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Orthopedic Billing Service2024-12-11T18:05:35+00:00

Orthopedic Billing Service

Streamline your revenue cycle and maximize profitability with our specialized orthopedic medical billing services, designed to enhance efficiency and ensure compliance.

Streamlined RCM Tailored for
Orthopedic Clinics

Coding Expertise

Certified coders ensure accurate coding for orthopedic procedures, maximizing reimbursement.

Personal Injury Focused

We specialize in billing services for personal injury doctors, ensuring accurate claims and timely reimbursements.

Denial Management

Identify, analyze, and resolve denied claims to improve reimbursement rates and reduce revenue loss.

Detailed Reporting

Customizable dashboards and reports provide insights for informed decision-making and revenue optimization.

Orthopedic subspecialties billing services

Our orthopedic billing services extend to various subspecialties, ensuring precise and efficient billing for all orthopedic practices. Whether it’s sports medicine, joint replacement, spine surgery, or pediatric orthopedics, our specialized team is equipped to handle the unique billing requirements of each subspecialty, maximizing revenue and minimizing errors.

  • General Orthopaedics

  • Sports Medicine

  • Back & Spine Surgery
  • Plastic Surgery

*Results may vary

95%

Acceptance Rate*

30%

Additional Collection*

85%

Product Quality Index

92%

Energy Generation

Patient Registration
Collect and verify patient information for accurate billing and records
Insurance Verification
Confirm patient insurance coverage and benefits before service delivery.
Medical Coding
Assign appropriate codes to medical services for accurate billing.
Claims Submission
Submit claims to insurance companies for reimbursement of services rendered.
Payment Posting
Record payments received from insurers and patients into the system.
Denial Management
Identify, analyze, and resolve denied claims to ensure reimbursement.

  • Specialized in CPT, ICD-10-CM, and HCPCS coding to minimize claim denials and delays, with proactive eligibility verification to prevent revenue loss

  • Compatible with all systems to streamline data management, reduce administrative burdens, and enable staff to focus on patient care.

  • Rework rejected claims, provide detailed financial reporting, and improve cash flow while ensuring compliance and reducing overhead costs.

  • Gain a better understanding of your financial performance.

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Everything you need in one place

Accurate Coding

Our service ensures precise coding using CPT, ICD-10, and HCPCS codes, minimizing claim denials and ensuring compliance with industry standards. Accurate coding is critical for proper reimbursement and avoiding audits.

We handle timely and efficient claim submissions to various payers, reducing delays and improving cash flow for your practice. Our team ensures all claims are clean and complete before submission.

Our team proactively manages denials, reworking rejected claims to maximize reimbursements and minimize revenue loss. We analyze denial trends to implement preventive measures and improve claim acceptance rates.

Access a simple and user-friendly interface for scheduling appointments. This includes viewing available slots, booking appointments, and managing dermatology physicians’ schedules.

Our accounts receivable follow-up services ensure timely collection of outstanding payments, reducing the days in AR and improving cash flow. We follow up on unpaid claims and patient balances persistently.

We manage the prior authorization process, obtaining necessary approvals from payers before services are provided. This reduces the risk of claim denials and ensures that services are covered by the patient’s insurance.

doctor using emr system with ambula health rep

Why to Choose Ambula Billing Service?

Picking Ambula Ortho Billing Service means you get work done fast, trust, and less stress. We handle bills for hundreds of bone doctor procedures every day, and 98% of our claims go through the first time. Our coders have COSC certificates and stick to CPC/HCPCS and ICD-10 CM rules. Our ortho EHR help desk offers to customize templates at no cost. We follow AAOS rules, take care of EHRs, and fix EDI mistakes. We know collection rules inside out, so we can bill open and closed procedures right. When you team up with Ambula, you can focus on taking care of patients. You’ll know your billing is in good hands bringing in more money and making sure you get paid on time.

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Ambula RCM

Simplify Orthopedic Revenue Cycle Management (RCM)

End-to-end solutions to maximize collections and streamline your orthopedic practice.

Optimize Billing Processes

Ensure accurate and timely billing for personal injury cases, reducing delays and increasing revenue.

Seamless Attorney Collaboration

Leverage our integrated network of attorneys and case managers for efficient case management and faster payments.

Claim and Lien Tracking

Stay updated on claim statuses with intuitive tracking tools that eliminate manual work.

Customized Reporting

Gain insights into your clinic’s financial performance with detailed, customizable reports.

Frequently asked questions

Everything you need to know about the Billing service

Orthopedic medical billing services are special billing services that cater to what orthopedic practices need. These services handle the billing and coding for different orthopedic procedures, like joint replacements arthroscopic surgeries fixing fractures spine operations, and osteotomies. They aim to submit claims to insurance companies and on time, to get the most money back and avoid delays in payment.

In orthopedic billing, CPT (Current Procedural Terminology) codes are used to describe medical, surgical, and diagnostic services. Some common CPT codes in orthopedic billing include:

20610: Arthrocentesis, aspiration, and/or injection; major joint or bursa (e.g., shoulder, hip, knee, subacromial bursa)

23410: Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute

27130: Total hip arthroplasty (THA)

27447: Total knee arthroplasty (TKA)

29881: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving)

29888: Arthroscopically aided anterior cruciate ligament (ACL) repair/augmentation or reconstruction

63047: Laminectomy, facetectomy, and foraminotomy (unilateral or bilateral) with decompression of spinal cord, cauda equina, and/or nerve root(s), single vertebral segment; lumbar

64721: Neuroplasty and/or transposition; median nerve at carpal tunnel

These codes are used to ensure accurate billing and reimbursement for orthopedic procedures.

Yes, Ambula billing service complies with all orthopedic billing service regulations. This includes adherence to HIPAA guidelines, AMA/AAPC coding mandates, and other relevant regulatory requirements. Our services ensure that your orthopedic billing processes are secure, accurate, and compliant with industry standards.

We manage various billing models for orthopedic practices, including value-based payment, fee-for-service, capitation, episode of care, and telehealth, adhering to regulatory guidelines.

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