Orthopedic practice owners are struggling to maintain the financial stability of their practice. There are many reasons for this struggle as expenses aren’t declining while reimbursement from payers isn’t increasing. As per a recent orthopedic billing survey, more than 30% of orthopedic surgery claims are incorrectly submitted. Such a high portion of rejected and denied […]
Basics of Global Period In Orthopedic surgery, the global period can be an important consideration for the billing of services. A global period is a period of time starting with a surgical procedure and ending some period of time after the procedure. Many surgeries have a follow-up period during which charges for normal postoperative care […]
The Centers for Medicare & Medicaid Services (CMS) sets reimbursement rates for Medicare providers and generally pays them according to approved guidelines such as the CMS Physician Fee Schedule. Medicare reimbursement for orthopedic surgery follows the same set of rules; however, recently the amount of Medicare reimbursement for orthopedic trauma surgery has fallen by nearly […]
In a bundled payments model, providers and/or healthcare organizations receive a single payment for all the services delivered during an episode of care. When it comes to Orthopedic Bundled Payments, these models are becoming more sophisticated and standardized with the help of analytic insights based on collected data from surgeons. CMS has made numerous changes […]
Is orthotics the same as orthopedics? If you are looking for an answer then you are at the right place. An orthotic is a device that supports and stabilizes a joint or weakened/injured body part, creating proper alignment, pressure relief, and management of pain while orthopedics is a branch of medicine that focuses on the […]
COVID-19 has impacted the day-to-day life of people, businesses, manufacturers, and even the healthcare industry. COVID-19 pandemic has also affected the orthopedics field by which doctors are not effectively concentrating on their regular patients. The shortage of physicians and support staff and even the ventilators, medicine, and other equipment and devices are the major concerns […]
There are many distinctive as well as common practice challenges faced by orthopedic surgeons over and again. These encounters mainly hinder their business cycle, and sometimes you may also find orthopedic healthcare units closing down. Challenges like rising or unavailability of implants and their costs, healthcare reform implementation, and a clean revenue cycle in the […]
The Center for Medicare and Medicaid Services (CMS) has issued the final rules on Ambulatory Surgical Center (ASC) reimbursement and changes that could have important implication on the orthopedics billing in ASC. The rule includes update to payment policies, payment rates and also the quality provisions for the services provided under the Physician Fee Schedule […]
With a fleet of changes in ICD-10 and updates, 2018 can be a troublesome year for orthopedic practitioners. If your ICD-10 orthopedic coding is not up to the mark, you are likely to suffer on the reimbursement front. Most of the changes in CPT 2018 have been made to the Musculoskeletal System codes (20005-29999) and […]
Getting paid by insurance timely and accurately in any medical specialty including orthopedics is a vigorous process. The introduction of new billing and coding rules is a regular part of all practices, and billers and coders must aware of all coding updates, policies, and conventions required for coding aptly for accurate reimbursements. There are numerous […]
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