Orthopedic Billing Services

We provide specialized orthopedic billing services with accurate CPT coding, modifier and laterality compliance, and expert global period management. Our AI-driven approach reduces denials and improves reimbursement for complex orthopedic procedures.

AI-Powered Correct Coding, Fewer Errors

Many orthopedic practices lose money due to incorrect CPT codes, missed modifiers, or laterality mistakes. Our orthopedic billing services solve this by applying precise coding for visits, procedures, and surgeries. As experienced orthopedic billing consultants, we ensure every claim follows payer rules, reducing rejections and improving clean claim rates from day one.

Global Period and Post-Op Orthopedic Billing

Global periods are complex, and billing errors often lead to denied or delayed payments. Our orthopedics billing services track surgery dates, post-op visits, and billable services accurately. Unlike traditional orthopedic billing companies, we proactively manage global rules so providers stay compliant and collect the revenue they deserve.

Denial Prevention and Faster Appeals

Denials slow cash flow and create extra work for staff. Our orthopedic medical billing services focus on denial prevention before claims go out. When denials occur, we identify the root cause with AI-powered agents and file strong appeals. Many orthopedic medical billing companies chase denials late; we stop them early.

Medical Necessity and Documentation Validation

Orthopedic claims are often denied due to weak documentation or diagnosis mismatch. Our orthopedic medical billing experts reviews notes and validates medical necessity using current orthopedic billing guidelines. This reduces audit risk, cuts down record requests, and helps claims pass payer review with confidence.

Complete Charge Capture for Implants, DME, & Supplies

Missed implant and DME charges lead to major revenue loss. Our orthopedic billing company ensures all supplies and implants are billed correctly and supported by operative notes. We work seamlessly with EHRs and the best orthopedic billing software, making us a trusted choice among orthopedic surgeon medical billing companies focused on accuracy and growth.

Why Choose MedCare MSO Orthopedic Billing Company?

  • Trusted orthopedic RCM partner for hospitals, ASCs, and surgical practices.
  • 13+ years of orthopedic billing expertise across CPT, ICD-10, & modifier rules.
  • 98.5% High clean-claim performance with faster orthopedic reimbursements.
  • Revenue optimization through underpayment detection and collection control.
  • 120-day A/R maintained below 10% through proactive follow-up.
  • AAPC-certified coders specialized in orthopedic and musculoskeletal billing.
  • HIPAA-compliant, secure, and audit-ready billing operations.
  • Integrated with leading orthopedic EHR, EMR, and PM platforms.
  • Real-time reporting for charges, payments, denials, and A/R.
  • Provider credentialing and payer enrollment management.
  • AI-driven pre-bill validation to prevent modifier, bundling, & compliance errors.

Who We Serve

Hospital Orthopedic Departments

Ambulatory Surgery Centers (ASCs)

Orthopedic Surgeons (MD/DO)

Sports Medicine & Musculoskeletal Practices

Spine, Joint Replacement & Orthopedic Clinics

What Our Clients Say About Working With Us

Frequently Asked Questions

Yes, our orthopedic medical billing software is built to integrate seamlessly with orthopedic workflows, supporting orthopedic medical billing services to ensure accurate documentation and faster claim processing.

Common orthopedic billing and coding includes E/M visits, injections, imaging, fracture care, and surgical CPTs. Accurate coding follows orthopedic billing guidelines to avoid denials and underpayments.

Our software streamlines orthopedic medical billing through automation, real-time claim checks, and payer rules enforcement. This helps practices reduce manual work, improve accuracy, and simplify outsourcing orthopedic billing services.

Choose providers with proven orthopedic billing services experience, strong CPT and modifier accuracy, and clear knowledge of payer rules. Reputable orthopedic medical billing companies also offer transparent reporting and denial management.

Yes, our orthopedics billing services follow Medicare rules, including NCCI edits, global period guidelines, and modifier compliance.

Yes, our orthopedic billing and coding services focus on pre-bill checks, denial trend analysis, and underpayment identification to protect revenue.

Yes, we provide detailed orthopedic billing audits to identify coding gaps, compliance risks, and missed reimbursement opportunities.

Yes, we support small and mid-sized practices that want to outsource orthopedic billing without disrupting existing workflows.

Yes, our orthopedic billing company provides real-time reports on A/R aging, collections, denials, and payer performance.

Yes, our orthopedic billing consultants are experienced with local payer policies and olympia orthopedic billing requirements.

Increase your Practice Revenue by up to 30% With Medcare MSO

Lets get connected

Please provide the following information, so our team can connect with you within 12 hours.
Or call us as 800-640-6409

Max Owens

SC & SF

Hi Ali, I hope this message finds you well. I wanted to give you some feedback on the team.

We are definitely impressed by the Team’s performance. Definitely what we were looking for from switching partners.

In particular Mark Zaiden has been very helpful. In my 5+ years of experience as a M&A Professional, I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!

Austin has done a great job of leading the communications process and keeping the train going in the right direction. Tammy and some other folks have been key players as well. We really are happy with everyone on the team.

I wanted to pass this feedback along to you as we are really pleased with working with MedCare MSO so far.

Have a great weekend!

Max Owens

Director of Corporate Development

SC & SF

Kelly Ballou

R.D.

MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!

Most helpful is the open/responsive communication of their team with my office and each other, along with the specialty levels of expertise amongst my team for each aspect of RCM.

Kelly Ballou

Owner

R.D.

Bret

PCP

MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated. It was nice to not have to worry about billing and to focus on patient care. Thanks!

Bret

Co-Owner

PCP

Dr. Chess

F&A Clinic

Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.

 

I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.

 

I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.

Daniel

RLT

Hello,

I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.

 

We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.

 

Please note special appreciation for the following:

David Lucas

Mario Ortega

Ambrose William

Dr. Neufeld

FBH

I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.

Dr. Neufeld

Practice Owner

FBH

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