Key Attributes of Our Medical Billing Services:
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Charge Entry
Your claims come to us and go into our billing software. We hold accuracy above 98% within 24 hours. We get there by automating the routine steps, handling patient data carefully, checking eligibility and chasing insurers quickly.
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Claim Scrubbing
Every post-operative claim is checked against the global period before it goes out. The return-to-theatre modifier, 58, 78 or 79, is chosen from the operative note, not from the schedule.
Insurance and Rejection
Orthopedic rejections split between global period disputes and DME. Braces and supports dispensed in the office need a supplier enrollment of their own. File without one and the claim is denied as a matter of policy.
Payment Posting
Surgical payments are checked against the contracted allowable for each code, including the multiple-procedure reduction. That is where orthopedic underpayments hide.
Patient Statements
Statements are held during the global period, so patients are not billed for follow-up visits the surgical payment already covered.
Optimize Efficiency
We review workers compensation separately every week. It pays from a state fee schedule on its own timetable. Mixed into commercial AR, it just looks like slow payment.
Timely Claim Submission
Surgical claims go out within 48 hours of the operative report being finalised. The note is what supports the modifier and the units, so we wait for it.
Reporting
Reporting separates surgery, clinic, DME and workers compensation. That shows you which line is growing, and which one is quietly eating staff time.
