Orthopaedic Medical Billing Services

Why Orthopaedic Practices Choose Us

Orthopaedic* medical billing is complex and high-stakes—bundled surgical codes, global periods, prior authorization requirements, and constantly evolving payer rules make it easy to miss out on legitimate revenue. Our orthopaedic medical billing experts understand the nuances of musculoskeletal procedures and insurance rules, ensuring accurate reimbursements, reduced denials, and full compliance—so you can focus on helping your patients recover mobility and strength.

How We Drive Orthopaedic Medical Billing Success:

✔ Procedure-Specific Coding Expertise – Accurate use of CPT, ICD-10, and modifiers for orthopaedic surgeries and conservative care
✔ Efficient Reimbursement Cycle – Streamlined claim submissions and faster payment turnaround
✔ Denial Management & Recovery – Identify root causes, prevent denials, and pursue every dollar owed
✔ Surgical Billing Optimization – Support for pre-auths, documentation, and global period tracking
✔ Complete RCM Services – From scheduling and charge capture to collections and reporting

Our orthopaedic billing specialists can help you reduce denials, improve collections, and keep your practice compliant.

Let’s Optimize Your Orthopaedic Practice Revenue

How will our orthopedic medical billing services help your practice?

Coding is difficult. No way around it! But we make it look easy. Our experts are certified in coding, and specifically understand the coding needs of an orthopedic practice.

We code for common orthopaedic codes like:

Joint Replacements (CPT 27447 – Total Knee Arthroplasty, CPT 27130 – Total Hip)
Arthroscopic Procedures (CPT 29881 – Knee Meniscectomy, CPT 29827 – Shoulder Repair)
Fracture Care (CPT 26600–27786)
Spinal Procedures (CPT 22633, 63047)
Casting, Bracing & Splinting (CPT 29075–29799)
Injections & Conservative Treatments (CPT 20610 – Joint Injection)

But it's not just the codes themselves that make coding difficult. Mastering the coding process for orthopedic practices goes beyond billing; it ensures appropriate reimbursement for the complex services you provide, supports healthcare sustainability, and ultimately enhances patient care quality. By equipping yourself with the right knowledge, resources, and a dedication to best practices, you'll successfully navigate coding challenges and maintain a focus on your patients.

Modifier accuracy (e.g., 25, 59, 62, 76, 78, 79, RT/LT)
Proper global period tracking to avoid duplicate denials
Support for operative reports and medical necessity documentation
Adherence to Medicare and payer-specific LCDs/NCDs

AI-based claim scrubbing and eligibility verification
Timely appeals for surgical denials and underpayments
Insurance authorization tracking and follow-up

Proactive follow-ups on high-dollar surgical claims
Regular aging analysis and patient balance resolution
Real-time dashboards for surgical vs. non-surgical revenue trends

Procedure-Specific Revenue Tracking – Understand which services drive the most revenue
Denial Analytics & Alerts – Get notified of payer rule changes and denial trends
Provider-Level Metrics – Benchmark each surgeon’s coding and collections
Forecasting & Financial Planning – Predict revenue based on case mix and seasonal trends

Deep Expertise in Orthopaedics – Decades of experience handling orthopedic billing, including surgeries, injections, and DME
Tech-Enabled Workflow – Integrated with top EHR/PM systems and supported by AI-powered claim editing
Compliance-First Approach – Prevent audits with pre-bill checks, chart audits, and payer-specific rule mapping

Our ARIA RCM (Billing) Services team has won Best in KLAS for Billing services for Ambulatory practices 2 years in a row. We are ranked #1 by our customers, and are proud of the partnerships we have built! We work with practices and hospitals of all sizes, and with agnostic EHR software. Even if you are not a CGM customer, our ARIA team can work on your system to drive results.

All of our team members have years of experience in medical billing and coding and have worked with over 70 specialties. We take all the hard work out of billing so that you can put your efforts elsewhere in your organization.

End to End Billing Services

ARIA RCM Services offers a dedicated team of specialists that deliver comprehensive end-to-end billing solutions, including Aging Accounts Receivable management, claim scrubbing, denial management, coding oversight, payment posting, and more. By leveraging these services, orthopedic practices can enhance their revenue cycle efficiency, reduce administrative burdens, and ultimately focus more on patient care and outcomes.

ARIA RCM SERVICES

Medical Coding Services

Medical coding can be challenging! However, its crucial role in maintaining continuity of care and securing rightful financial reimbursements makes having knowledgeable experts by your side indispensable.

By partnering with ARIA Coding Services, you can stay informed about:

Coding guidelines that change on a quarterly or annual basis
New codes relevant to the services you provide
Opportunities to improve your documentation
Efficient management of coding rejections and denials

For orthopaedic practices, this partnership not only ensures compliance and accuracy but also maximizes revenue potential, allowing you to dedicate more time to patient care and improving clinical outcomes.

ARIA Coding Services

Enrollment is a pain, but it doesn't have to be

By managing the complexities of insurance verifications, claims submissions, and reimbursement processes, we simplify administrative tasks, allowing laboratories to focus on their core expertise in testing and diagnostics. Our guidance through the intricate landscape of payer requirements and regulatory compliance ensures that laboratories remain eligible for various insurance networks. This support enhances operational efficiency and accelerates payment timelines, promoting financial health and sustainability for laboratories.

With flexible pricing plans tailored for larger groups, smaller practices, and solo providers, ARIA Enrollment Services provides an efficient solution for orthopedic practices to streamline payment processing from insurance organizations, ultimately improving cash flow and enabling a stronger focus on patient care.

ARIA Enrollment Services

Credentialing Services

If you're handling in-house credentialing, you might feel overwhelmed or understaffed. Our services are designed to relieve that internal pressure and deliver meaningful results!

Partnering with us allows orthopedic practices to streamline the credentialing process, ensuring compliance and accuracy while freeing up valuable time and resources to focus on patient care and clinical outcomes.

ARIA Credentialing Services