Orthopedic Medical Billing Services
CLICKVISION BPO provides orthopedic billing, ensuring maximum reimbursements, fewer claim denials, and seamless revenue cycle management. Our expert billing team handles accurate coding, insurance verification, and claim submissions, securing faster payments and better cash flow.
With advanced technology and deep industry expertise, we streamline CPT coding, prior authorizations, and payer compliance, eliminating billing inefficiencies so your practice can focus on patient care and profitability. Partner with us for a smarter, more efficient billing process that drives long-term financial success.
What Does Our Orthopedic RCM Include?
Insurance Verification
Real-time verification of patient coverage, plan details, deductibles, and benefits to prevent claim denials and ensure seamless billing for orthopedic procedures.
Prior Authorization
Fast-tracking pre-approvals for joint replacements, spinal surgeries, imaging studies, and injections, preventing delays in treatment and reimbursement issues.
Charge Capture
Documenting all orthopedic services accurately to prevent missed revenue, ensuring correct coding and invoicing for maximum reimbursements.
Medical Coding
Precision ICD-10 and CPT coding for surgeries, fractures, sports injuries, and post-op care, reducing denials and improving claim accuracy.
Accounts Receivable (AR) Management
Tracking insurance and patient payments, resolving payment delays, and managing claim appeals to boost cash flow and revenue recovery.
Reporting & Performance Analysis
Custom financial reports providing insights into denial trends, reimbursement rates, and revenue cycle efficiency for data-driven practice management.
Why Outsource Your Orthopedic Billing to Us?
Outsourcing orthopedic medical billing to CLICKVISION BPO simplifies the complexity of managing joint replacements, fracture treatments, and sports injury procedures. Handling payer-specific guidelines, Medicaid/Medicare compliance, and revenue cycle management (RCM) can overwhelm in-house teams.
Outsource your orthopedic billing to us for accurate claim submissions, reduced denials, and maximized reimbursements, enhancing your practice’s financial performance.
Specialized Coding & Compliance
Accurate CPT and ICD-10 coding for joint replacements, fracture treatments, and sports injury repairs, ensuring compliance with payer-specific regulations and minimizing denials.
Maximized Reimbursements
Expertise in orthopedic coding, payer policies, and compliance audits, reducing claim discrepancies and increasing reimbursement rates.
Revenue Cycle Efficiency
Optimized billing workflows, faster claim submissions, and reduced A/R days, improving cash flow and financial performance.
Higher Collections
Efficient claim processing, modifier usage, and prior authorization management, reducing delays and maximizing collections.
Cost Reduction
Up to 40% reduction in billing costs through automated processes, denial prevention, and optimized documentation.
Data Security & Compliance
HIPAA-compliant billing processes with secure data handling to ensure regulatory compliance and patient privacy.
Seamless Integration
Smooth ICD-10 implementation, bundled payment tracking, and payer compliance, preventing revenue loss.
Transparent Billing
Structured billing workflows, real-time reporting, and claim tracking, ensuring financial stability and revenue optimization.
Common Orthopedic Billing Challenges
Complex Procedure Coding
Orthopedic procedures require intricate, multi-layered coding, making accurate CPT and ICD-10 application critical for reimbursement. Errors in joint replacements, spinal surgeries, and fracture treatments can lead to denials and revenue loss, demanding strict compliance with coding guidelines.
Navigating Bundled Payments
Orthopedic billing struggles with bundled payments, where multiple procedures fall under single reimbursements. Misallocation can lead to underpayments, denials, or revenue loss, requiring strict coding and compliance.
High Claim Denial Rates
Orthopedic billing faces frequent claim denials due to coding errors and documentation issues, leading to payment delays and higher administrative costs. Ensuring accurate coding and complete documentation is critical to minimizing rejections and maintaining consistent cash flow.
Prior Authorization Bottlenecks
Securing prior authorization for joint surgeries and spinal procedures is often slow, causing treatment delays and cash flow disruptions. Complex payer requirements and slow approvals create administrative burdens, impacting practice efficiency and patient care.
Keeping Up with Regulatory Changes
Constant changes in orthopedic billing regulations make compliance difficult. Failure to meet Medicare, private insurer, or industry guidelines can lead to audits, penalties, and reimbursement delays, increasing financial risk for practices.
Managing Patient Payment Plans
High-cost orthopedic treatments, like joint replacements, make patient payments complex. Managing payment plans requires accurate tracking to prevent billing issues and ensure cash flow stability while keeping payments manageable for patients.
