Orthopaedic Billing Services
Get Your Free Revenue Analysis
Orthopaedic Billing Built for Precision, Compliance, and Faster Payments
Orthopedics involves complex procedures, high patient volume, and ever-evolving coding rules. At Rapid RCM Solutions, we specialize in orthopaedic billing services designed to reduce denials, accelerate reimbursements, and ensure every claim is accurate and fully compliant. From solo orthopedic surgeons to large practices, we handle the billing so you can focus on patient recovery, not paperwork.
- Surgical and non-surgical coding expertise
- Real-time claims tracking and payment follow-up
- Personalized support from ortho billing pros
Our Unique Strengths in Orthopaedic Billing
- Extensive experience with orthopedic surgery, injections, DME, and imaging
- Over 98% clean claim rate
- HIPAA-compliant cloud-based billing systems
- One-on-one account management
- Proactive insurance verification & pre-authorization
What We Handle for You at Rapid RCM Solutions
Our full-service orthopedic billing process ensures accuracy at every stage, helping you collect more with fewer delays.
Accurate Orthopaedic Coding: We specialize in CPT, ICD-10, and modifier coding for joint replacements, fracture care, sports medicine, injections, and physical therapy services.
Claims Submission & Tracking: We submit clean claims daily, track progress closely, and follow up with payers to prevent delays and write-offs.
Denial Management: From bundling errors to missing documentation, we address denial causes and resubmit promptly to recover every possible dollar.
Eligibility & Pre-Auth Support: We confirm patient benefits and obtain all necessary pre-authorizations for surgical and in-office procedures before the visit.
Detailed Monthly Reporting: Transparent, actionable reports show how your billing is performing, so you can make informed financial decisions.
Stay Compliant with Changing Ortho Billing Rules
Orthopedic billing often faces audits due to improper modifier use or documentation. We keep your billing clean and compliant:
- Proper use of global surgical periods and post-op care billing
- Modifiers 25, 57, 59, and 78 applied correctly
- NCCI and LCD guidelines followed for injections, imaging, and therapy
- CMS and private payer compliance standards fully met
Technology That Supports Your Workflow
We work with all major orthopedic EHR and PM systems, integrating seamlessly to keep your documentation and billing in sync.
- Compatibility with Athenahealth, Modernizing Medicine, Kareo, and more
- Automated eligibility checks and charge entry
- Real-time claim dashboards and reporting
- Secure cloud-based access to all billing data
Common Orthopaedic Billing Issues We Solve
Orthopaedic practices often lose revenue to coding errors, poor documentation, or slow follow-ups. Here’s how we help:
- Fixing claims denied for incorrect fracture care coding
- Preventing lost revenue from improper use of modifier 59
- Ensuring all components of joint procedures are billed correctly
- Tracking global periods and billing post-op visits properly
- Avoiding underpayments due to incorrect time-based therapy coding
Your Revenue Partner in Orthopaedic Billing
We’ve helped orthopedic groups and surgeons across the country:
- Increase collections by reducing claim errors and delays
- Recover thousands in underpaid or denied claims
- Improve billing turnaround time and revenue visibility
We understand your specialty and treat your revenue like it’s our own.
Why Orthopaedic Practices Choose Rapid RCM
Orthopedic billing is complex, but we make it manageable. Our skilled team works with care and foresight to get every claim paid correctly. Think of us as part of your own team, focused on improving your practice’s income.
All Set to Optimize Your Orthopaedic Billing Process?
- Improve coding and modifier accuracy
- Eliminate preventable claim denials
- Speed up payment cycles
- Keep billing compliant and stress-free
- Gain better insight with custom reports and analytics
Let’s Talk. Book your free revenue analysis today and discover how Rapid RCM Solutions can simplify your orthopaedic billing and improve your bottom line.