ORTHOPEDICS & MUSCULOSKELETAL
Orthopedic Billing Services
Orthopedic practices face some of the most complex billing rules in medicine: global surgical periods, modifiers, implants, injections, imaging and heavy prior-authorization requirements. AviRex RCM gives your practice a billing and coding team that works within these rules every day, so your claims go out clean and your revenue is protected.
BILLING CHALLENGES
Billing challenges in Orthopedics & Musculoskeletal
- ✓Global period rules for surgeries and post-op visits
- ✓Correct use of modifiers (for example 25, 59, 50, RT/LT)
- ✓Prior authorization for imaging, injections and surgery
- ✓Implants, DME and supplies billing
- ✓In-office procedures, ASC and hospital coordination
- ✓Workers’ compensation and auto-injury claims alongside commercial and Medicare payers
WHAT WE HANDLE
Services we provide for this specialty.
CODES AND AREAS WE WORK WITH
Evaluation and management (E/M), fracture care, joint injections, arthroscopy, joint replacement, spine procedures, orthopedic imaging and DME.
COMMON QUESTIONS
Orthopedic Billing Services — FAQ
A global period bundles the surgery with related pre-op and post-op care for a set number of days, so those visits are not billed separately. Getting this right avoids denials and under-billing.
Yes. We review your open AR and denials first, then transition billing in stages so cash flow is not interrupted.
See where your orthopedic revenue is leaking.
Request a free billing audit from our team.