Orthopedic practices bill across surgery, in-office injections, imaging, and physical therapy — often for the same patient within a single episode of care. Global surgical periods and modifier accuracy are the two areas most likely to cause denials or underpayment.
Common Orthopedic Billing Challenges
- Global surgical period rules across a multi-visit episode of care
- Modifier accuracy on injections performed alongside E/M visits
- Prior authorization for imaging and surgical procedures
- Denials tied to incomplete operative documentation
How Care Med Billing Helps Orthopedic Practices
- Coders experienced with orthopedic surgical and procedural billing
- Dedicated prior-authorization tracking for imaging and surgery
- Pre-submission review focused on modifier and bundling accuracy
- Ongoing A/R follow-up on high-dollar surgical claims