One-Stop Solution For Revenue Cycle Management Services

Count on a reliable partner equipped with the knowledge and expertise to guide you through the intricacies of the modern orthopedic revenue cycle management.

Navigating Orthopedic Billing Challenges

orthopedic billing challenges

Successful orthopedic billing hinges on thorough documentation throughout a patient’s journey from pre-visit preparations to post-visit follow-ups. Precise recording and billing for all services rendered is crucial, as mistakes such as incomplete patient demographics or neglecting to verify eligibility beforehand can lead to claim rejections. Beyond authorization issues, a lack of understanding regarding insurer preferences and deadlines may further impede effective revenue collection.

Orthopedic billing stands out as particularly intricate, demanding a profound understanding of providers’ services. With approximately some of orthopedic surgery claims being incorrect, and some facing rejection, the potential impact on both revenue and patient care is significant. Maintaining an in-house billing team, while beneficial, may prove insufficient due to the complexity of the orthopedic billing process.

To mitigate risks and enhance reimbursement, outsourcing to a technologically advanced billing company, such as Practolytics, becomes a strategic choice. Our orthopedic billing services encompass thorough audit checks, account analysis, and payer follow-ups. By partnering with us, you gain access to regular reports detailing productivity, quality, and new revenue opportunities, all delivered by our expert medical billing professionals employing industry best practices and cutting-edge software.

orthopedic billing challenges

Medical Billing & Coding Services Expertise in Orthopedics

Practolytics boasts a nationwide clientele, serving hospitals, physician practices (including orthopedic practices), and medical billing companies throughout the United States. Our adept coders are well-versed in ICD-10, CPT, HCPCS coding guidelines endorsed by CMS and AMA, holding certifications from the American Academy of Professional Coders (AAPC). With a decade of experience, we excel in the nuanced field of orthopedic billing and coding.

orthopedic billing experts

Mastering Orthopedic Billing Excellence

orthopedic billing experts

Unlock precision in orthopedic medical billing, seamlessly navigating complexities like pain pump insertions, plc reconstruction, and arthroscopies. Our certified coders, available around the clock, join forces with you to sidestep pitfalls linked to modifier misuse, all while imparting invaluable knowledge to your in-house billing specialists.

Our dedicated orthopedic billing experts are on a mission—to not only avert claim denials but elevate reimbursements. How? By deploying swift, streamlined processes that slash the time needed for precise billing of orthopedic services. With a foundation in cutting-edge technology, our team is committed to delivering data-driven solutions that not only minimize denials but supercharge your revenue stream. Welcome to a realm where orthopedic billing meets excellence.

Embark on a journey of orthopedic excellence with our diverse expertise, covering everything from joint replacements to conquering musculoskeletal trauma. We specialize in the art of fracture management, spinal disorders, arthritis treatments, and more. Your path to optimal orthopedic care begins with our commitment to precision and proficiency in addressing a spectrum of conditions, including sports injuries and tendon/ligament repairs. Welcome to a world where orthopedic excellence knows no limits!

Benefits of our Orthopedic Billing and Coding Services

orthopedic billing and coding benefits

Revolutionize your orthopedic practice with our commitment to excellence, knowledge, and precision in billing and coding services. We sculpt a flawless revenue cycle for your organization, seamlessly handling everything from patient demographics to account reconciliation. Our medical billing process isn’t just a service; it’s a value-adding experience that ensures a smooth journey from claim submission to payment posting.

Picture a friction-free landscape as our team takes charge, ensuring consistent accounts receivable follow-up and proactive prior authorization to safeguard against claim denials. At Practolytics, we redefine claim denials management by not just addressing issues but preventing them, allowing you to focus on elevating patient care.

orthopedic billing and coding benefits

Claims processed annually

Stated covered

HIPAA compliant

Active providers

Our specialists are not just certified; they're champions

Empower your orthopedic practice with a team of certified specialists backed by impressive statistics:

orange tick


Our experts hold certifications from The American Association of Professional Coders (AAPC), ensuring the highest standards in coding proficiency.

orange tick

Software Proficiency

Proficient in a diverse range of medical billing software, including Lytec, Medic, Misys, Medisoft, NextGen, and more. Our team adapts seamlessly to the tools that drive efficiency in your practice.

orange tick

Coding Mastery

Trained virtuosos in coding software such as EncoderPro, Flashcode, CodeLink, etc. They bring a wealth of expertise to ensure accurate coding in alignment with the latest industry standards.

orange tick

Procedure and Diagnosis Mastery

Masters in applying standard CPT, HCPCS procedure and supply codes, as well as ICD-CM diagnosis coding aligned with CMS guidelines. This ensures precision in billing and compliance with regulatory requirements.

orange tick

Proven Leadership

Our specialists are proven leaders in processing medical bills with major commercial carriers, including UnitedHealth, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc. They bring a track record of successful interactions with diverse insurance providers.

orange tick

Negotiation Expertise

Skillful negotiators, adept at navigating the complexities of Medicare and state-specific Medicaid policies. Our team ensures optimal reimbursement rates and favorable terms.

These statistics underscore the reliability and capability of our team, providing tangible results for your orthopedic practice. Trust us to deliver not just services, but a performance-driven partnership that maximizes your revenue potential.

Customer Stories

Jeff Angeline
Dr. Scott Schlauder
Dr. Martha Livingston

Get In Touch

    Customer Stories

    Three years ago I started a dermatology practice. Six month into my start up I had received approximately $15,000 and I had $115,000 in my accounts receivables. I had put my wife’s and my entire savings and every penny we had into this practice, not forgetting to mention, our hearts and souls. We were three weeks from not making payroll when Practolytics contacted us.

    Dr. Scott Schlauder – MD Daystar Skin and Cancer Center, Florida

    Customer Stories

    One of the most “Can Do” companies I’ve ever worked with. They personally take it upon themselves to see to it that my company thrives. Very responsive to the nuances of my small company, yet always make me feel just as important as their larger clients.

    Jeff Angeline – Owner Angeline Physical Therapy, Ohio

    Customer stories

    We have outsourced our billing to Practolytics for the last 5 years. They have been very helpful and instrumental in our continued growth. They are always available to answer any questions that we have and assist our team. Their response time is great, and I would recommend them to anyone who would like to see their business revenue increase.

    Advanced Podiatry of Bartlesville

    Dr. Martha Livingston – CEO San Antonio Counseling and Behavioral Center, Texas

    Are you on a look out for industry updates?

    Stay updated and join the conversation with the latest facts.

    Stay in the loop

    Sign up for our monthly newsletter

    By subscribing, I consent to the processing of the personal data that I provide Practolytics in accordance with and as described in the privacy policy.