- 5885 Allison St Unit 1029 Arvada, CO 80001-2645
- tj@amb5280.com
- (303) 940-1613
Orthopedic surgery billing is highly complex due to the wide range of procedures, implants, surgical modifiers, global periods, and payer‑specific reimbursement rules. Even small documentation or billing errors can lead to claim denials, underpayments, and delayed reimbursements.
Accurate Medical Billing (AMB) provides comprehensive orthopedic billing and revenue cycle management services designed to reduce denials, accelerate reimbursements, and ensure full compliance with Medicare, Medicaid, and commercial insurance requirements.
We manage the complete billing workflow—from patient intake and insurance verification to claims submission, payment posting, and reporting—so your providers can focus on patient care while we protect and optimize your revenue.
Accurate collection and entry of patient demographics, insurance details, and required documentation to prevent errors at later stages.
Verification of active insurance coverage, policy details, and payer requirements before services are rendered.
Confirmation of patient benefits, deductibles, co-pays, and coverage limitations to avoid unexpected denials.
Complete recording of all billable services and procedures to prevent revenue leakage and under-billing.
Electronic submission of clean claims to insurance companies in a timely and compliant manner.
Accurate posting of payments from ERAs and EOBs to maintain transparent and up-to-date financial records.
Identification of denial causes, correction of errors, and submission of appeals to recover lost revenue.
Regular tracking and follow-up on unpaid or underpaid claims to reduce aging AR and improve cash flow.
Clear and timely patient statements along with support for resolving billing questions and outstanding balances.
Detailed performance reports covering collections, denials, reimbursements, and overall revenue trends.
Orthopedic surgeries often involve multiple procedures, implants, and assistants, requiring accurate documentation and billing validation.
Incorrect handling of global surgical periods can lead to missed reimbursements or compliance risks.
Many orthopedic procedures require strict prior authorization and documentation of medical necessity.
Incomplete records, incorrect billing details, or missing documentation can result in frequent claim rejections.
CMS guidelines, payer policies, and reimbursement structures change frequently, requiring continuous compliance monitoring.
For higher-collection practices, we offer volume-based discounts — as volume increases, the percentage can decrease. We’ll confirm the best-fit rate after a quick review.
Most practices fall in the 6%–12% range. Final pricing depends on volume, payer mix, specialty complexity, and current A/R and denial patterns, confirmed after a quick review of your last 60–90 days.
We prioritize electronic workflows to reduce cost and improve turnaround. If you request optional services outside standard billing, we scope and quote those items clearly up front—no surprises.
