Orthopedic billing requires specialized knowledge of global surgical packages, complex procedure modifiers, DME coding, and strict prior authorizations. HealthNoVa delivers tailored revenue cycle management to eliminate claim denials, streamline surgical claims, and maximize your practice’s reimbursements.
We verify patient coverage and fast-track prior authorizations for MRIs, joint replacements, and arthroscopic procedures well before surgery.
Our certified coders meticulously review operative reports to ensure accurate CPT coding for multi-procedural surgeries and global care.
We accurately apply modifiers 25, 50, 51, 59, and anatomical modifiers to prevent improper bundling edits and claim rejections.
We manage billing for orthotics, braces, casting, and joint injections (J-codes), ensuring full reimbursement for equipment and specialty drugs.
We immediately analyze surgical claim rejections, filing robust appeals backed by clinical notes to recover unpaid surgical revenue.
We issue clear, transparent statements for surgical deductibles and co-insurance, offering flexible payment management for patients.
Orthopedic practices manage some of the highest-value and most complex coding workflows in healthcare. From multi-procedural surgical cases and global post-operative care windows to billing for Durable Medical Equipment (DME) and in-office joint injections, any coding oversight can result in massive financial leakage. Navigating strict payer rules for prior authorizations and NCCI bundling edits places an immense burden on internal billing staff.
HealthNoVa provides an end-to-end medical billing solution built specifically for orthopedic surgeons, sports medicine specialists, and musculoskeletal clinics. Our team handles everything from operative note audits and modifier applications to aggressive aging AR recovery. We streamline your financial operations so you can focus on restoring patient mobility and delivering exceptional surgical outcomes.
Capture full reimbursement for major surgeries, arthroscopies, and fracture care with precise operative coding.
Prevent costly rejections with pre-submission claim scrubbing focused on surgical global periods and modifier rules.
Maintain steady practice cash flow with clean electronic claim submissions and persistent tracking of aging receivables.
Safeguard your patients’ surgical records, diagnostic imaging, and health data with 100 percent encrypted systems.
Orthopedists face unique obstacles, including strict 10- and 90-day global surgical periods, complex DME billing regulations, and delayed prior authorizations. We step in with specialized financial operations to optimize your practice.
We apply up-to-date CPT, ICD-10, and HCPCS coding standards strictly tailored for orthopedic and sports medicine practices.
We automate billing workflows for routine follow-ups, X-rays, and physical therapy referrals to speed up payouts.
Our specialists work directly inside your preferred orthopedic EHR software without disrupting your daily clinical rounds.
We aggressively track down underpaid surgical claims and aged patient balances to capture every dollar earned.
Let our RCM experts analyze your current billing processes, identify unpaid claims, and show you exactly where you’re losing revenue,completely free.
HealthNoVa simplifies medical billing with an industry-low 3% flat rate, 98%+ clean claim rates, and zero hidden fees so you can focus entirely on patient care.