Billing for orthopedics is not general billing with a different code set. Global surgical periods and modifier use, where a post-operative visit billed separately is a denial by design.
Workers compensation is a large share of the book, and it is billed to a state fee schedule rather than to your contracted rates.
At a glance
What drives the coding
Global surgical periods and modifier use, where a post-operative visit billed separately is a denial by design.
What drives the payer behavior
Workers compensation is a large share of the book, and it is billed to a state fee schedule rather than to your contracted rates.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where orthopedics claims actually fail
- Services inside a global period billed separately
- Missing or unsupported modifier on staged procedures
- Comp claims billed at commercial rates
How we work it
We code from what your record documents and query you when it does not support a code, which in orthopedics is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We keep the books. You run the business.
Categorization, reconciliation, month-end close, and clean financial statements — with nothing left for you to chase.
View pricingHow It Works
Review
We look at your current orthopedics denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Orthopedics Medical Billing by State
Sales tax nexus and taxability, licensing, payroll rules, and filing cadence differ by state. Pick yours for a state-specific guide.
Orthopedics — Frequently Asked Questions
Do you have coders who know orthopedics?
+
Yes. All coding is performed by certified coders, and specialty assignment is deliberate — global surgical periods and modifier use, where a post-operative visit billed separately is a denial by design.
Do you guarantee we will collect more?
+
No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
Ready for books you can actually trust?
Book a free consultation and we will tell you what your books need and what it costs.
- Done-for-you
- Solo or group
- Nationwide
Book Online
Share your details and preferred availability.