Orthopedics medical billing

Orthopedic medical billing Medical Billing

Managing the complexities of orthopedic billing can be a burden. Stars Pro orthopedic medical billing services take this weight off your shoulders. Our certified coders understand the specific coding requirements for procedures like joint replacements and fracture repairs. This ensures accurate claims are submitted the first time, minimizing denials and delays in reimbursements.

Professional Orthopedic Medical Billing

Don’t settle for generic medical billing for your orthopedic practice. Stars Pro offers specialized orthopedic medical billing with a deep understanding of the musculoskeletal CPT coding system. Our AAPC-certified coders ensure accurate representation of complex procedures like ACL reconstructions and meniscus repairs.

This minimizes claim denials and ensures you receive maximum reimbursement for the exceptional care you provide to your patients. Stars Pro’s dedicated team becomes an extension of your practice, allowing you to focus on what matters most –  delivering high-quality orthopedic treatment.

Our Orthopedic Medical Billing Process

At Stars we have an expert orthopedic medical billing and coding team, our orthopedic medical billing process consist of these steps.

Patient Registration and Insurance Verification

The process starts with collecting accurate patient demographics and verifying their insurance coverage. This includes confirming benefits and obtaining prior authorization for specific procedures if required.

Charge Capture and Coding

After the patient visit, the specific services provided by the orthopedic surgeon are documented with corresponding medical codes. Our certified coders use Current Procedural Terminology (CPT®) codes to represent procedures like joint replacements or fracture repairs. Additionally, International Classification of Diseases (ICD-10-CM) codes are assigned to accurately capture the patient's diagnosis.

Claim Submission

Once coded, the claim is created electronically with all necessary patient information, diagnosis and procedure codes, and supporting documentation attached. This claim is then submitted by our billing expert to the patient's insurance provider for processing.

Payment Posting and Denial Management

Upon receiving the Explanation of Benefits (EOB) from the insurance company, the payment is posted to the patient's account. However, claims can be denied due to errors or missing information. In this case, our medical billing expert will identifies the reason for denial and works to rectify the issue by appealing the claim with proper documentation.

Patient Billing and Collections

The patient may be responsible for co-pays, deductibles, or any uncovered charges by their insurance. The billing team sends patient statements and handles collections for these outstanding balances.

Reporting and Analysis

Regularly analyzing billing data helps identify trends and areas for improvement within the orthopedic practice. This can involve tracking claim denials, coding accuracy, and revenue collection rates. Analyzing this data helps optimize the billing process and ensure the practice receives maximum reimbursement for their services.

What are Benefits of Outsourcing Orthopedic Medical Billing?

Expertise in Musculoskeletal Coding:  Orthopedic procedures require specific CPT coding knowledge.  Stars Pro’s AAPC-certified coders are experts in the musculoskeletal coding system. Our medical billing and coding experts ensures accurate representation of complex surgeries like ACL reconstructions and minimizes claim denials, maximizing reimbursements for your practice.

Increased Efficiency and Revenue: Free up your in-house staff from the burden of medical billing. Stars Pro handles everything from prior authorization to claim submission and denial management. This allows your team to focus on patient care and administrative tasks, ultimately leading to increased revenue collection for your practice.

Reduced Costs:  Building an in-house billing team requires investment in salaries, training, and billing software.  Outsourcing to Stars Pro eliminates these overhead costs, allowing you to keep more of your hard-earned revenue.

Peace of Mind and Focus on Patients:  Stars Pro manages your entire orthopedic billing cycle, ensuring claims are submitted accurately and promptly.  Our medical billing team handle denials and appeals on your behalf, freeing you from administrative headaches and allowing you to focus on providing the best possible care to your patients.

Streamlined Workflows and Transparency: Stars Pro works collaboratively with your practice. Our experts take the time to understand your unique workflows and ensure seamless integration with your existing systems. Additionally, we provide regular reporting and keep you informed about billing performance, fostering a transparent partnership.

What CPT Codes are Used by Orthopedician in Medical Billing?

