Billing and AR follow-up for orthopedic practices
Orthopedic claims involve surgery, injections, imaging, equipment and injury cases. Each can delay payment for a different reason.
Where orthopedics claims commonly go wrong
Typical issues in orthopedic billing:
- Global surgical periods, where follow-up visits and related services need the right modifiers to be paid.
- Approvals for surgery and advanced imaging that must be in place before the date of service.
- Injections and supplies that need accurate drug and product codes.
- Bracing and equipment claims that depend on supporting documents.
- Work injury and accident cases that can have long payment cycles and extra paperwork.
How we help
- We follow up on denied and unpaid surgical and visit claims and record each payer's answer.
- We track approvals so scheduled procedures are less likely to be denied.
- We separate injury cases from standard insurance claims, so they get their own follow-up routine.
- We report days in AR, denial rate and the top denial reasons every week.
We start with a baseline audit of your unpaid claims by age, payer and denial reason. See how we work for the steps.
What we need to start
A list of open claims, your most common procedures and any injury or accident cases you are waiting on. We sign a Business Associate Agreement before any patient information is shared.
Frequently asked questions
Do you follow up on workers' compensation and accident claims?
We can include them in scope. They have their own rules and timelines, so we discuss them on the first call.
Can you help with bracing and equipment claims?
Yes. We follow up on payer requests for documents and track each claim to payment or appeal.
Do you guarantee collections?
No. We never promise a specific collection amount, because payers, documentation and timing affect every claim. We promise the work, the tracking and a clear weekly report.
Is our patient information safe?
A signed Business Associate Agreement, NDA and service agreement come before any patient information is shared. Our team uses company systems only, with role-based access and HIPAA training.
Arovia RCM does not guarantee collection outcomes. Please do not send patient information through the website or by email before agreements are signed.
Keep reading.
Tell us what you need. We will book the call.
Thirty to forty-five minutes. No preparation needed.