{"id":15936,"date":"2022-10-14T12:24:30","date_gmt":"2022-10-14T12:24:30","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=15936"},"modified":"2025-04-25T09:06:23","modified_gmt":"2025-04-25T09:06:23","slug":"wisely-choose-your-orthopedic-billing-partner","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/","title":{"rendered":"Wisely Choose Your Orthopedic Billing Partner"},"content":{"rendered":"

Outsourcing is the Need of the Hour<\/strong><\/h2>\r\n

Nowadays, most of the practices feel comfortable passing the burden of billing and coding onto medical billing partners. Billing companies have medical specialty-wise billing and coding experts who streamline the revenue cycle process for healthcare practice.<\/p>\r\n

But not all medical billing companies are the same, some of them may not have RCM experts or processes. Choosing the wrong billing service or outsourcing for the wrong reason can quickly become a risk and lost revenue nightmare.<\/p>\r\n

Hastily outsourcing billing and collections without careful evaluation of the company could lead to severe problems in long term. Performing due diligence before signing a contract with such companies can mitigate risk and performance issues before they become unmanageable. Consider this article, as a guide to choosing your orthopedic billing partner.<\/p>\r\n

Wisely Choose Your Orthopedic Billing Partner<\/strong><\/h2>\r\n

Business Associate Agreement (BAA)<\/strong><\/h3>\r\n

Fewer service rates are the only selection criteria of most orthopedic providers. Many small medical billing companies process a claim but they are unaware of the regulatory environment or the insurance compliances.<\/p>\r\n

Such billing companies have no privacy, security, or document destruction policies, and may not even know what a Business Associate Agreement (BAA) is, let alone supply one to the practice.<\/p>\r\n

When you are entering into a contract with medical billing company ensure that your BAA includes, a security policy, a privacy policy, and have a breach notification procedure in place and ready in case a breach occurs.<\/p>\r\n

HIPAA and PHI<\/strong><\/h3>\r\n

Medical billing<\/a> has been widely affected since the HIPAA Omnibus Rule was introduced in 2013. All parties involved in managing patient health information (PHI) are now required to have rigorous privacy, security, and breach procedures.<\/p>\r\n

Practices should draft and scrutinize the BAA carefully and ask specific questions about the security policy for electronic communication.\u00a0Note that, if the billing service doesn\u2019t shred accounts receivable<\/a> reports or paper Explanation of Benefits, and these fall into the wrong hands, the practice may still get fined.<\/p>\r\n

The billing service\u2019s security policy should cover the details of protecting both digital and paper personal health information (PHI). \u00a0Practices should check about privacy policies and procedures in the billing company.<\/p>\r\n

Who has access to confidential patient data and for what reason? Do employees use computer privacy screens? Do electronic systems log people off after approximately 10 minutes of inactivity?<\/p>\r\n

Billing Expertise<\/strong><\/h3>\r\n

Don\u2019t assume that the billing company\u2019s employees have up-to-date knowledge of coding rules or Federal regulations. To provide a more economical deal, billing companies might assign lesser experienced billing experts for your account.<\/p>\r\n

Billing companies might fall short when it comes to training. Employees don\u2019t attend annual society coding workshops. Their employees may rely on \u2018years of experience and advice from online coding discussion boards.<\/p>\r\n

An uneducated workforce is dangerous. If billing service employees are not receiving ongoing education, they may not know regulatory rules or use best practices for managing accounts.<\/p>\r\n

The billing service employees should attend coding courses each year. Practices should also expect the service to be competent with ICD-10 coding<\/a> and aware of fraud and abuse statutes.<\/p>\r\n

Billing Reports<\/strong><\/h3>\r\n

You should ask for various billing reports which give an overall picture of your collection activities. To determine whether the service uses effective accounts receivable processes, orthopedic practices should ask how unpaid, underpaid, and denied claims<\/a> are handled.<\/p>\r\n

Ask for AR aging, rejections, payment trends, and overall collection report. Reputable billing companies have procedures for every medical billing process.\u00a0Request copies of billing and collections procedures, and sample reports.<\/p>\r\n

Ask for protocols describing how credit balances, refunds, and adjustments are handled and modify these procedures for your practice. You also need to clarify that the service will never change a diagnosis or procedure code for any reason without physician approval.<\/p>\r\n

Before outsourcing orthopedic billing and coding services, practices should carefully evaluate the billing company to minimize risk and lost revenue. Medical Billers and Coders (MBC)<\/strong><\/a> is a leading medical billing company providing complete medical billing and coding services.<\/p>\r\n

