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Orthopaedic billing combines high volume imaging with surgically intensive procedures bound by strict global periods. Bundling errors and missed modifiers routinely cost real money.
Imaging: Diagnostic studies coded to the correct component to prevent split errors.
Arthroscopy: Staged and multiple procedures modified correctly to avoid bundling losses.
Replacement: Global periods managed so postoperative care is billed rather than absorbed.
Orthopaedic billing combines high volume imaging with surgically intensive procedures bound by strict global periods. Bundling errors and missed modifiers routinely cost real money.
Imaging: Diagnostic studies coded to the correct component to prevent split errors.
Arthroscopy: Staged and multiple procedures modified correctly to avoid bundling losses.
Replacement: Global periods managed so postoperative care is billed rather than absorbed.
Accurate billing. Faster reimbursements. Stronger revenue cycle management for cardiology practices focused on exceptional patient care.
Our mission is to simplify cardiology billing workflows, reduce denials, improve collections, and maximize reimbursements while supporting better heart care.
Cardiology Practices Trust Us
Reduce denials and speed up approvals.
Improve cash flow and reimbursement cycles.
Secure and compliant cardiology billing process.
Orthopaedic billing operates under a completely different framework than general office visit or primary care billing. Our team ensures every claim is accurate, compliant, and supported by the documentation needed to protect your reimbursement.
We confirm coverage, benefits, prior auth requirements, deductible status, and documentation standards before scheduling.
CPT codes, modifiers, global periods, implant costs, and payer surgical policies managed correctly for every procedure.
Operative reports, medical necessity, imaging, and pre-auth approvals reviewed for compliance before every submission.
Coverage policies and prior auth tracked per payer. Unpaid claims, auth status, and documentation requests pursued directly.
All claims tracked through clearinghouse and payer portals. Rejections and global period conflicts flagged for immediate follow-up.
Denied claims reviewed, corrected, and resubmitted with full documentation. Necessity issues, modifier errors, and violations addressed.
We follow a structured, end-to-end workflow to ensure your orthopaedic billing is accurate, consistent, and set up for faster reimbursement.
Operative reports, procedure notes, implant invoices, and authorization approvals come in from your practice through your existing workflow. Nothing in your operational process needs to change.
CPT codes, modifiers, global period status, and supporting documentation are reviewed for medical necessity and payer-specific surgical policy compliance before the claim is built. Issues are resolved before submission, not after denial.
Claims are submitted electronically to Medicare, Medicaid, and commercial payers based on their individual surgical coverage policies and fee schedules.
We identify why orthopaedic claims are denied and act quickly to correct, appeal, and resubmit them with the documentation needed to support payment.
Denials are worked within 72 hours. Global period windows and post-operative visit eligibility are monitored continuously. Aging accounts are followed up systematically.
Payments are posted and reconciled. Monthly reporting gives you a clear summary of collections, denial trends, top denying procedure codes, and outstanding balances.
The right billing support for every orthopaedic practice setup.
Surgical practices requiring accurate CPT billing, global period management, and consistent payer follow-up for joint replacement, fracture care, and spine procedures.
Surgical practices requiring accurate CPT billing, global period management, and consistent payer follow-up for joint replacement, fracture care, and spine procedures.
Providers managing high volumes of sports-related injuries requiring expertise in arthroscopy coding, medical necessity documentation, and sports medicine-specific payer policies.
Providers managing high volumes of sports-related injuries requiring expertise in arthroscopy coding, medical necessity documentation, and sports medicine-specific payer policies.
ASCs performing orthopaedic procedures requiring accurate facility billing, implant cost reporting, and payer-specific surgical authorization management.
ASCs performing orthopaedic procedures requiring accurate facility billing, implant cost reporting, and payer-specific surgical authorization management.
Large orthopaedic groups with spine, hand, foot, and sports medicine subspecialties requiring consistent billing across procedure types and payer contracts.
Large orthopaedic groups with spine, hand, foot, and sports medicine subspecialties requiring consistent billing across procedure types and payer contracts.
General billing services do not have the specialty knowledge orthopaedic billing requires. The result is surgical modifiers applied incorrectly, global period violations that trigger repayment requests, and implant costs left unreported.
Our orthopaedic billing specialists improve documentation accuracy, strengthen CPT and modifier compliance, and help accelerate reimbursement for surgical and post-operative claims.
Healthcare providers across the country rely on OneMed Billing to manage their revenue cycle with accuracy, consistency, and specialty-specific expertise. Here is what some of them have to say.
“Global period billing was a constant source of revenue leakage because our previous biller was not tracking post-operative visit windows correctly. OneMed corrected the process and our post-op collections stabilized within two months.”
“Modifier errors on our arthroscopy claims were creating recurring denials and we were spending significant time on rework. OneMed cleaned up our modifier application and those denials dropped off quickly.”
“Implant cost reporting was inconsistent across our joint replacement claims and we were leaving money on the table. Since OneMed took over, every applicable claim goes out with the correct invoice documentation.”
Yes. We handle Medicare, Medicare Advantage, Medicaid, and commercial payer claims for orthopaedic practices and ASCs across the US.
We work with most major orthopaedic EHR and practice management systems. Our team adapts to your existing workflow without requiring system changes.
Absolutely. You receive regular reporting and have full access to your billing data at all times.
We review operative reports and procedure documentation to ensure accurate CPT code selection, modifier application, and global period compliance on every claim.
We identify the documentation gap, coordinate with your clinical team to resolve it, and resubmit the claim with the corrected supporting records.
