Data-Driven Billing Solutions for Orthopedic Practices

< 30Days in AR
15-25% Revenue Increase
100% Compliance Guarantee
99% First Pass Ratio
96% Collection Ratios
98% Clean Claims Rate

Billing Expertise That Understands Every Joint, Bone, and Procedure

You restore strength and mobility; we restore your financial health and peace.  Doctor Management Services provides billing solutions that are customized according to the unique needs of healthcare providers in the US. So, we ensure providing an efficient revenue cycle management process, starting from the initial patient encounter to follow-up.

Orthopedic Billing Services for Complete Musculoskeletal Care

DoctorMGT supports orthopedic practices with detailed billing for fractures, joint treatments, injections, imaging, and complex surgical procedures. We handle coding, documentation, and claims with accuracy so orthopedists can focus on patient mobility and recovery while maintaining a stable, predictable revenue cycle.

Orthopedic Billing Services for Complete Musculoskeletal Care

DoctorMGT supports orthopedic practices with detailed billing for fractures, joint treatments, injections, imaging, and complex surgical procedures. We handle coding, documentation, and claims with accuracy so orthopedists can focus on patient mobility and recovery while maintaining a stable, predictable revenue cycle.

Clean Claims, Faster Payments, and Fewer Denials in your Orthopedic Billing:

Precision Billing for Surgical Complexity

Our certified coders specialize in CPT ranges 20000–29999 for orthopedic coding and ensure that every detail aligns with payer requirements. We cross-check operative notes, implants, and all the necessary documentation before claims ever leave your system.

  • CPT/ICD pairing for fracture repair, joint injections, arthroscopy, and replacements.
  • Modifier validation for 50, 59, 76, 78, 80, and assistant-surgeon claims.

Smarter Coding for Every Specialty and Subspecialty

Whether you treat sports medicine patients, do spine surgery, or provide hand therapy, our orthopedic billing and coding services adapt to your specialty’s workflow. We manage complex billing, improving cash flow and reducing administrative fatigue.

  • Documentation audits for multi-procedure claims and add-on codes.
  • NCCI edit validation to prevent unintentional bundling.

Seamless Support for Multi-Physician and ASC Groups

Running a high-volume practice or ambulatory surgical center shouldn’t mean managing chaos behind the scenes. Our outsourced orthopedic billing services provide centralized billing for multiple providers, unified reporting, and accurate charge capture for both surgical and non-surgical visits.

  • Integration with EMR/EHR platforms and clearinghouses.
  • Multi-location reporting and provider-level revenue analytics.

Denial Defense That Doesn’t Miss a Step

Orthopedic denials often stem from modifier errors, documentation gaps, or frequency limitations. Our orthopedic denial management system identifies trends before they become recurring revenue leaks. We track CO/PR codes, correct claims, and refile them.

  • Automated denial dashboards for instant tracking.
  • Appeal packages with clinical notes and corrected documentation.

Compliance That Protects Every Procedure

We don’t just submit claims. Our orthopedic medical billing services follow CMS, HIPAA, and payer-specific guidelines to ensure every claim is audit-proof. We review each operative note for accuracy, link medical necessity correctly, and stay updated on the latest policy shifts affecting orthopedic surgery billing.

  • Real-time coding compliance checks.
  • Periodic audits aligned with Medicare LCDs and NCCI updates.

Let’s Turn Your Billing Chaos into Consistent Results

\We help you reduce the denial rate under 3% and achieve up to a 97% First-Time Pass Rate with Doctor Management Services.

Our Stats

The Results Will Amaze You

Collection Rate
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WC & PI Claims Managed
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Revenue Recovered
$ 0 B
Average Case-to-Cash Time
0 Days
Higher approvals on contested claims with expert follow-ups and negotiation.
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What Doctors Say About Us

Our Client’s Testimonials

— “I used to struggle with managing patient appointments daily; it was a lot. The patient appointment scheduling offered by Doctor Management Service is very efficient. They allow the patient to even choose their time and book an appointment online, cutting out much of my front-desk work.

Doctor William Albert

FAQs:

How do you handle multiple procedures during the same orthopedic surgery?

Doctor Management Services understands that most orthopedic surgeries involve multiple procedures and components. Our orthopedic billing services accurately apply modifier rules, unbundle appropriately, and ensure each CPT reflects the true surgical scope. We protect your revenue from payer down-coding.

Yes, our orthopedic medical billing services support hospital-based surgeons, private practices, and multi-specialty groups. We tailor workflows to your environment. Our team handles hospital charge capture, inpatient rounds, and outpatient follow-ups seamlessly under one system.

Modifiers drive reimbursement accuracy in orthopedics. Our coders validate each claim against NCCI edits and payer-specific policies, ensuring correct use of modifiers like 50 (bilateral), 59 (distinct procedure), and 80/82 (assistant surgeon). This avoids costly bundling errors and payment reductions.

We manage complex payer types, including workers’ comp, no-fault, and accident-related cases. Our orthopedic billing company ensures documentation aligns with jurisdictional and legal billing requirements, helping you collect faster from adjusters and legal representatives.

Yes, we code for implantable devices, hardware removal, and DME supplies accurately, including add-on codes and cost capture. Our team verifies documentation against operative reports to ensure all reimbursable items are billed properly.

Our outsourced orthopedic billing services eliminate administrative overload by integrating directly with your EHR and automating claim flows. That means fewer manual entries, faster submissions, and instant tracking across multiple surgeons or locations.

We track every orthopedic claim through its global period and verify visit codes against surgical timelines. Our orthopedic claim denial management services use automation to detect premature billing or incorrect modifiers, preventing rejections before they happen.

Yes, we handle pre-certifications and prior authorizations for MRIs, injections, surgeries, and physical therapy. Our workflow ensures no procedure is delayed or denied due to missing approvals.

Absolutely. Our team reviews fee schedules quarterly, compares payer reimbursements by CPT, and identifies underpayments. We help you renegotiate better payer contracts and maintain alignment with current orthopedic reimbursement standards.

We follow HIPAA, CMS, and AAOS billing guidelines strictly. Each claim undergoes internal audits before submission to verify documentation integrity, diagnosis linkage, and modifier accuracy, ensuring your orthopedic medical billing is both compliant and audit-ready.

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