Medical Billing Services for Orthopedics

CHS provides expert medical billing services for orthopedics and Practice Management to help navigate and operate the ever-changing insurance payment rules and regulations and establish the necessary revenue cycle management protocols for maximum allowable reimbursement for your Orthopedic Practice.

Our Physician Practice solutions balance completeness, correctness and promptness of payment with a drive to deliver an exceptional patient experience.

Orthopedic Contract Negotiation

Payer contract negotiations, evaluation, and renegotiations are very critical to every Orthopedic practice. Yet, many practices only set up their managed contracts once, automatically allowing them to renew without negotiations. Most Orthopedic practitioners lose additional revenue of 10-30 percent because they do not have the time or expertise to renegotiate contracts with insurance payers

CHS can help, in fact, manage care contract agreements. Our specialists can perform evaluations of your Orthopaedics managed care consultation process, estimating each contract and devising a contract negotiation- renewal plan for your Orthopedic practice by using leverage points to maximize standard contract terms, resulting in essential revenue increases for our customers.

Orthopedic Medical Billing and Coding

Now more than ever, it has become essential to have a professional medical billing company specializing in Orthopedic medical billing and coding that can successfully operate through the complexities of the Orthopedic specialty specifications.

CHS can provide professional medical coding and billing services around Distinct Orthopedic's codes and modifiers. Working together, our certified medical coders and Orthopedic specialized billers will identify past billing problems and denied claims, evaluate underpayments, submit claims appeals with the correct documentation and bill appropriately with the accurate ICD, CPT, and Modifier codes to ensure maximum reimbursement.

Our Orthopedic Surgery Billing and Coding specialists provide the knowledge and expertise your practice needs to ensure maximum reimbursement.

Our Orthopedic Billing Specialists will

Keep current with insurance specifications and regulations and ensure the fees are kept at the maximum allowable reimbursement

Analyze, recognize, and advise you regarding the advantages of reimbursement fee trending

Carefully analyze insurance payments and Explanation of Benefits to ensure accurate price and take appropriate action for commercial, personal injury and worker compensation claims

Process Secondary Insurance claims upon receipt of the primary carrier Explanation of Benefits

Focus on the accurate procedure and diagnosis codes so claims are not suspended or rejected

Our team of Orthopedic revenue cycle billing professionals can work closely with your practice to provide the necessary and lasting education on the best documentation and billing practices for procedures conducted, including keeping your Orthopedics practice up to date with the modern coding and CMS Medicare, Medicaid billing and documentation demands, certifications and regulations.

CHS understands the challenges faced by modern Orthopedic practitioners. Our dedicated staff can coders remotely and seamlessly blend with your staff, quickly familiarizing themselves with your practice. Recognizing trends, past billing predicaments and denied claims, we custom design a menu of operations for your business that will result in quickened revenue cycles and enhanced compliance. Our accredited orthopedic medical billing experts can:

  • Capture and Improve Orthopedic Revenue
  • Evaluate and Manage Orthopedic Billing and Coding Functionalities
  • Provide and Establish an Increased Efficiency
  • Reduce Compliance Risk
  • Provide Professional Coding Services for Orthopedic practices

At CHS, we ensure that you receive the maximum amount covered by the insurance companies while minimizing out of pocket costs for your patients.