Our HIPAA-compliant billing services, industry presence of 15+ years, and a team of industry-best coders and billers make us a trusted orthopedic billing partner.<\/p>\r\n

To know more about our orthopedic billing services, contact us at: 888-357-3226<\/strong><\/a> or drop an email at: info@medicalbillersandcoders.com<\/a>.<\/p>\r\n

FAQs:<\/strong><\/h2>\r\n\r\n
\r\n
1. Why should orthopedic practices consider outsourcing their billing?<\/strong>\r\n

Outsourcing billing can streamline the revenue cycle process, allowing practices to focus on patient care. Specialized billing partners have expertise in managing complexities specific to orthopedic billing and coding.<\/p>\r\n<\/div>\r\n

2. What should practices look for in a medical billing partner?<\/strong>\r\n

Practices should evaluate a potential partner’s experience, compliance with HIPAA, and the existence of a Business Associate Agreement (BAA). It\u2019s essential to ensure they have robust privacy and security policies in place.<\/p>\r\n<\/div>\r\n

3. How can I ensure my billing service is knowledgeable about coding and regulations?<\/strong>\r\n

Confirm that the billing company’s staff receives ongoing training in coding and stays updated on federal regulations. Ask about their attendance at annual coding workshops and other educational opportunities.<\/p>\r\n<\/div>\r\n

4. What type of reports should I request from my billing partner?<\/strong>\r\n

Request comprehensive billing reports that provide insights into accounts receivable, claim denials, and payment trends. This helps gauge the effectiveness of their billing processes and collection activities.<\/p>\r\n<\/div>\r\n

5. How can I protect my practice from potential data breaches?<\/strong>\r\n

Ensure the medical billing company<\/a> has a clear security policy for managing patient health information (PHI), including breach notification procedures. Verify how they handle confidential data and what access controls are in place.<\/p>\r\n<\/div>\r\n<\/div>\r\n","protected":false},"excerpt":{"rendered":"

Outsourcing is the Need of the Hour Nowadays, most of the practices feel comfortable passing the burden of billing and coding onto medical billing partners. Billing companies have medical specialty-wise billing and coding experts who streamline the revenue cycle process for healthcare practice. But not all medical billing companies are the same, some of them […]<\/p>\n","protected":false},"author":2,"featured_media":15939,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[387],"tags":[94,97,388,1150,3680,385,2613,3555,58,27],"class_list":["post-15936","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-orthopedics-billing-services","tag-hipaa","tag-icd-10-2","tag-orthopedic-billing","tag-orthopedic-billing-and-coding","tag-orthopedic-billing-partner","tag-orthopedic-billing-services","tag-phi","tag-public-health-emergency-phe","tag-rcm","tag-revenue-cycle-management-2"],"yoast_head":"\r\nChoosing the Right Orthopedic Billing Partner: A Guide<\/title>\r\n<meta name=\"description\" content=\"Avoid revenue loss and billing nightmares by selecting the right orthopedic billing partner. 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Why should orthopedic practices consider outsourcing their billing?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Outsourcing billing can streamline the revenue cycle process, allowing practices to focus on patient care. Specialized billing partners have expertise in managing complexities specific to orthopedic billing and coding.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/#faq-question-1745571571219","position":2,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/#faq-question-1745571571219","name":"2. What should practices look for in a medical billing partner?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Practices should evaluate a potential partner's experience, compliance with <a href=\"https:\/\/www.cms.gov\/priorities\/key-initiatives\/burden-reduction\/administrative-simplification\/hipaa\/privacy-security-information\">HIPAA<\/a>, and the existence of a Business Associate Agreement (BAA). It\u2019s essential to ensure they have robust privacy and security policies in place.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/#faq-question-1745571584591","position":3,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/#faq-question-1745571584591","name":"3. How can I ensure my billing service is knowledgeable about coding and regulations?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Confirm that the billing company's staff receives ongoing training in coding and stays updated on federal regulations. Ask about their attendance at annual coding workshops and other educational opportunities.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/#faq-question-1745571599177","position":4,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/#faq-question-1745571599177","name":"4. What type of reports should I request from my billing partner?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Request comprehensive billing reports that provide insights into accounts receivable, claim denials, and payment trends. This helps gauge the effectiveness of their billing processes and collection activities.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/#faq-question-1745571610590","position":5,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/wisely-choose-your-orthopedic-billing-partner\/#faq-question-1745571610590","name":"5. How can I protect my practice from potential data breaches?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Ensure the <a href=\"https:\/\/www.medicalbillersandcoders.com\/\">medical billing company<\/a> has a clear security policy for managing patient health information (PHI), including breach notification procedures. 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