Orthopedic surgeons utilize a wide range of Current Procedural Terminology (CPT®) codes depending on the specific procedure performed. Here’s a breakdown of some common categories and examples:
    • Joint Procedures:

      27407: Total Knee Replacement (arthroplasty)

      29850: Shoulder Arthroscopy with rotator cuff repair

      Fracture Repair:

      25600: Open reduction and internal fixation of a displaced midshaft clavicle fracture.

      Spinal Procedures:

      63047: Lumbar spine decompression (laminectomy or laminotomy)

       

Hand Procedures:

26060: Carpal tunnel release.

 

Soft Tissue Procedures:

29888: Anterior cruciate ligament (ACL) reconstruction.

Other Procedures:

20610: Injection of cortisone into a joint or bursa.

Why Orthopedician Choose Stars Pro Medical Billing Services?

Orthopedists might choose Stars Pro Medical Billing Services because we understand complexities orthopedic practices, with alongside other surgical specialties. This suggests Stars Pro has experience with the specific coding and billing requirements for orthopedic procedures, which can be complex and ever-changing. Some other reasons why orthopedists choose us are:

Expertise in Orthopedic Billing: Stars Pro Medical Billing highlights their experience with various specialties, including Orthopedic surgeons. This indicates our familiarity with the complexities of orthopedic coding and billing. Orthopedic procedures can be complex and require specific coding knowledge to ensure accurate claim submissions. Stars Pro’s expertise can save orthopedists time and frustration by ensuring their claims are coded correctly from the start.

Focus on Revenue Cycle Management: Stars Pro positions itself as a complete healthcare solution, potentially offering services beyond just billing. This might include managing the entire revenue cycle, encompassing tasks like appointment scheduling, insurance verification, and claim follow-up. By outsourcing these tasks, orthopedists can free up their staff to focus on patient care.

Improved Efficiency and Reduced Costs: Efficient medical billing can significantly impact an orthopedic practice’s financial health. Stars Pro’s expertise can potentially lead to faster claim turnaround times, fewer denials, and ultimately, increased revenue collection. Additionally, outsourcing billing can be more cost-effective than hiring and managing in-house billing staff.

Access to a Team of Professionals: Partnering with Stars Pro provides orthopedists with access to a team of medical billing and coding professionals. This team can stay up-to-date on the latest coding regulations and ensure compliance, which can be a significant burden for busy practices.

FAQ! NEED HELP?

Out quality orthopedic medical billing services manage the revenue cycle for orthopedic practices. This includes tasks like accurate coding of procedures and diagnoses, claim submission to insurance companies, following up on denied claims, and managing patient accounts receivable.
Stars Pro specializes in orthopedic billing, with a deep understanding of the complex coding specific to bones, muscles, and joints. Outsourcing allows your doctors and staff to focus on patient care, while Stars Pro ensures accurate claims and maximizes reimbursements.
Some orthopedic procedures require prior authorization from insurance companies. At Stars Pro, our prior authorization experts can efficiently secure these approvals, minimizing claim denials and delays in getting patients the treatment they need.
Stars Pro’s AR team manages outstanding patient balances. This includes sending patient statements, following up on A/R, and working with patients to establish payment plans. Efficient AR management reduces uncollected claims and improves your practice’s cash flow.
Outsourcing practice management allows your staff to focus on patient care. Stars Pro can handle scheduling appointments, managing referrals, and ensuring accurate patient information, freeing up your in-house resources.
The rules and regulations surrounding orthopedic billing are complex and frequently updated. Stars Pro stays current on these changes and ensures your practice remains compliant, protecting you from potential penalties.
Stars Pro should prioritize patient data security. We are HIPAA compliant, ensuring all patient information remains confidential.
Stars Pro should provide regular reports on key metrics like claim submission and denial rates, revenue collection, and coding accuracy. This transparency allows you to track progress and measure the impact of their services on your practice’s financial health.
Beyond core billing services, Stars Pro may offer additional benefits like coding audits, denial management strategies, and performance improvement recommendations. These services can further optimize your practice’s revenue cycle management and profitability.

