What are the Top Orthopedic Billing Denial Reasons and How to Prevent Them?

Orthopedic foot bone model illustrating claim rejections cost in medical billing.

Orthopedic billing is complex, so the chances of errors are also high. The major error that occurs routinely is the rejection of claims. Usually, insurance and payer companies deny paying the bill for the services of patients. It can be because of incorrect information, false codes, or authorization issues. Ultimately, hospitals face revenue loss and […]

How Do Global Periods Impact Orthopedic Surgery Billing

Two orthopedic doctors examining a hip X-ray while discussing billing and reimbursement. Text on image reads: ‘How Global Periods Affect Billing & Reimbursement in Orthopedic Care.

In orthopedic billing, the surgery department is more complex than others. In surgery billing, billers handle global periods during claims processing. These periods directly affect how providers bill for procedures, how payers reimburse claims, and how practices manage revenue. They prepare surgical packages that include all services performed on patients. In this way, surgeons and […]

What Modifiers Are Essential in Orthopedic Medical Billing

Therapist assessing a patient’s back; banner text reads ‘Orthopedic Billing Modifiers – Accuracy Matters for Every Claim.

In medical billing, modifiers are equally important as billing codes. They resemble codes, but they function differently and play a crucial role in billing tasks. Modifiers are specific numbers that indicate the details of services performed on patients. When billers use them correctly, claim denials decrease and financial stability increases. However, improper use can trigger […]