Orthopedics Billing Services

comprehensive, orthopedics, billing, collections, practice, management, professional, medicare, patient, client, certified The financial strength of your orthopedics practice is directly correlated to timely billing and account reimbursement. We have years of experience providing orthopedics billing services. Hiring a quality billing service is one of the most important decisions you'll ever make regarding the business aspect of your practice. It is crucial that your orthopedics billing company have the experience necessary to handle the complexities presented by orthopedics billing and modifiers. Why not allow 5 Star to give you the financial peace of mind you deserve? Please visit our homepage to obtain additional information regarding our services, references and other pertinent details regarding our orthopedics billing services.

Did you 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.

What orthopedic providers need is an experienced medical billing team that is dedicated to their specialty and understands its unique billing needs. 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.

What We Do

At 5 Star Billing Services, we provide comprehensive billing, collections, and practice management services for orthopedics providers. We provide initial evaluation of your practice and accounts receivable, and we make it easy to get started - because we're serious about getting you paid! Some of the things our expert billing professionals do include:

  • Providing full account receivables management
  • Performing 12-hour claims processing
  • Checking system based eligibility
  • Conducting quarterly coding updates
  • Performing system-based claims scrubbing
  • Handling all billing calls
  • Conducting regular quality assurance checks
  • Holding weekly meetings to discuss progress and go over reports
  • Providing customizable monthly reports

Why Work With Us?

For years, 5 Star Billing Services has been helping orthopedic surgeons send clean, error-free claims, resulting in maximum reimbursements for their organizations. We can manage all aspects of your practice’s billing, provide temporary staffing, or take care of specific billing tasks. Whatever your billing needs, 5 Star’s expert billers are there to help you meet them. Our extensive knowledge in the orthopedics field has allowed our billers and coders to meet the demands of a wide variety of orthopedics providers, clinics, diagnostic centers, hospitals, and multi-specialty groups. We work side by side with your practice to help identify problem areas and establish the best medical billing and coding procedures possible.

Our orthopedics billing service is based in the United States and is fully compliant with HIPAA standards and regulations. This means that your patients’ protected health information will never be compromised.

To learn more about 5 Star Billing Services and what we can do for your practice, call 480-821-1371 to speak with one of our representatives.


At 5 Star Billing Services, we are large enough to handle multi-physician, multi-location practices yet small enough to give the personal attention your account deserves. We offer:

  • Improved collections and income
  • Accelerated payments and reduced stress
  • 24/7 accessibility to your patient data and financial information
  • Transparency throughout the revenue cycle
  • Full financial and practice management reporting

Areas of Expertise

Our billing and coding employees are well-trained and keep up to date on the latest changes in orthopedics codes and payer requirements. This ensures that the claims we submit are accurate and do not delay payment. We also understand the claims denial process and can appeal denied claims quickly and efficiently to ensure speedy reimbursement.

Our billers and coders understand:

arrow iconComplex orthopedics billing codes and rules
arrow iconOrthopedics-related terminology
arrow iconOffice notes and operative notes
arrow iconCoding for surgical procedures
arrow iconCode variations related to multiple procedure rules

Receivables Management

  • Coding
  • Billing
  • Payer relations
  • Patient relations
  • Collections
  • Client reporting
  • Fee analysis
  • Managed-care contracts

Your Orthopedics Billing Company

A orthopedics billing company should increase your reimbursements. In fact, it should be more efficient and effective at billing than your own office. A 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, a orthopedics billing service can make your practice more profitable.

According to industry experts, a claims adjustment rate of between 20% and 35% is considered good and acceptable. At 5 Star, our account executives have an average of eight years in orthopedics billing. Their knowledge, ability, and dedicated follow-up is why our adjustment rate is consistently lower - as low as 12% with Medicare. At 5 Star, we achieve AR rates for our practices that are higher than the industry average. Simply put, you and your practice will get a higher average return per processed claim.

5 Star Billing Services is more than a claims processing center, because we offer multiple benefits and billing services. Our state-of-the-art billing system generates accurately-coded claims daily and submits them electronically. Once your superbills are processed, payment can be received in as little as ten days instead of three months.

A Orthopedics Billing Company Should Help Reduce Your Expenses

Our clients reduce their office expenses by using our services and software – all you need is a PC and access to the Internet. Our practice management software is all-inclusive and is part of our standard service. There are no costly software updates or support fees. There are no hidden costs or additional charges.

5 Star Billing Services is unique in the field of orthopedics billing. We offer a complete business solution to your medical billing and practice management needs, and we do it all for one fee. All the medical billing services and benefits you receive are included, even your overnight mail for shipping your demographics.

Our fee is below the national average. Our goal is to provide the highest return on your claims at a competitive price, without sacrificing service or patient support.

Our Medical Billing Software

At 5 Star Billing Services, we use advanced, web-based medical billing software that can easily connect to your organization’s own data. We can also work with your own billing or practice management software, as our billing specialists have worked with most major billing systems, including Medisoft, Practice Admin, Lytec, Eclipse, AdvantX, and others.

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