+1 (307) 209-2667
info@hhsbilling.com
30 N Gould St Ste R, Sheridan, WY 82801, USA
Orthopedic Billing Services
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What We Do:
Timely pre-authorizations for surgeries, injections, and therapies
Accurate insurance verification for procedures and diagnostics
End-to-end RCM for orthopedic specialists and surgical centers
Efficient posting and reconciliation of EOBs and ERAs
HIPAA-compliant processes with specialty-specific reporting
Precision Billing Support for Complex Orthopedic Procedures
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Billing for joint replacement, fracture management, and arthroscopy procedures
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Managing injection and DME billing including braces and orthotics
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Ensuring proper modifier usage for multiple procedures and global periods
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Handling imaging services (X-rays, MRI) and in-office diagnostics
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Coordination of pre-surgical authorization and post-op global period tracking
Orthopedic practices deal with a high volume of procedures, imaging, and durable medical equipment (DME) billing—all of which require precise coding and documentation. Horizon Healthcare Solutions offers specialized orthopedic billing services that are aligned with the latest payer rules and compliance standards.
From managing pre-authorizations for joint replacements and fracture surgeries to submitting clean claims for in-office injections and diagnostic imaging, our team ensures every service is captured and reimbursed properly. We understand the nuances of orthopedic coding, including the use of appropriate modifiers and bundling rules.
Our goal is to reduce claim denials, eliminate underpayments, and improve your revenue flow. With HIPAA-compliant systems and real-time AR monitoring, we help orthopedic clinics and surgical centers streamline their billing with clarity and accuracy.
Common Challenges in Orthopedic Medical Billing
01
Complex Surgical Coding & Modifiers
Multiple procedures, bilateral surgeries, and staged operations demand accurate modifier use to avoid bundling issues or underpayments.
02
Frequent Pre-Authorization Delays
Delays in obtaining approvals for surgeries, MRIs, and joint injections can disrupt scheduling and cash flow.
03
Incorrect DME Billing
Orthotics and braces must be billed with correct HCPCS codes, documentation, and proof of medical necessity—often missed by generic billing teams.
04
Post-Operative Global Period Confusion
Mistakes in billing services during the global period often result in denials due to overlapping coverage.
05
Radiology and Imaging Reimbursement Issues
Improper claim linking between imaging services and diagnoses leads to denials or reduced payments.
06
High Volume of Denials for Incomplete Documentation
Missing operative notes, referral details, or therapy records contribute significantly to AR aging and write-offs.
Orthopedic RCM That Moves as Fast as Your Practice
Orthopedic billing involves a complex mix of surgical, therapeutic, and DME services—each with its own set of rules and billing guidelines. At Horizon Healthcare Solutions, we bring deep knowledge of orthopedic coding and payer nuances to ensure accurate reimbursements.
From pre-auth to post-op billing, our services are designed to reduce your administrative load while increasing revenue stability. We proactively monitor AR, manage denials, and provide transparency through robust reporting dashboards.
Whether you’re a solo orthopedic surgeon or a multispecialty group, Horizon offers a seamless billing experience that supports your growth and lets you focus on patient recovery—not paperwork.
How We Add Value to Your Practice
Redefining Industry Excellence
HIPAA Compliant
Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.
Proven Results and Cost Efficiency
Customized, Client-Centric Approach
Committed to Your Success
Comprehensive Claims Reviews
Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.
Ease and Simplicity
Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.
Reliable Support, When You Need It
Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.
