Orthopedics billing & credentialing
Global periods, fracture care, injections and DME: orthopedic billing is a modifier minefield. We navigate it so surgeries pay in full and nothing bundles away.
- Focus
- Surgical + global periods
- Modifiers
- 50, 59, RT/LT, assistant
- Clean claims
- 95%+ first pass
- A/R
- Worked within 48 hrs
Why orthopedics is different
Orthopedics has the messiest global-period and bundling rules in medicine, and a single missed laterality or staged-procedure modifier turns a paid surgery into a denial.
We handle global periods, staged and bilateral procedures, fracture care, joint and trigger-point injections, casting and splinting supplies, and assistant-surgeon billing, with the RT/LT, 50, 58, 59 and 78/79 modifiers each claim actually needs.
What our orthopedics billing covers
- Surgical claims with correct global-period and staged-procedure modifiers
- Fracture care (open & closed) billed to the right global package
- Joint, trigger-point and image-guided injections (e.g., 20610)
- Casting, splinting and DME supplies captured with Q/L codes
- Bilateral & multiple procedures with modifier 50/51/59 and RT/LT
- Assistant-surgeon and co-surgeon claims filed and appealed
Credentialing for orthopedics
Orthopedic enrollment often means hospital and ASC privileges alongside payer paneling. We manage both.
- Medicare (PECOS) & Medicaid enrollment for every provider
- Commercial payer paneling matched to your patient mix
- CAQH build, attestation & ongoing maintenance
- Revalidations and re-credentialing tracked before they lapse
- Hospital and ambulatory surgery center (ASC) privileging support
- Enrollment for every surgeon, PA and NP who bills under your group
Want orthopedics claims that actually pay the first time?
Send us a sample of your denials.
We’ll show you exactly where the money is leaking, free.