Orthopedic medical billing Medical Billing

Managing the complexities of orthopedic billing can be a burden. Stars Pro orthopedic medical billing services take this weight off your shoulders. Our certified coders understand the specific coding requirements for procedures like joint replacements and fracture repairs. This ensures accurate claims are submitted the first time, minimizing denials and delays in reimbursements.

Professional Orthopedic Medical Billing

Don’t settle for generic medical billing for your orthopedic practice. Stars Pro offers specialized orthopedic medical billing with a deep understanding of the musculoskeletal CPT coding system. Our AAPC-certified coders ensure accurate representation of complex procedures like ACL reconstructions and meniscus repairs.

This minimizes claim denials and ensures you receive maximum reimbursement for the exceptional care you provide to your patients. Stars Pro’s dedicated team becomes an extension of your practice, allowing you to focus on what matters most –  delivering high-quality orthopedic treatment.

Our Orthopedic Medical Billing Process

At Stars we have an expert orthopedic medical billing and coding team, our orthopedic medical billing process consist of these steps.

Patient Registration and Insurance Verification

The process starts with collecting accurate patient demographics and verifying their insurance coverage. This includes confirming benefits and obtaining prior authorization for specific procedures if required.

Charge Capture and Coding

After the patient visit, the specific services provided by the orthopedic surgeon are documented with corresponding medical codes. Our certified coders use Current Procedural Terminology (CPT®) codes to represent procedures like joint replacements or fracture repairs. Additionally, International Classification of Diseases (ICD-10-CM) codes are assigned to accurately capture the patient's diagnosis.

Claim Submission

Once coded, the claim is created electronically with all necessary patient information, diagnosis and procedure codes, and supporting documentation attached. This claim is then submitted by our billing expert to the patient's insurance provider for processing.

Payment Posting and Denial Management

Upon receiving the Explanation of Benefits (EOB) from the insurance company, the payment is posted to the patient's account. However, claims can be denied due to errors or missing information. In this case, our medical billing expert will identifies the reason for denial and works to rectify the issue by appealing the claim with proper documentation.

Patient Billing and Collections

The patient may be responsible for co-pays, deductibles, or any uncovered charges by their insurance. The billing team sends patient statements and handles collections for these outstanding balances.

Reporting and Analysis

Regularly analyzing billing data helps identify trends and areas for improvement within the orthopedic practice. This can involve tracking claim denials, coding accuracy, and revenue collection rates. Analyzing this data helps optimize the billing process and ensure the practice receives maximum reimbursement for their services.

What are Benefits of Outsourcing Orthopedic Medical Billing?

Expertise in Musculoskeletal Coding:  Orthopedic procedures require specific CPT coding knowledge.  Stars Pro’s AAPC-certified coders are experts in the musculoskeletal coding system. Our medical billing and coding experts ensures accurate representation of complex surgeries like ACL reconstructions and minimizes claim denials, maximizing reimbursements for your practice.

Increased Efficiency and Revenue: Free up your in-house staff from the burden of medical billing. Stars Pro handles everything from prior authorization to claim submission and denial management. This allows your team to focus on patient care and administrative tasks, ultimately leading to increased revenue collection for your practice.

Reduced Costs:  Building an in-house billing team requires investment in salaries, training, and billing software.  Outsourcing to Stars Pro eliminates these overhead costs, allowing you to keep more of your hard-earned revenue.

Peace of Mind and Focus on Patients:  Stars Pro manages your entire orthopedic billing cycle, ensuring claims are submitted accurately and promptly.  Our medical billing team handle denials and appeals on your behalf, freeing you from administrative headaches and allowing you to focus on providing the best possible care to your patients.

Streamlined Workflows and Transparency: Stars Pro works collaboratively with your practice. Our experts take the time to understand your unique workflows and ensure seamless integration with your existing systems. Additionally, we provide regular reporting and keep you informed about billing performance, fostering a transparent partnership.

What CPT Codes are Used by Orthopedician in Medical Billing?