CLICKVISION BPO is specialized orthopedic billing company focused on maximizing reimbursements, reducing claim denials, and optimizing revenue cycle management for orthopedic practices. With offices in Sweden and Macedonia, we provide scalable billing solutions tailored to orthopedic practices of all sizes.
In 2024, we processed over $1.2 million in monthly charges, securing $700,000 in reimbursements. Our advanced billing technology integrates with EHR and practice management systems, enabling real-time revenue tracking and automated claim submissions.
With a certified team of billing specialists, coders, and denial management experts, we ensure ICD-10 and CPT accuracy, payer compliance, and faster reimbursements. Practices partnering with us experience a 30% reduction in denials and a 25% revenue increase.
As a trusted orthopedic billing company, we prioritize HIPAA compliance, secure data management, and efficient workflows, helping orthopedic practices improve cash flow and scale with confidence.
Why Choose Our Orthopedic Billing Company?
Years of Experience
Days in AR
Eliminate Claim Denials & Revenue Loss with CLICKVISION BPO
Denied claims cost healthcare providers billions. A Change Healthcare analysis found that $262 billion in medical claims are initially denied, leading to lost revenue, administrative burdens, and costly resubmissions.
At CLICKVISION BPO, we eliminate billing inefficiencies by ensuring accurate coding, proper documentation, and insurance verification, reducing claim denials and maximizing reimbursements.
By outsourcing to us, your orthopedic practice avoids costly resubmissions, delayed payments, and administrative headaches while securing a stronger cash flow and a more efficient revenue cycle.
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Specialties We Excel In
Podiatry Billing Services
Orthopedic and podiatry care often intersect in treating fractures, sprains, and joint disorders of the lower extremities. Podiatry billing focuses on foot and ankle conditions, complementing orthopedic services for comprehensive lower limb care.
Physical Therapy Billing Services
Orthopedic treatments often include physical therapy for rehabilitation. Our physical therapy billing services ensure accurate coding for post-surgical recovery, helping patients regain strength and mobility while optimizing reimbursements.
Pain Management Billing Services
Pain management is essential in orthopedic care, especially for post-surgical recovery and chronic musculoskeletal pain. Our pain management billing services ensure accurate claims for injections, nerve blocks, and pain-relief treatments, enhancing patient comfort and recovery.
Leadership Team
Dimitar Talevski
Dimitar is a seasoned marketing specialist and the visionary behind CLICKVISION. With over 10 years in digital marketing, he excels in crafting marketing strategies that boost rankings, which in return increase leads, conversions, sales, profits, and ROI.
Filip Dimitrijevski
With a strong background in the marketing industry and healthcare leadership roles, Filip is responsible for CLICKVISIONBPO's sales strategies and onboarding new clients. With a passion for sharing insights gained from his experience, he also shares valuable knowledge through industry related articles.
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Orthopedic procedures require complex procedure coding for joint replacements, spinal surgeries, and sports injuries. Our certified coders ensure CPT and ICD-10 compliance, aligning claims with payer guidelines to minimize claim denials.
Regular coding audits, pre-authorization verification, and bundled payment tracking improve accuracy. By leveraging advanced billing software, we ensure faster processing and maximum reimbursements while maintaining HIPAA compliance.
Prior authorization bottlenecks delay spinal surgeries, joint replacements, and fracture treatments, affecting cash flow and patient care. We handle the entire pre-authorization process, from insurance verification to payer follow-ups, reducing approval delays by 40%.
By integrating automated authorization systems, we streamline approvals, ensuring orthopedic practices receive faster reimbursements while avoiding regulatory issues.
Bundled payment models consolidate multiple procedures into a single reimbursement, making accurate coding and payment distribution critical.
We ensure correct CPT coding, modifier application, and payer-specific bundling guidelines to prevent underpayments and claim rejections.
Our team optimizes billing workflows, ensuring practices receive the full allowable reimbursement for surgical procedures, pre-op consultations, and post-op care.
Outsourcing orthopedic billing improves efficiency, compliance, and revenue while reducing operational costs. Practices see a 15-30% increase in collections and a 40% reduction in billing costs by eliminating in-house staffing, training, and software expenses.
Our expert billing team ensures timely claim submission, denial management, and insurance verification, allowing orthopedic surgeons to focus on patient care.
Large orthopedic practices with multiple locations handle high claim volumes, increasing administrative burdens and error risks. We use automated billing workflows, centralized revenue cycle management, and secure cloud-based systems to streamline multi-location claim processing.
Our real-time claim tracking and reporting prevent billing delays, ensuring each location maintains consistent cash flow and compliance.