Orthopaedic billing is a crucial step in ensuring a smooth claim procedure, lowering claim rejection rates, and preventing cash flow problems. It is essentially the process’s financial cornerstone, and without it, everything will fall apart. What are the most crucial points to keep in mind when billing? You must thoroughly analyse the patient’s data, check for coverage, code, and submit claims right away. How skillfully can you accomplish these feats with perfection?

It need skill to maintain accuracy in billing, patient information, coverage information, and comprehension of unusual billing codes. In terms of offering orthopaedic medical billing services, Irevenuebilling is a pioneer. We have worked with hundreds of clients, many of whom are headquartered in the USA and the UK, to fulfil their needs and provide them with support.

Orthopedic Medical Billing Services We offer

Demographic Entry & Patient Registration

Insurance payers may outright reject data with even the smallest inaccuracy. We will communicate with patients as part of your decision to outsource your duty to us, meticulously documenting all the needs and demographics. To ensure the greatest number of reimbursements, the same will be cross-checked by our QA staff.

Pre-Authorizations and Network Verification Services

In order to eliminate financial risks and additional administrative burdens, we collaborate with orthopaedic surgeons and insurers to obtain the appropriate authorisation in advance. We reduce the patient's workload by routinely monitoring all authorised labels. Faster claim processing and more reimbursements result from this.

Orthopedic Billing and Coding

Our team of AAPC-certified specialists will use the most recent tools and software to make sure that our practise complies with customer expectations and industry standards. They are knowledgeable with the most recent ICD coding system, insurance claim requirements, and terminologies.

Account reconciliation and billing

To secure the highest possible collections, we oversee and regulate the whole revenue cycle, from payment posting to account reconciliation. Every billing process we use complies with HIPAA regulations. While entering the charges that will be audited before being transmitted for claims, we bear in mind those account-specific requirements.

Cardiology Medical Billing Process We Follow

  • 1. Patient Registration and Requirement Gathering

    After assigning projects, we assemble a group of coding experts that collect clinical information from your end. For convenient access both during and after the project, we collect and organise the data in EHR.

  • 2. Pre-authorization and Finding Eligibility

    In order to confirm patient preauthorization, we check with insurance. We also perform a patient eligibility check to make sure that all insurance requirements are met.

  • 3. Medical Coding

    Our medical coders will convert your clinical data into ICD, CPT, and HCPCS medical codes using HIPAA-compliant techniques; these codes will be audited before reimbursement to guarantee compliance.

  • 4. Medical Billing

    We compile the result into the suggested format acceptable by insurers after coding clinical data.

  • 5. Quality Assurance

    We confirm that the billed data is accurate and follow regulatory compliance before sending data to insurers over a secure connection.

  • 6. AR Follow and Analyzing Denials

    When claims are rejected or denied, our team takes the required action to fix the problem and guarantee prompt payment. In order to pinpoint areas where the billing procedure needs to be improved, we also examine the causes of the denials.

  • 7. Reporting

    To properly assess incoming cash flow, we analyse your electronic health records (EHR) and deliver important reports and insights. A thorough Explanation of Benefits (EOB) statement is included.

Why Choose us ?

  • Skilled Professionals

    We are never short of the greatest minds in the business who are familiar with the ICD, HCPCS, and CPT coding systems thanks to our AAPC-certified billing specialists. We meticulously handle billing to ensure bigger payouts.

  • Affordable Prices

    By using our medical billing service, you can save over 50% on costs since we adhere to an easy-to-understand price system that guarantees you obtain a suitable solution that fits your budget.

  • 24/7 Availability

    Receive 24/7 support through phone call, email, or chat at no additional cost. At the time that is most convenient for you, one of our agents will help you.

  • Advance Infrastructure

    The most cutting-edge billing technologies available are all stored in our state-of-the-art infrastructure and support our expertise. Our knowledge centres are made with security and quick service as their top priorities.

  • Quick Turnaround

    We systematically arrange every claim submission so that insurance can handle it right away. By outsourcing your cardiology medical bills to us, you can experience a turnaround time that is up to 35% faster.

  • 100% Accuracy

    If you submit your claim initially, it will be 98% clean. We guarantee that you won’t have to deal with the headache of a claim being denied because of our error-free and accurate invoicing processes.