Medical Billing for Orthopedics involves meticulous documentation and coding before, during, and after a patient’s visit. MBC’s specialized orthopedic billing and coding team understands the unique challenges faced by orthopedic practices.
Our experts are committed to evolving alongside billing reforms and technologies to reduce claim rejections and improve efficiency.
- Accurate calculation and documentation ensure smoother billing processes.
- Our team evolves with billing reforms for improved claim acceptance.
Our medical billers in Hawaii aim to provide you to the best Medical Billing services with maximum efficiency. For almost 10 years in the industry now many of them have been involved in all aspects of medical billing, coding, collections and compliance to HIPAA guidelines. Our billers are located in all the major cities like Honolulu, Hilo, Kailua, Kaneohe and Kapolei. Their skills across the following can help your practice to thrive:
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Patient demographics Entry
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Filing of Electronic claims
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Follow up on outstanding and denied claims
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Auditing Codes with ICD-9 and CPT
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Timely Payment posting
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Providing reports on a regular basis to show claims status
Effective and streamlined coding
Special attention is given to coding so as to make billing error-free. Orthopedic practices may be required to perform numerous clinical activities: non-surgical orthopedics such as physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology; surgical orthopedics such as hand surgery, shoulder and elbow surgery, total joint reconstruction (arthroplasty), pediatric orthopedics, foot and ankle surgery, spine surgery, musculoskeletal oncology, surgical sports medicine, and orthopedic trauma.
Orthopedic practices lose significant revenue through undercoded surgical procedures, missed implant cost recovery, and incorrectly billed global period services that payers routinely underpay or deny without pushback.
MBC's Revenue Diagnostic evaluates your orthopedic billing at the procedure and payer level — identifying where surgical complexity is being downcoded, which implant claims are being denied and why, and how your AR aging compares against specialty benchmarks. The output is a clear, actionable breakdown of the revenue your orthopedic practice is currently leaving uncollected.
Given the high-cost value of these procedures, it is critical to have them accurately coded so as to avoid being denied or underpaid for coding inaccuracy. Our coders, knowledgeable of the entire coding system, can ensure highest coding accuracy.
Impeccable billing and coding credentials
Our Orthopedic Billing services are driven by specialists who have an impressive repertoire of credentials. Here is quick glance of our affiliates’ credentials:
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Certification from The American Association of Professional Coders (AAPC)
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Familiar with medical billing softwares like EHR Software: NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, Practice Fusion, TherapyNotes etc.
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Trained on coding software.
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Being able to apply standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding as per CMS guidelines
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Successful track-record of processing medical bills with leading commercial carriers such as United health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc.
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Ability to negotiate successfully with Medicare and state-specific Medicaid policies.
Orthopedic billing is among the most reimbursement-intensive specialties in healthcare — with payment tied directly to implant documentation, surgical complexity, global period management, and procedure-level specificity that must be captured with precision on every encounter.
MBC acts as your Revenue Integrity Partner by ensuring that every orthopedic procedure is coded to its highest defensible specificity, MIPS reporting requirements are met, and payer policies around high-dollar implants, workers' compensation, and post-operative care are applied correctly — so your practice retains every dollar it clinically justifies.
Improving your revenue management cycle through pertinent intervention
Traversing a sequential order patient enrollment, scheduling, insurance verification, insurance authorizations, scheduling and re-scheduling, coding, billing and reconciling of accounts our medical billing process can add value in terms of simplicity in submission and retrieval of documents, pre-audit on coding, real-time report generation, application of suitable modifiers, etc.
Thus, our Medical Billing Services complete with accurate charge-capture, intricate procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.
Orthopedic billing is a high-cost, high-complexity specialty where thin margins can erode quickly if billing doesn't keep pace with clinical documentation. MBC helps orthopedic practices Yield your EBITDA by maximizing reimbursement on high-dollar joint and spine procedures, reducing denials on implant and modifier-dependent claims, and ensuring that every billable service performed in your OR, ASC, or clinic is captured, coded, and collected in full. The result is a billing operation that turns your surgical throughput directly into sustainable financial performance.
Quite expectedly, Orthopedic Physicians who have chosen to engage our billing specialists have been able to make the crucial value-additions: appreciation in practice revenues and clinical efficiency.
