Specialties

Orthopedics

Revenue Cycle Management for Orthopedic Practices & Surgery Centers

Orthopedic billing is among the most complex in medicine — surgical global periods, DME reimbursement, and high-volume procedure coding demand a specialist. Rev Health ensures every procedure is accurately coded, authorized, and collected.

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Our Expertise in Orthopedics

Surgical Global Period Management

Accurate tracking of 10-day and 90-day global periods, correct use of modifiers 24, 25, 57, and 58, and proper billing for unrelated services within global periods to capture all billable revenue.

DME & Implant Billing

Complete billing for durable medical equipment, orthopedic implants, braces, and prosthetics — including HCPCS coding, ABN management, and payer-specific DME documentation requirements.

High-Volume Procedure Coding

Expert CPT coding for arthroscopies, joint replacements, spine surgeries, and fracture care, with thorough modifier application and bundling rule compliance across all major payers.

What We Do

RCM Services

Comprehensive revenue cycle management solutions tailored to Orthopedics.

[01]

Eligibility Verification

Real-time insurance verification and benefits validation with prior authorization management and patient eligibility reporting.

→Real-time insurance verification
→Benefits and coverage validation
→Prior authorization management
→Patient eligibility reporting

[02]

CPT & ICD-10 Coding

Expert diagnostic note interpretation and comprehensive coding accuracy aligned with CPT and ICD-10 compliance standards.

→CPT and ICD-10 compliance standards
→Validation of superbill codes
→Expert diagnostic note interpretation
→Comprehensive coding accuracy

[03]

Charge Entry

24-hour electronic submission with fee schedule verification, patient demographic validation, and same-day rejection resolution.

→Fee schedule verification
→Patient demographic validation
→24-hour electronic submission
→Same-day rejection resolution

[04]

Claims Submission

Streamlined electronic submission with rigorous quality checks and first-pass acceptance optimization to minimize rejections.

→Streamlined electronic submission
→Rigorous quality checks
→First-pass acceptance optimization
→Rejection minimization protocols

[05]

Payment Posting

Daily posting and reconciliation with EFT/ERA enrollment facilitation and detailed tracking and payment trend analysis.

→EFT/ERA enrollment facilitation
→Daily posting and reconciliation
→Detailed tracking and documentation
→Payment trend analysis

[06]

Denial Management

Specialized appeals team with root cause analysis, secondary/tertiary claims expertise, and revenue recovery optimization.

→Specialized Appeals Team
→Secondary/tertiary claims expertise
→Root cause analysis
→Revenue recovery optimization

Expertise on 30+ EMRs
and Billing Platforms

Our team has extensive experience working with leading EMR and billing platforms, ensuring seamless integration and optimized revenue cycle management.