Orthopedic RCM Solutions
Expert billing for major joint reconstruction, spine surgery, and sports medicine practices.
Navigating the Complexity of Musculoskeletal Coding and Billing
Orthopedic practices face a unique set of billing hurdles, including Bundled Payment for Care Improvement (BPCI) initiatives, complex modifier usage for bilateral procedures, and the rigorous documentation required for surgical medical necessity. MediHub4U provides the expertise needed to manage high-dollar surgical claims and ancillaries with precision.
Major Surgical Coding
Accurate CPT/HCPCS coding for Total Joint Arthroplasty (TJA), ACL repairs, and spinal fusions, managed by our expert medical coding team.
DMEPOS Billing
Maximize revenue for Durable Medical Equipment (DME) with specialized knowledge through our ancillary facility services.
In-Office Procedures
Optimizing reimbursement for ultrasound-guided injections, fracture care, and casting, ensuring all procedural modifiers are captured accurately.
Physical Therapy Ancillaries
Seamless integration of PT/OT billing, tracking therapy caps and functional reporting through our practice support tools.
Orthopedic Performance Metrics
- Surgical Modifier Mastery: Expert application of modifiers 51, 59, 22, and 80 to ensure maximum legitimate reimbursement for multi-surgeon cases.
- Authorization Advocacy: Proactive management of pre-certifications to eliminate denials before the patient enters the OR.
- Worker's Compensation Expertise: Dedicated follow-up for complex WC and No-Fault claims via our ar recovery specialists.
Our specialized orthopedic team understands that a single coding error in a major surgery can cost a practice thousands. We provide the expertise needed to protect your surgical revenue.