus, and other autoimmune diseases. These conditions require precise coding for treatments like joint injections, biologic infusions, and disease-modifying therapies. Ensuring that each treatment is properly documented and coded is essential for maximizing reimbursement and minimizing denials.
Expertise in coding for arthritis, lupus, and other autoimmune diseases, ensuring that each treatment is captured accurately.
Specialized coding for biologic therapies, which require distinct coding for each drug or infusion administered.
Compliance with payer-specific guidelines for chronic disease treatments, ensuring all claims are submitted according to insurance and regulatory standards.
Strategic use of modifiers and accurate documentation to support medical necessity for long-term treatments.
Pain management billing is essential for the accurate coding of complex interventional procedures such as nerve blocks, epidural injections, and spinal injections. These procedures require precise documentation and coding to ensure that reimbursement is maximized and denials are minimized.
Expertise in coding for a wide range of pain management treatments, including epidural injections, nerve blocks, and spinal procedures, ensuring that each procedure is accurately represented.
In-depth knowledge of the appropriate use of modifiers, such as for spinal injections, to ensure correct reimbursement while adhering to payer guidelines.
Detailed documentation of medical necessity, as pain management procedures often require clear justifications for coverage under insurance policies.
Consistent application of coding conventions to reflect the complexity of procedures and reduce the risk of claim denials.
Rehabilitation billing covers physical, occupational, and speech therapy services, requiring accurate coding for therapeutic exercises and assessments. Our team ensures proper coding and applies the correct modifiers to improve reimbursement and reduce claim denials, optimizing revenue for rehabilitation practices.
Accurate coding for physical, occupational, and speech therapy.
Application of correct modifiers to improve reimbursement and reduce denials.
Proper documentation to ensure seamless claims submission.
Efficient handling of patient information for timely billing and reimbursement.