Orthopedic medical billing services involve accurate coding, claims management, and payment posting specifically for orthopedic procedures. These services help practices handle complex billing requirements, reduce denials, and secure timely reimbursements.
Orthopedic billing requires detailed attention to procedural coding, modifiers, and insurance guidelines. These services include claims submission, denial management, AR recovery, credentialing, and audits to maintain compliance and improve cash flow.
We support orthopedic physicians with precise coding for joint injections, fracture care, and surgical follow-ups – ensuring faster payments and accurate reimbursements.
Denials management identifies the reasons claims are rejected or underpaid. The process includes reviewing explanations of benefits (EOBs), correcting coding or authorization issues, and resubmitting claims to recover revenue.
Accounts receivable (AR) recovery services address unpaid and aging claims. This includes following up with insurance companies, resolving disputes, and collecting outstanding balances to improve the practice’s revenue cycle.
Revenue cycle management (RCM) in orthopedics covers every step from patient registration and insurance verification to coding, claim submission, payment posting, and reporting. Each step is designed to support complete, accurate, and efficient billing.
Credentialing services help orthopedic providers enroll with insurance payers, maintain active participation status, and stay up to date with re-credentialing requirements to avoid delays and denials.
Medical billing audits review claims, coding accuracy, and documentation practices. These audits help identify compliance risks, prevent revenue loss, and ensure adherence to payer policies.
Feel free to call us or contact us through our contact form. Please help us prepare by providing us with any details about your practice including practice model, specialty, and any specific concerns. Include the best time to contact you.
Swift Medical Solutions has worked with various medical specialties, developed compliance and HIPAA programs from the ground up, and designed a streamlined process to suit individual practices. We are fully staffed with trained personnel; we have documented success in helping our clients become more profitable while alleviating the frustration of maintaining a billing department.
Feel free to call us or contact us through our contact form. Please help us prepare by providing us with any details about your practice including practice model, specialty, and any specific concerns. Include the best time to contact you.
Swift Medical Solutions has worked with various medical specialties, developed compliance and HIPAA programs from the ground up, and designed a streamlined process to suit individual practices. We are fully staffed with trained personnel; we have documented success in helping our clients become more profitable while alleviating the frustration of maintaining a billing department.
Yes! Swift Medical Solutions is fully committed to compliance with clear standards of performance and education as well as the use of constructive discipline when and where necessary to maintain adherence to compliance policy and procedure. The Office of Inspector General (OIG) issued compliance guidance to third-party billing companies in 1998.
We provide comprehensive medical billing services, outsourced medical billing, credentialing, Virtual Front Office, billing audits, and revenue cycle management (RCM) for healthcare providers. Our services are tailored to meet the unique needs of your practice, ensuring accuracy and efficiency.
Yes! Swift Medical Solutions is fully committed to compliance with clear standards of performance and education as well as the use of constructive discipline when and where necessary to maintain adherence to compliance policy and procedure. The Office of Inspector General (OIG) issued compliance guidance to third-party billing companies in 1998.
Swift delivers expert orthopedic billing services tailored for specialty practices. Improve cash flow, reduce denials, and gain real-time visibility. Our orthopedic-focused solutions support accurate coding, faster payments, and compliance. Trusted nationwide, Swift simplifies your billing process so you can focus on patient care.
Our streamlined orthopedic medical billing services are designed to enhance accuracy, speed, and compliance. Here’s how Swift supports your practice from start to finish:
This step confirms patient coverage, benefits, and authorization requirements before care is delivered to prevent eligibility-related denials.
Professional coders assign CPT, ICD-10, and HCPCS codes, applying orthopedic-specific modifiers (e.g., for bilateral procedures or post-operative care).
Claims are submitted electronically to payers. The billing team tracks each claim, addresses any rejections, and monitors payment status.
Denied claims are analyzed to find errors or missing information. Corrected claims and appeals are prepared and submitted to resolve outstanding balances.
Detailed reports track collections, denials, and payment trends. Payments are reconciled with billed charges to ensure accuracy.
Orthopedic billing services are available in all 50 states, supporting solo providers, group practices, and specialty orthopedic clinics with compliance-focused solutions.
Ready to simplify orthopedic billing and boost revenue? Swift offers expert Orthopedic Billing Services tailored for orthopedic practices. Reduce denials, accelerate payments, and stay compliant with specialty-specific coding.
Contact us today to schedule your free consultation with a trusted billing partner.
Issue in Orthopedic Billing | Impact on Practice | Swift’s Solution |
---|---|---|
Incorrect post-op modifiers | Underpayments | Applying correct CPT modifiers for surgical aftercare |
Missing prior authorizations | Denials | Verifying authorizations before procedures are scheduled |
Incomplete operative notes | Delayed claims | Reviewing documentation before claim submission |
Implant coding errors | Denials for implants | Accurate implant coding per payer policies |
Eligibility verification gaps | Rejected claims | Conducting insurance checks 48 hours before appointments |
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Most billing providers can begin onboarding within 1–2 weeks, depending on practice size and system setup.
Costs are often a percentage of collections or a flat fee per claim. Pricing varies based on claim volume and required services.
Certified coders assign CPT, ICD-10, and HCPCS codes with correct modifiers for procedures like joint replacements and fracture repairs.
Billing covers consultations, surgical procedures, injections, imaging, durable medical equipment, and post-operative care.
Accurate coding and thorough documentation reduce denials, prevent underpayments, and help practices collect full reimbursement faster.
Swift Medical Billing
Allows caregivers to focus 100% on patient’s needs by managing insurance billing and payments.
Address:
395 SW Bluff Dr, Suite 10 (lower level),
Bend OR 97702
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