Your orthopedic practice deserves more than generic billing. You need specialists who understand the complexity of CPT and ICD-10 codes, specifically those related to fractures, joint replacements, and surgical procedures. At Sparc Care, we deliver orthopedic medical billing services that turn complicated claims into consistent cash flow.
We’ve watched too many orthopedic surgeons lose thousands monthly to coding errors. Simple mistakes—such as incorrect modifiers or bundling issues—can reduce your reimbursement by 20% or more.Â
Ready to stop leaving money on the table?
Orthopedic billing is distinct from other specialties. Your claims involve intricate surgical codes, global periods, and hardware documentation that general billers often miss. Here's what makes orthopedic revenue cycle management uniquely challenging:
Orthopedic coding involves thousands of procedure codes. A total knee arthroplasty (CPT 27447) requires different documentation than an arthroscopic rotator cuff repair (CPT 29827). One incorrect digit can result in denied claims or compliance issues.
Our orthopedic billing specialists master these codes daily. We handle:
Orthopedic claims face denial rates averaging 15-20% nationally. That's thousands of dollars stuck in appeals. Common culprits include:
Our denial management process achieves a 95% overturn rate of appeals. We don't just fix denials—we prevent them.
Orthopedic surgery centers operate differently from office practices. You might bill through an ASC, hospital, and private office simultaneously. Each setting has unique rules for clean claims submission and reimbursement optimization.
Schedule your free revenueLet's identify hidden opportunities in your current billing.
We deliver end-to-end orthopedic billing solutions customized to your practice type. Whether you're a solo surgeon or a multi-provider group, we've got you covered.
Missed charges equal lost revenue. Our team captures every billable service:
Our medical coding accuracy exceeds 98% on the first submission. We follow CMS and AMA coding guidelines religiously.
Prior authorization nightmares end here. We handle:
Average turnaround? 48 hours or less. No more surgical delays.
We verify patient eligibility before every appointment. Our automated claim management system checks:
| Verification Type | What We Check | Turnaround |
|---|---|---|
| Insurance Coverage | Active policy status | Real-time |
| Benefits | Deductibles, co-pays | 24 hours |
| Pre-authorization | Required procedures | 48 hours |
| Specialist Referrals | PCP authorization | Same day |
Our cloud-based billing system submits claims within 24 hours of service. We use electronic claims tracking to monitor every claim through payment.
Every payment gets posted accurately within 48 hours. Our team:
Our denial prevention strategy catches issues before submission. When denials happen, we act fast:
and watch your denial rate drop by 40% or more.
Orthopedic practices working with us see measurable results fast:
Stop paying for in-house billing staff, software, and training. Our cost-saving billing solutions deliver better results at a lower cost. Average savings? $75,000-$150,000 annually for a 5-provider group.
Stay ahead of changing payer policy updates and CMS regulations adherence. We're your compliance safety net:
Your orthopedic physician workflows should focus on healing, not paperwork. We handle billing so you can focus on patients. Imagine eliminating:
Our real-time billing reports give you instant visibility:
Let's discuss your practice goals.
We're not generalists. We're orthopedic billing compliance experts who live and breathe this specialty. Our team includes:
Our integrated billing platforms connect seamlessly with:
We use AI-powered medical billing to spot errors before submission. Automated denial resolution tools cut appeal time by 60%.
Every team member works from our US-based medical billing company offices. You'll never deal with offshore call centers or language barriers. Your dedicated account manager knows your practice personally.
Choose the service level that fits your needs:
No long-term contracts. No hidden fees. Just transparent pricing and exceptional results.
We start with a comprehensive practice audit:
We build your customized orthopedic billing solutions:
We transition smoothly without disrupting operations:
Continuous improvement drives better results:
Modifiers 59, 76, and 77 confuse many billers. We apply them correctly every time, preventing bundling denials and optimizing healthcare reimbursement.
Post-operative visits during global periods need careful tracking. We manage these complications seamlessly, ensuring compliant billing for related and unrelated visits.
Work-related injuries follow different rules. Our team handles medical billing for orthopedic specialists treating workers' comp patients, navigating state-specific requirements.
Hardware and implants require detailed documentation. We ensure the proper submission of HCPCS codes, including manufacturer information and lot numbers.
Co-surgeon billing with modifiers 62 and 66 requires precise coordination and attention to detail. We manage the splits and documentation between providers flawlessly.
Stop struggling with orthopedic billing headaches. Join hundreds of orthopedic practices across the US who've transformed their revenue with our expert services.
Get your free practiceWe'll show you exactly where money's slipping through the cracks—and how to fix it fast. Your orthopedic surgery billing deserves specialists who understand the complexity and deliver results.
Don't let another month pass with preventable denials and delayed payments. Partner with the orthopedic medical billing company that puts your revenue first.
Ready to maximize your practice revenue? Let's talk.
Your money's stuck in denials, aging claims, and underpayments. Sparc Care identifies these hidden dollars through detailed accounts receivable (A/R) analysis and aggressive follow-up. We'll show you exactly where revenue's trapped. Contact us today for a free revenue audit.
Sparc Care submits clean claims within 24 hours of service using automated systems. We verify codes, check eligibility, and scrub for errors before submission. Claims move fast through our streamlined process. Partner with us for faster payments.
Sparc Care handles all prior authorizations, so you don't wait on hold. Our team secures approvals for surgeries, imaging, and injections in 48 hours or less. No more surgery delays. Let us manage your authorization headaches.
Sparc Care delivers easy-to-read reports with clear metrics you'll actually understand. No confusing spreadsheets—just simple dashboards showing your revenue, denials, and collections. Numbers made simple. Schedule a demo to explore our reporting capabilities.
Sparc Care manages your entire revenue cycle—from eligibility checks to payment posting. Coding, claims, denials, credentialing, and collections all under one roof. Complete billing solution. Switch to us for seamless service.
Sparc Care provides comprehensive orthopedic billing services, including coding, claims submission, denial management, payment posting, credentialing, and accounts receivable follow-up. We handle everything so that you can focus on your patients. Full-service billing experts. Contact Sparc Care for details.
Sparc Care increases revenue through accurate coding, fast claims submission, and aggressive denial appeals. We achieve collection rates of 95% or higher and reduce days in accounts receivable by 40%. Proven results. Partner with us today.
Sparc Care follows strict HIPAA and CMS guidelines. Our certified coders stay up-to-date on regulatory changes through ongoing training. We conduct regular compliance audits to ensure the protection of your practice. Stay compliant with us. Call us now.
Yes! Sparc Care handles provider credentialing with all major payers and manages CAQH profiles. We complete enrollment within 60-90 days and handle re-credentialing as well. Full credentialing support included. Get started with us today.
Sparc Care offers specialized orthopedic expertise, US-based support, and transparent reporting. We're AAPC certified, with 98% first-pass rates, and no long-term contracts are required. Real results, real fast. Experience the difference yourself.
Sparc Care delivers end-to-end medical billing, coding, and practice support to help healthcare providers streamline operations, boost cash flow, and focus on patient care.
Talk to a billing specialist today and discover how we can simplify your practice.
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