Orthopedic surgeons utilize a wide range of Current Procedural Terminology (CPT®) codes depending on the specific procedure performed. Here’s a breakdown of some common categories and examples:
    • Joint Procedures:

      27407: Total Knee Replacement (arthroplasty)

      29850: Shoulder Arthroscopy with rotator cuff repair

      Fracture Repair:

      25600: Open reduction and internal fixation of a displaced midshaft clavicle fracture.

      Spinal Procedures:

      63047: Lumbar spine decompression (laminectomy or laminotomy)

       

Hand Procedures:

26060: Carpal tunnel release.

 

Soft Tissue Procedures:

29888: Anterior cruciate ligament (ACL) reconstruction.

Other Procedures:

20610: Injection of cortisone into a joint or bursa.

Why Orthopedician Choose Stars Pro Medical Billing Services?

Orthopedists might choose Stars Pro Medical Billing Services because we understand complexities orthopedic practices, with alongside other surgical specialties. This suggests Stars Pro has experience with the specific coding and billing requirements for orthopedic procedures, which can be complex and ever-changing. Some other reasons why orthopedists choose us are:

Expertise in Orthopedic Billing: Stars Pro Medical Billing highlights their experience with various specialties, including Orthopedic surgeons. This indicates our familiarity with the complexities of orthopedic coding and billing. Orthopedic procedures can be complex and require specific coding knowledge to ensure accurate claim submissions. Stars Pro’s expertise can save orthopedists time and frustration by ensuring their claims are coded correctly from the start.

Focus on Revenue Cycle Management: Stars Pro positions itself as a complete healthcare solution, potentially offering services beyond just billing. This might include managing the entire revenue cycle, encompassing tasks like appointment scheduling, insurance verification, and claim follow-up. By outsourcing these tasks, orthopedists can free up their staff to focus on patient care.

Improved Efficiency and Reduced Costs: Efficient medical billing can significantly impact an orthopedic practice’s financial health. Stars Pro’s expertise can potentially lead to faster claim turnaround times, fewer denials, and ultimately, increased revenue collection. Additionally, outsourcing billing can be more cost-effective than hiring and managing in-house billing staff.

Access to a Team of Professionals: Partnering with Stars Pro provides orthopedists with access to a team of medical billing and coding professionals. This team can stay up-to-date on the latest coding regulations and ensure compliance, which can be a significant burden for busy practices.

FAQ! NEED HELP?

Out quality orthopedic medical billing services manage the revenue cycle for orthopedic practices. This includes tasks like accurate coding of procedures and diagnoses, claim submission to insurance companies, following up on denied claims, and managing patient accounts receivable.
Stars Pro specializes in orthopedic billing, with a deep understanding of the complex coding specific to bones, muscles, and joints. Outsourcing allows your doctors and staff to focus on patient care, while Stars Pro ensures accurate claims and maximizes reimbursements.
Some orthopedic procedures require prior authorization from insurance companies. At Stars Pro, our prior authorization experts can efficiently secure these approvals, minimizing claim denials and delays in getting patients the treatment they need.
Stars Pro’s AR team manages outstanding patient balances. This includes sending patient statements, following up on A/R, and working with patients to establish payment plans. Efficient AR management reduces uncollected claims and improves your practice’s cash flow.
Outsourcing practice management allows your staff to focus on patient care. Stars Pro can handle scheduling appointments, managing referrals, and ensuring accurate patient information, freeing up your in-house resources.
The rules and regulations surrounding orthopedic billing are complex and frequently updated. Stars Pro stays current on these changes and ensures your practice remains compliant, protecting you from potential penalties.
Stars Pro should prioritize patient data security. We are HIPAA compliant, ensuring all patient information remains confidential.
Stars Pro should provide regular reports on key metrics like claim submission and denial rates, revenue collection, and coding accuracy. This transparency allows you to track progress and measure the impact of their services on your practice’s financial health.
Beyond core billing services, Stars Pro may offer additional benefits like coding audits, denial management strategies, and performance improvement recommendations. These services can further optimize your practice’s revenue cycle management and profitability.
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