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Orthopedic Billing Services

Orthopedic billing is high-value and denial-prone. We specialize in surgical global periods, ASC billing, and prior authorization.
Orthopedics Billing

We know orthopedics billing inside out.

Orthopedic procedures generate high reimbursement — and high denial rates when billed incorrectly. Surgical global periods, implant billing, and ASC vs. hospital facility billing all require deep specialty knowledge.

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34%Revenue increase for clients
$890KAR recovered in single campaign
GlobalPeriod management
ASCBilling supported

What we handle for orthopedics practices

Global Period Management

Correct billing during 10 and 90-day global periods to avoid duplicate claim denials.

Implant & Supply Billing

Separate billing for implants, hardware, and surgical supplies with proper documentation.

ASC Facility Billing

Ambulatory Surgery Center facility fee billing and revenue cycle management.

Fracture Care Coding

Accurate coding for closed and open fracture treatment, casting, and splinting.

Arthroscopy Billing

Complex arthroscopic procedure coding with multiple work performed on same date.

Workers' Comp & Auto

Specialized billing for work-related injury and auto accident claims.

How We Work

Specialty-specific billing — not generic billing applied to your specialty

Generic billers learn your specialty on the job — using your revenue to fund their education. Our coders are hired, trained, and audited by specialty. Your cardiology charts go to a cardiology coder. Every time.

Specialty-Trained Coders

Every coder on your account is trained specifically in your specialty's coding rules, documentation requirements, and payer quirks. No generalists.

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Quarterly Coding Audits

We audit every coder's accuracy quarterly. Any coder falling below 95% accuracy is immediately retrained and supervised. Your clean claims rate doesn't slip.

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Continuous Payer Updates

We track payer policy changes, LCD updates, and code revisions in real time. When a payer changes a coverage policy for your specialty, we know before you do.

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Client Proof

What practices like yours say after switching

We switched to RCMBillers after struggling with our previous biller for 2 years. Within 90 days our denial rate was cut in half and collections were up significantly. They know orthopedics billing — not just billing in general.

Practice ManagerOrthopedics PracticeDenial rate cut 50%+ in 90 days

The coding audit they did in the first month found $80,000 in undercoded procedures we had no idea about. That alone justified years of service fees.

Physician OwnerOrthopedics Group Practice$80K found in coding audit

Credentialing used to take us 4 months. RCMBillers completed 3 payer enrollments in under 4 weeks. We haven't had a credentialing delay since day one.

Office DirectorOrthopedics CenterPayer enrollment: 4 months → 3 weeks
Common Questions

Frequently asked questions

Yes. We assign specialty-specific coders and billing specialists to each account. Your orthopedics charts are handled by team members who are trained, tested, and audited specifically in orthopedics billing — not generalists who work across dozens of specialties.
Most orthopedics practices see a measurable denial rate reduction within 30–45 days. The first 30 days focus on fixing front-end issues (eligibility, pre-auth) and appealing existing denials. By day 60, the structural changes are producing consistent improvements.
Yes — credentialing is included in our Professional and Enterprise plans. We handle CAQH ProView setup, payer enrollment, re-credentialing, and maintenance. Average payer enrollment time is 3 weeks — far faster than managing it in-house.
We integrate with all major EHR and practice management systems — including Epic, Cerner, Athenahealth, eClinicalWorks, Kareo, NextGen, Modernizing Medicine, and 40+ others. Integration is handled by our technical team and typically takes under 48 hours.
No setup fees. No long-term contracts. We operate on a 30-day cancellation policy and charge a percentage of collections only — typically 3–5% depending on specialty and volume. We earn when you earn.
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