Expert Medical Billing for Orthopedics in Florida
Orthopedic medical billing in Florida requires precise calculations and thorough documentation throughout a patient’s visit—before, during, and after. Our billers, specializing in orthopedic billing, are adept at addressing the unique challenges faced by Florida orthopedic practices.
We stay current with billing reforms and technological advancements to minimize claim rejections. Our comprehensive services include:
- Accurate code assignment for various procedures
- Electronic and paper billing
- Regular code audits to ensure correct coding
- Account analysis to prevent cash flow issues
- Follow-up with payers on outstanding payments
- Daily, weekly, and monthly financial reporting
Key Billing Insights
- CPT Code A5500: The KX modifier is required for reimbursement.
- CPT Code L3030: Apply the KX modifier to avoid claim rejections—L3030LTKX (left foot) and L3030RTKX (right foot).
- CPT Code 97597: The RT LT modifier is not used for tissue removal coding, regardless of foot orientation.
Effective and Streamlined Coding
Orthopedic practices in Florida handle a range of procedures, from non-surgical treatments like physiotherapy and chiropractic care to complex surgeries such as joint reconstruction, spine surgery, and orthopedic trauma. Accurate coding is crucial to avoid denials or underpayments. Our coders ensure top accuracy across the entire coding spectrum.
Impeccable Billing and Coding Credentials
Our Florida orthopedic billing services are managed by specialists with impressive credentials:
- Certification: American Association of Professional Coders (AAPC)
- Software Proficiency: Skilled in EHR systems like NextGen Healthcare, AthenaOne, eClinicalWorks, Modernizing Medicine, HealthPac, Athenahealth, and Practice Fusion.
- Coding Expertise: Proficient in CPT, HCPCS, and ICD-CM coding according to CMS guidelines.
- Carrier Experience: Successful with commercial carriers such as UnitedHealth, WellPoint, Aetna, Humana, HCSC, and Blue Cross Group.
- Negotiation Skills: Effective with Medicare and Florida-specific Medicaid policies.
Enhancing Your Revenue Management Cycle
Our billing process improves every aspect of the patient cycle—from enrollment and scheduling to insurance verification, authorizations, and coding. We streamline document submission, conduct pre-audits, generate real-time reports, and apply appropriate modifiers.
Our services—accurate charge capture, detailed procedure coding, electronic claim submission, patient billing, multi-tiered appeals, denial management, and compliance—simplify your revenue cycle, enhance collection rates, attract more patients, and support medical research and development.
Orthopedic practices in Florida that partner with our billing specialists experience notable increases in practice revenue and clinical efficiency.