Home Specialities Orthotics & Prosthetics
Orthotics and prosthetics involves custom devices with strict documentation, fitting records, and authorization requirements. One gap in the necessity trail sinks a high-value claim.
Fittings: Fitting and delivery documentation captured to support each device claim.
Devices: Custom equipment coded correctly for accurate, full reimbursement.
Reimbursement: Appeals are built on the clinical detail these claims require.
Orthotics and prosthetics involves custom devices with strict documentation, fitting records, and authorization requirements. One gap in the necessity trail sinks a high-value claim.
Fittings: Fitting and delivery documentation captured to support each device claim.
Devices: Custom equipment coded correctly for accurate, full reimbursement.
Reimbursement: Appeals are built on the clinical detail these claims require.
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.
O&P billing operates under a completely different framework than physician or facility billing. Our team ensures every claim is accurate, compliant, and supported by the documentation needed to protect your reimbursement.
We confirm O&P benefits, functional need criteria, prior authorization requirements, and network status before fabrication or fitting begins
Every orthotic and prosthetic device coded under the correct L-code with the right modifiers applied for bilateral, replacement, and repair scenarios
DWOs obtained, reviewed for completeness, and maintained so every claim includes required payer documentation
Clinical documentation reviewed for functional need justification before submission so claims meet payer criteria and withstand audit scrutiny
Supplier accreditation standards, face-to-face requirements, and coverage criteria maintained across every device category and payer
Aging O&P accounts identified, prioritized, and worked with transparent financial reporting delivered to your practice regularly
Our billing process builds compliance into every submission so your practice collects without post-payment risk or audit exposure.
Device records, DWOs, and clinical evaluation notes are securely submitted through our platform after every fitting or delivery.
Our specialists review L-codes, modifier application, and functional documentation against payer coverage criteria before transmitting any claim.
Claims are electronically batched and transmitted to payers within 24 to 48 hours of receiving complete device and clinical documentation.
We track every claim through adjudication and contact payers directly when processing delays or additional documentation requests arise.
Denied claims get reviewed with full clinical and device documentation support and resubmitted through the appropriate appeal channel promptly.
Payments get reconciled against expected reimbursement and posted accurately, with regular financial reports delivered to your practice.
The right billing support for every O&P setup.
Independent providers offering custom and prefabricated orthotic and prosthetic devices who need accurate L-code billing, documentation review, and consistent payer follow-up across every claim.
Independent providers offering custom and prefabricated orthotic and prosthetic devices who need accurate L-code billing, documentation review, and consistent payer follow-up across every claim.
Clinics focused on upper and lower limb prosthetics who need a billing team experienced with high-dollar L-codes, prior authorization workflows, and detailed documentation requirements.
Clinics focused on upper and lower limb prosthetics who need a billing team experienced with high-dollar L-codes, prior authorization workflows, and detailed documentation requirements.
Practices providing custom orthoses, diabetic shoes, and pedorthic services who need careful coding for therapeutic shoe programs and consistent A-code and L-code claim handling.
Practices providing custom orthoses, diabetic shoes, and pedorthic services who need careful coding for therapeutic shoe programs and consistent A-code and L-code claim handling.
O&P departments operating within hospitals or rehabilitation facilities who need accurate DMEPOS billing, place-of-service compliance, and consistent reimbursement tracking across mixed payer types.
O&P departments operating within hospitals or rehabilitation facilities who need accurate DMEPOS billing, place-of-service compliance, and consistent reimbursement tracking across mixed payer types.
Orthotic and prosthetic billing requires extensive documentation and compliance management. The comparison below shows the challenges providers frequently face and how we support accurate reimbursement.
Our O&P billing specialists improve authorization success rates, strengthen documentation compliance, and help practices secure faster reimbursement for custom devices.
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.
“We kept getting hit with denials on custom prosthetics that we knew were medically necessary, and our previous biller could not figure out why. OneMed reviewed our documentation workflow, identified the gaps in our Detailed Written Orders, and our high-dollar claims started paying within the second cycle. ”
“Proof of Delivery issues were quietly killing our reimbursement and we did not even know it was happening. OneMed found the issue, helped us fix the workflow with our fitters, and those denials dropped off almost entirely within 60 days. ”
“Prior authorization was a constant bottleneck for our lower limb prosthetic patients and we were losing revenue every month. Since OneMed took over, PAs are tracked actively, claims go out clean, and our A/R has tightened in a way we can actually measure. ”
Yes. We handle Medicare DMEPOS, Medicare Advantage, Medicaid, and commercial payer claims for orthotics and prosthetics practices across the US.
Yes. We work with most major O&P and DMEPOS billing platforms and can integrate with your existing workflow without requiring a system change.
Absolutely. You receive regular reporting and have full access to your billing data at all times.
We review evaluation notes and device orders to ensure accurate L-code selection, correct modifier usage, and proper supporting documentation before every claim goes out.
We identify the gap, coordinate with your clinical team to resolve it, and resubmit the claim with the corrected Detailed Written Order, face-to-face notes, or Proof of Delivery within our standard turnaround window.
