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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.
Call Us

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.

Explore More

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.
Call Us

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.

Explore More

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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CLIENT'S REVIEWS

Kimberly M

5/5
The Star Pro team is great! Expedited request and the most professional staff to help a fast past growing business.

Merritt Widen, MD

5/5
We’re very happy with Stars Pro and eagerly anticipate future collaborations. Their patience and understanding have been invaluable as we grow our business together.

Catherine Antoine 

5/5
For the past three months, Stars Pro Medical Billing has been our lifesaver. They resolved every one of my pending or rejected bills. They communicate with me promptly and give thorough reports, both of which I find useful. They are excellent for your billing needs, in my opinion. Highly recommended !

Dr. Maria C Erazo

5/5
I’m very pleased with Stars Pro Medical Billing services, the transition it’s been really smooth, and Stars Pro’s team has been able to identify and solve gaps from the previous company. There is a great communication pathway and so far good results. I am very happy with my decision with my current Billing Team.

Dr. Loretta Oguonu

5/5
Stars Pro Medical Billing is a very unique company in medical billing services. Stars Pro has tremendous team players in medical billing, insurance credentialing, and clients’ insurance eligibility verification for my company Lacka Behavioral Health since we started the business with Stars Pro. Stars Pro has eased the burden of medical billing, credentialing, filling claims, and clients’ insurance eligibility for Lacka Behavioral Health from the beginning of my practice. The Stars Pro is prompt, efficient, and effective in filling medical claims and clients’ insurance eligibility. The charges for their services are reasonable and affordable. I recommend their services to healthcare providers especially providers starting a new practice.

Jessica Sullivan

5/5
Switching to Stars Pro Medical Billing was one of the best decisions I’ve made for my group mental health practice. Their team is impressively responsive! I have peace of mind knowing I can count on them to keep my billing up to date and follow up on claims, which has allowed me to focus more of my energy into my clinical work. They have kept up with my changing needs as my practice has grown and have accommodated all my requests. It’s been such a relief to know I have a reliable and knowledgeable billing team on my side!

Dr. H. Okpala

5/5
Star Pro Medical Billing Services offer excellent credentialing services, billing, and verification of eligibility. I rely on them to obtain fast legibility clearance as well as credentialing for different insurance panels. They are prompt professionals that helped build my business to what is today. I strongly recommend them to my colleagues and other start clinics knowing that you are in good hands. Keep up the good work Star Pro Medical Billing Services. 

Dr. Abordo

5/5
I am so happy and very grateful I hired Stars Pro.  I know Stars Pro team will get the account receivable lessened and will be able to collect 100% of the production per month.  Thank you very much again Peter & Stars Pro Team. Your focus and dedication is superb. I truly believe that each month will get better and better.

Greg Coya

5/5
The transparency and thoroughness of the billing process are outstanding. I love working with Stars Pro Medical Billing.

Shami Petal, MD

5/5
Stars Pro has been outstanding. I considered 2 different billing vendors prior to choosing Stars Pro, and I couldn’t be happier. Daniel sends me regular and thorough updates about every aspect of my billing. He responds to any email I send same-day with a quick answer and always follows up with a more complete analysis/answer within 24-48 hours. I am very happy with my decision with my current Billing Team.

Orthopedic Group

5/5
We are working with Stars Pro has been a big optimistic step for our practice. They quickly respond to our questions and concerns. Our billing gets processed within days and everything can be viewed online; we get daily reports from our assigned billing team. I would highly recommend Stars Pro to any practice that wants to adapt to automation, save time in the office, and improve their insurance collections!

Dr. Shedrack Raines

5/5
Stars Pro is a great billing company with great people. They handled all of my billing and follow-up for my clinic diligently. They have a very strong support staff and continuously would go above and beyond for my needs. They made my practice life easier and business less stressful.

Channel Partners

Stars Pro® Medical Billing inventive model is one of the fastest growing physician practice communities in the United States. We are dedicated to lashing change in the medical community by providing progressive, state-of-the-art solutions. Through our Channel Partnerships.

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