Orthopedics Billing Services
At 5 Star Billing Services, we specialize in delivering exceptional billing solutions tailored specifically for orthopedic practices. Our expertise in orthopedics billing ensures your practice's financial health is optimized, allowing you to focus on patient care. Our team is well-versed in the intricacies of orthopedics billing, including coding and modifier management.
Did you know that approximately 35 percent of orthopedic surgery claims are processed incorrectly by commercial carriers? These errors often result in denials, and shockingly, over 25 percent of medical claims are denied, with 15 percent never resubmitted for appeal. This means orthopedic surgeons are missing out on revenue due to preventable billing mistakes.
Orthopedic providers need an experienced medical billing team dedicated to their specialty, understanding its unique billing requirements. For instance, an expert orthopedic surgery biller would know that pain pump insertions for post-op pain relief must be performed by a physician other than the orthopedic surgeon to be billable. They should also be well-versed in payer-specific coverage policies, ICD and CPT codes, and post-operative modifiers.
Customized Orthopedics Billing Solutions
We understand that every orthopedic practice has unique needs. Our customized billing solutions are designed to meet those needs, providing end-to-end services that include patient data entry, coding, claim submission, payment posting, and denial management. Our goal is to streamline your billing processes, reduce administrative burdens, and maximize your reimbursements.
Collections and Practice Management
Effective collections and practice management are critical to the financial success of your orthopedic practice. Our team ensures that all aspects of billing and collections are handled efficiently, from coding and billing to payer and patient relations. We provide comprehensive reporting and fee analysis to help you make informed financial decisions for your practice.
Electronic Claims Processing
Our advanced, web-based medical billing software facilitates seamless electronic claims processing. This reduces errors, speeds up payment cycles, and minimizes claim denials. We work with various billing systems, ensuring smooth integration with your existing practice management software.
Accounts Receivable Management
Managing accounts receivable is vital for maintaining a steady cash flow. Our comprehensive accounts receivable management services include monitoring outstanding claims, following up on unpaid claims, and resolving denied claims promptly. We provide detailed reports to keep you informed about the financial status of your practice.
- Monitoring and managing outstanding accounts receivable
- Regular follow-up on unpaid claims
- Resolving denied or underpaid claims promptly
- Detailed reporting on the status of your accounts receivable
Our goal is to ensure that you receive every dollar you are entitled to, reducing the stress and financial burden associated with managing accounts receivable.
Your Trusted Orthopedics Billing Company
Choosing the right billing partner can significantly impact your practice's profitability. At 5 Star Billing Services, we pride ourselves on our ability to achieve lower claims adjustment rates compared to industry standards. Our experienced account executives ensure that your practice receives the maximum reimbursement possible, enhancing your overall revenue.
Contact us today to learn more about how our specialized orthopedics billing services can benefit your practice.
Helpful Articles
Streamlining Prior Authorizations for Better Health Outcomes
Optimized PAs empower you to prioritize patient care by streamlining administrative burdens, using integrated ePA tools, and creating communication channels, ensuring prompt access to treatments and superior health outcomes.
Streamlining Orthopedic Billing in 2024
Optimal efficiency and accuracy are being prioritized by orthopedic practices in 2024. Discover how streamlined approaches enhance revenue generation and practice management, driving success in the dynamic healthcare landscape.