Orthopedics Billing Services

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.

What We Do

At 5 Star Billing Services, we deliver a full suite of billing, collections, and practice management solutions tailored for orthopedic providers. We begin with a thorough assessment of your practice and accounts receivable, streamlining the onboarding process and ensuring timely payments. Our team of seasoned billing professionals offers:

• Full account receivables management
• 12-hour claims processing
• System-based eligibility checks
• Quarterly coding updates
• System-based claims scrubbing
• Handling of all billing calls
• Regular quality assurance checks
• Weekly progress meetings and report reviews
• Customizable monthly reports

Why Work With Us?

For years, 5 Star Billing Services has been helping orthopedic surgeons submit clean, accurate claims that result in maximum reimbursements. We can handle your entire billing process, offer temporary staffing solutions, or manage specific billing tasks. Our deep expertise in orthopedics enables our billers and coders to meet the needs of various providers, including orthopedic clinics, diagnostic centers, hospitals, and multi-specialty groups. By working closely with your practice, we identify areas for improvement and establish optimal medical billing and coding procedures.

Based in the United States and fully compliant with HIPAA standards, our orthopedics billing service guarantees the security of your patients' protected health information. To discover how 5 Star Billing Services can benefit your practice, call 480-999-0180 and speak with one of our representatives today.

Benefits

At 5 Star Billing Services, we have the capacity to handle multi-physician, multi-location practices, while still providing the personalized 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 staff are well-trained and stay current with the latest changes in orthopedics codes and payer requirements, ensuring accurate and timely claim submissions. We are also adept at the claims denial process and can appeal denied claims efficiently for speedy reimbursement. Our team has extensive knowledge 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

Receivables Management

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

Your Orthopedics Billing Company

An orthopedics billing company should increase your reimbursements and be more efficient and effective at billing than your own office. Whether you own a private practice or work in a hospital or multi-provider facility, an orthopedics billing service can make your practice more profitable.

Industry experts consider a claims adjustment rate of between 20% and 35% as good and acceptable. At 5 Star, our account executives have an average of eight years in orthopedics billing, which is why our adjustment rate is consistently lower - as low as 12% with Medicare. We achieve AR rates for our practices that are higher than the industry average, meaning you and your practice will get a higher average return per processed claim.

5 Star Billing Services is more than a claims processing center. 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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