Orthopedic Billing Services
Did you know that around 35% of orthopedic surgery claims are filled out incorrectly? Such claims result in high denial rates, which can compromise your revenue. By hiring Health Quest Billing, you can avoid the severe penalties that can be incurred against you. Contact us to get access to our industry-compliant practices that meet your orthopedic billing needs.
How Can Health Quest Billing Help You?
Here’s how we at Health Quest Billing can assist you with our Orthopedic Billing Services:
Benefits and Eligibility Verification
Health Quest Billing ensures seamless patient coverage by verifying benefits and eligibility. This is how we maximize reimbursements for orthopedic services
Expert Coding and Documentation
With up-to-date CPT and ICD-10 coding expertise, Health Quest Billing ensures accurate claim submission. We also prevent denials for orthopedic procedures.
Same-Day Claim Submission and Follow-Up
Our experts offer fast claim submission and proactive follow-up. These practices enable you to get paid faster and improve cash flow
Complete Practice Management
We use comprehensive management tools to streamline your workflow. They also boost efficiency in your orthopedic practices.
Practice Credentialing
Stress-free credentialing services from Health Quest Billing ensure smooth operations and timely reimbursements. This is how we can reduce your administrative burden.
Best Practices for Orthopedic Billing Services
Understanding Orthopedic Billing Complexities
Healthcare providers should comprehensively understand how complex their orthopedic billing services can get. Their billers should work with them to prevent problems caused by that complexity. Many of those problems originate from incorrectly using modifiers. Your billers should train your administrative teams to prevent such problems.
Integration with Billing Operations
The scale of your billing services should be larger than your orthopedic practices. You can integrate those billing services with regular audits and account analysis. You must also develop custom solutions to manage your billing operations. This way, you are able to conduct regular reporting to identify new revenue opportunities.
Technological Regulatory Compliance
Hospitals have to use technology to comply with the regulatory guidelines. This regulatory compliance can reduce the number of claim denials. Simultaneously, your reimbursements can also increase significantly. You can make it possible with modern technological solutions. They can keep your billing operations compliant and accurate.
Manage Orthopedic Billing Nuances
Another best practice in orthopedic billing services is to manage their various nuances. One of the major nuances is generating accurate bills. These bills are generated for different procedures, like reconstruction and arthroscopies. Your coders should carefully work to prevent errors caused while billing these procedures.
Derive Data-Driven Solutions
Healthcare organizations have to ensure that their billing experts prevent claim denials. They can only do that by conducting streamlined processes. Such processes decrease the time required to generate orthopedic bills. You should work towards a built-in approach and use such processes to derive data-driven solutions. They can significantly reduce your claim denials.
Effortless Onboarding for Orthopedic Billing
At Health Quest Billing, we specialize in orthopedic billing, ensuring a seamless revenue cycle for your practice. From surgical coding to insurance pre-authorizations, our streamlined onboarding process helps orthopedic providers maximize reimbursements and reduce administrative burdens. Here’s how we onboard orthopedic practices for maximum efficiency:
Comprehensive Practice Evaluation
- We start with a detailed analysis of your orthopedic practice, identifying billing challenges such as fracture care coding, surgical bundling, and durable medical equipment (DME) reimbursement. Our customized approach ensures compliance and revenue optimization.
Seamless EHR & Practice Management System Integration
- We integrate our billing solutions with your existing Electronic Health Records (EHR) and Practice Management (PM) systems. This enhances workflows for claims processing, prior authorizations, and orthopedic-specific documentation, reducing denials and administrative workload.
Accurate Data Collection & Orthopedic-Specific Coding
- Our billing experts meticulously document and code orthopedic procedures, including joint replacements, arthroscopic surgeries, spinal procedures, and physical therapy services. We ensure precise use of CPT, ICD-10, and HCPCS codes to prevent claim rejections and maximize reimbursements
Ongoing Provider Training & Support
- We provide specialized training for orthopedic providers and staff, covering payer guidelines, medical necessity documentation, and compliance best practices. Our team remains available for ongoing support, keeping your practice financially secure.
