Orthopedic Billing – All You Wanted To Know!

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Orthopedic Billing All You Wanted To Know! 

• Did you know that 35 of the claims made in
  Orthopedic surgery are incorrect, and 25 of them
  get rejected? If you ask an orthopedic medical
  professional, they will tell you that orthopedic
  coding and billing are tedious and, in medical
  schools, they arent taught very well. However,
  when practice starts in real life, it is
  essential to get knowledge for getting paid for
  the services provided while dealing with the
  following complexities.
• Orthopedic Billing Complexities
• The new ICD-10 has revised 134 codes, deleted
  143, and added 264 new codes in orthopedic
  coding. Furthermore, the introduction of
  modifiers like XU, XE, XP, and XS is quite path
  breaking in the field, accompanied by the new
  rules for modifier 59. All these recent changes
  and the existing medical coding and billing
  practices in Orthopedic make the process quite
  complex.

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Begin with Using the Correct Modifiers

• The two-character designators used in Orthopedic
  billing denote how the procedural codes and
  services are to be applied for the services so
  the reimbursement can be claimed. When these
  modifiers are used accurately, they can provide
  an accurate and detailed medical record of the
  transaction. In orthopedics, there are two levels
  of modifiers, Level I and Level II. The
  Orthopedic billers and coders must have an
  in-depth knowledge of the modifiers and the codes
  that are suitable and permissible for a service
  provided. Any misuse of the modifiers and codes
  can lead to claim rejection, denial, fines, and
  in rare cases, even investigation of the
  practice.

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What Else? Top 5 Billing Guidelines for
Orthopedic Practice

• Insurance coverage verification
• From the beginning, the best way to keep the
  Orthopedic practice efficient is by taking the
  time to understand the patients insurance
  policies and verify the aspects of it. It must
  include pre-authorization, verifying the coverage
  given by the insurance company, and the type of
  orthopedic medical services it covers.
• Checking patient information
• The importance of this point can never be
  emphasized enough, that is, checking the
  patients details, like the spelling of their
  name, date of birth, and other information that
  are easy to overlook. A simple mistake in the
  patients demographic would mean the practice is
  heading toward claim rejection or denial.

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• On-Time Claim 
• A standard procedure, process, and metrics for
  submitting the claim in a given time frame must
  be used to ensure no claim delays. As a practice,
  you must be aware of the claim deadlines, and the
  insurance companies provide a time limit to
  submit the claims. When you meet the deadline,
  the chances of claim denials are less, and even
  if a claim is denied, you have the time to
  re-check and resubmit, decreasing the chances of
  revenue loss.
• Correct coding
• Payers can sometimes deny claims because the
  codes need to be more specific. The insurance
  companies not only require as much information as
  you can provide them about the service but also
  justify that the codes used are correct for the
  procedures. It is vital that orthopedic billing
  and coding are compliant with the new ICD-10
  coding regulations and standards.

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About 24/7 Medical Billing Services
24/7 Medical Billing Services is the nations
leading medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to 50.
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Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel [phone] Email
info_at_247medicalbillingservices.com Website
https//www.247medicalbillingservices.com/
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