Specialized orthopedic medical billing services designed for surgical, pediatric, & sports medicine practices. Reduce denials, capture complex coding revenue, & ensure compliance. Start optimizing your orthopedic billing and coding with HelloMDs today.
Orthopedic practices manage complex procedures like joint replacements, arthroscopies, and spinal surgeries, which often create billing challenges, claim errors, and revenue loss. At HelloMDs, we specialize in orthopedic medical billing for complex procedures like joint replacements and spinal surgeries. Our AAPC-certified experts handle bundled payments, modifiers, and payer rules while managing provider credentialing, enrollment, and contracting to prevent delays. we handle everything from CPT coding for orthopedics (e.g., 27130, 27447, 22612) to ICD-10 coding for orthopedics (e.g., M16.11, M51.36), plus provider network contracting and denial recovery. The result? A smoother revenue cycle, fewer rejects, and more time for patient care.
Orthopedic medical billing presents a distinct set of challenges that go beyond general medical billing. Common issues include:
Complex CPT/ICD Codes - Multi-procedure cases (e.g., 27427 + 20930) or modifier-heavy claims often slip through generic teams.
Credentialing & Enrollment Delays - Without efficient orthopedic provider credentialing, payer enrollment and contracting, and proper insurance panel setup, practices face network exclusion and lost revenue.
High Denial Volume - High-value orthopedic care attracts denials: inadequate modifiers, global surgical package mis billing, and implant documentation gaps.
Revenue Cycle Leakage - From missing underpayment recovery to lack of denial tracking and analysis and appeals management, practices lose significant funds.
At HelloMDs, we provide end-to-end orthopedic billing services to address these specialty-specific challenges. Our services include:
We ensure insurance verification and authorization are completed up front to prevent claim delays and denials.
Our AAPC-certified coders use up-to-date CPT and ICD-10 coding for orthopedics, including modifiers for complex surgeries like arthroscopies or spinal fusions.
We streamline orthopedic provider credentialing and payer contracting to ensure fast network participation and minimal revenue disruption.
From root-cause denial tracking to appeals management and underpayment recovery, we aggressively pursue lost revenue and optimize reimbursements.
We manage the entire RCM process, charge capture, payment posting, and AR follow-ups, with real-time reporting and scalable support.
Our team includes AAPC-certified coders and RCM professionals with deep knowledge in orthopedic billing and payer guidelines.
We combine orthopedic billing with provider credentialing, payer enrollment, and contracting, something most billing companies don’t offer.
With advanced denial tracking and appeals systems, we prevent revenue loss before it happens.
Whether you’re a solo orthopedic specialist or a large orthopedic group, our solutions scale with you.
You get 24/7 access to reports, billing dashboards, and a dedicated client success manager.
Orthopedic billing optimization and underpayment recovery can boost collections by 20-30%.
With real-time denial data, denial tracking and analysis, and clean claims, your rejection rate drops and cash flow improves.
Offloading billing and credentialing frees up your staff to focus on patient care.
With up-to-date knowledge of CPT/ICD-10 changes, global package rules, and payer guidelines, audit readiness is simplified.
Timely submissions and follow-ups accelerate cash flow and reduce days in AR.
| Challenges | HelloMds Solutions |
|---|---|
| Coding Errors in Complex Procedures | Certified orthopedic coders apply correct CPT (e.g., 22830 + 20930) & ICD 10 codes with modifiers. |
| High Claim Denial Rates | Real-time denial tracking, prevention, and appeals management ensure fast resolution. |
| Documentation Incompleteness | We audit and support proper documentation aligned with payer-specific orthopedic rules. |
| Delayed Reimbursements | Same-day claims submissions and AR follow-ups optimize cash flow. |
| Compliance and Regulatory Changes | Ongoing updates and audits ensure compliance with orthopedic coding standards. |
| Underpayments and Lost Revenue | Specialized underpayment recovery processes identify and reclaim missed reimbursements. |
The feedback and experiences shared by our clients inspire us to continually improve, innovate, and deliver smarter solutions.
Here’s what healthcare professionals are saying about their experience with HelloMDs.
Ready to optimize your orthopedic medical billing?
Contact Hello MDs today for a free billing consultation and discover how our orthopedic billing solutions can increase collections, reduce denials, and strengthen your financial operations.`
Orthopedic billing involves highly complex procedures, bundling, and precise coding (CPT, ICD-10) that generalists often miss. Specialized knowledge is essential.
Our certified coders apply accurate modifiers and documentation strategies to ensure clean claims even for multi-layered surgeries.
Yes, our team specializes in inpatient and outpatient OB/GYN billing, ensuring accurate charge capture across all care settings.
Absolutely. Our RCM system includes analytics that identify underpaid claims, followed by appeals or negotiations to reclaim lost revenue.
We conduct internal audits and ongoing training for ICD-10 coding for orthopedics, CPT updates, and payer policies to ensure compliance and reduce audit risk.
