Avoid Denials For Your Orthopedics Billing

1
Avoid Denials For Your Orthopedics Billing

• Medical Billers and Coders

2
Getting paid by insurance timely and accurately
in any medical specialty including orthopedics is
a vigorous process. The introduction of new
billing and coding rules is a regular part of all
practices, and billers and coders must aware of
all coding updates, policies, and conventions
required for coding aptly for accurate
reimbursements. There are numerous reasons due to
which a claim can be denied or rejected, thereby
again beginning the daunting task of rechecking
claims, filing them back within a stipulated
time, and then waiting for reimbursements while
incorrect claims imply a loss in reimbursements
after all the wait. Hence, it is imperative that
orthopedics billing and coding are accurate while
filing claims the first time.
3

• Here Are Some Ways In Which Claim Denials Can Be
  Avoided
• Insurance Verification
• Demographics
• Orthopedics Codes And Modifiers
• Local Coverage Determinations
• Automate / Outsourcing

4
The Most Frequent Denials Due To Incorrect CPT
Codes Are 20610 Aspiration And/or
Injections Major Joint Or Bursa 99203
Outpatient Doctor Visit, New Patient, Level 3
99214 Outpatient Doctor Visit, Level 4 99213
Outpatient Doctor Visit, Level 3 97110
Therapeutic Exercises
5
Address Wilmington 108 West, 13th street,
Wilmington, DE 19801 Texas 539 W. Commerce St
1482 Dallas, TX 75208 --------------------------
--------------------------------------------------
------------------------- Email
info_at_medicalbillersandcoders.com Fax no
888-316-4566 Toll Free no 888-357-3226
6
The information must be collected by the
staff/outsourcing agency and processes optimized
for reducing the number of claim denials.
Analysis of data and identifying the root
causes/patterns in denials can largely reduce
their occurrence in the future. The preceding
steps will ensure that an orthopedic practice
gets reimbursed at the right time, significantly
saving on time and money otherwise spent on such
tasks.