To support your needs and simplify your orthopedic revenue cycle management, we offer several solutions, such as:
Full-service revenue cycle and patient contact center solutions focused on maximizing operating margin.
Custom-tailored to align with your organization’s unique needs.
Purpose-built solutions aligned to the complexities of orthopedic care
Orthopedics is a highly specialized discipline focused on the diagnosis and treatment of musculoskeletal injuries and disorders. Accurate reimbursement requires deep expertise in orthopedic procedures, anatomy-specific coding, and the appropriate application of CPT, ICD-10 and ICD-11 codes, as well as specialty-specific modifiers. Given the volume of procedural variation and frequent coding updates, even minor errors can result in claim denials, payment delays, or revenue leakage.
Outsourcing orthopedic medical billing to Global Healthcare Resource alleviates the administrative burden associated with complex coding and compliance requirements. With more than 25 years of experience supporting healthcare organizations across nearly every specialty, Global delivers scalable, compliant billing solutions designed to improve accuracy, reduce denials, and maximize reimbursement for orthopedic services.
Common challenges in orthopedic billing and coding include:
Global Healthcare Resource is your go-to provider for turnkey revenue cycle management services. We can build exclusive teams to perform and manage individual revenue cycle functions or a combination of the following services depending on your unique needs.
To support your needs and simplify your orthopedic revenue cycle management, we offer several solutions, such as:
We also provide orthopedic mid-cycle services, which include:
We also provide several back-end services to support your orthopedic practice:
We also provide orthopedic call center outsourcing services, which include:
- Patient Scheduling & Registration: Streamlined appointment scheduling and registration workflows that improve patient access, data accuracy, and operational efficiency.
- Patient Accounts Receivable Support: Inbound and outbound patient outreach focused on balance education, payment plans, and secure collections to accelerate cash flow and enhance the patient experience.
- Post-Discharge Clinical Surveys: Timely post-discharge outreach to capture patient feedback, identify potential recovery concerns, and support patient satisfaction and readmission reduction efforts.
Explore the critical billing pitfalls associated with common orthopedic procedures and how we solve them.
The main challenges are using incorrect surgical modifiers and failing to bill for services outside the 90-day global surgery package, such as the initial E/M visit where the decision for surgery was made. Our medical coding and billing teams capture and bill any services outside the 90-day period to maximize your organization’s reimbursement.
Similar to surgery, a fracture is billed as a global package that includes the initial casting and a defined period of follow-up care. A common error is failing to bill separately for the initial X-rays and casting supplies.
We ensure the proper application of global fracture codes while separately capturing revenue for all related supplies, such as casting materials.
Common pitfalls are failing to bill for both the procedure and the drug using J-codes, and incorrectly billing for the technical and professional components on imaging.
At Global Healthcare Resource, we accurately apply J-codes for the specific substance and dosage administered to increase the claims acceptance rate. For imaging, we verify that the claims correctly reflect the technical and professional components, helping you secure full reimbursement for all in-office procedures.
Global Healthcare Resource is ready to operate as an extension of your team. With more than 7,000 HIPAA-compliant coders, billing professionals, and call center agents, we have the capability to provide full-service healthcare solutions to meet your unique business needs and maximize your return.
You will also be able to take advantage of benefits such as:
Our team is your team, and we can help you get started today. Fill out our contact form to request orthopedic billing services.
