● Orthopedic Revenue Cycle Specialists
Orthopedic Billing Services That Maximize Every Procedure Claim
Claim Click Solutions codes surgeries, implants, and DME correctly the first time, helping orthopedic practices reduce denials and collect full reimbursement for every procedure performed.
Trusted by urgent care centers and multi-site groups.
97.6%
Clean claim rate
● The Real Cost of Generic Billing
Orthopedic billing breaks in ways general billers never catch
Every one of these is a claim your practice has probably already lost money on this quarter.
Missing or wrong RT/LT modifiers
Laterality errors on bilateral or repeat procedures silently trigger denials or underpayment on claims that should have paid in full.
Global period visits billed wrong
Post-op visits inside a 90-day global period need modifier 58, 78, or 79 applied correctly — miss it and the claim denies automatically.
Arthroscopic vs. open confusion
Billers unfamiliar with orthopedic CPT logic default to the wrong procedure family, leaving reimbursement on the table visit after visit
Prior authorization gaps
Most orthopedic ASC claims now require prior authorization — an incomplete first submission means little room left to correct it before the payer's response window closes.
Implant & hardware billing missed
Hardware, implants, and supply codes tied to joint replacement and fracture care get underbilled or dropped when documentation isn't cross-checked line by line
Co-surgeon claims split incorrectly
Multi-provider procedures without a correctly applied modifier 62 create payer confusion and repeated denials for every surgeon involved.
● How We Fix It
A billing team built around orthopedic surgery, from consult to final post-op visit
We don't hand your claims to generalists. Every coder on your account is trained specifically on orthopedic CPT logic, global periods, and ASC-specific rules.
● Full-Service RCM
Every stage of orthopedic revenue cycle management
From eligibility and prior authorization to appealed denials, we run the parts of your revenue cycle that pull attention away from patient care.
Insurance Verification & Prior Auth
Eligibility confirmed and ASC prior authorizations submitted with complete clinical documentation before the day of surgery.
Orthopedic Medical Coding
Every procedure captured and coded correctly — CPT, ICD-10, HCPCS, RT/LT, and global-period modifiers, by orthopedic specialists.
Claim Submission
Clean claims scrubbed against NCCI edits and payer-specific rules before they ever leave the building — fewer rejections, faster payment.
Payment Posting
ERA/EOB reconciliation posted daily so your AR reports always reflect what's actually been collected.
Denial Management & Appeals
Every denial is diagnosed, corrected, and appealed with the documentation orthopedic and ASC payers require.
Software Integrations & AR Recovery
Connected to your existing EHR/PM platform, with aging claims worked back to payment and clear patient statements.
● Built For Orthopedics Specifically
We speak fluent CPT for every orthopedic procedure you perform
No learning curve, no generic templates — just coders who already know the procedures your practice bills every single week.
● Why Practices Switch to Us
What actually changes when Claim Click Solutions takes over
● The Bottom Line
What specialized orthopedic billing does for your practice
● Case Study
How a 3-location orthopedic ASC group recovered $1.1M in stalled AR
A regional orthopedic ASC group came to us with a 31% denial rate driven by modifier and global-period coding errors, plus nine months of unworked accounts receivable.
● Common Questions
Orthopedic billing FAQ
What makes orthopedic billing different from general medical billing?
Orthopedic claims combine complex CPT logic (arthroscopic vs. open procedures), RT/LT laterality rules, 90-day global periods with specific post-op modifiers, implant and hardware billing, and NCCI edits that generalist billers routinely miss. Getting it right requires coders trained specifically on orthopedic procedures.
How do you handle global period billing and post-op modifiers?
Every surgery date is tracked against its 90-day global period, and post-operative visits are billed with the correct modifier — 58, 78, or 79 — depending on whether the follow-up is staged, related to a complication, or unrelated to the original procedure.
Can you manage prior authorization for ASC and surgical claims?
Yes. We build and manage a dedicated authorization workflow that submits complete clinical documentation up front and tracks every request through the payer's response window, so no billable service is left waiting on an incomplete authorization.
Do you bill for both office visits and surgical procedures?
Yes. We manage complete orthopedic encounters — from E/M visits and injections to joint replacement, fracture care, arthroscopy, and spinal surgery — with a dedicated team handling CPT coding, modifiers, implant billing, and post-op claims.
How do you keep up with changing CPT and NCCI rules?
Our coding protocols are updated every time CMS releases new CPT, ICD-10, or NCCI edit changes, and our AAPC-certified coders are trained on musculoskeletal-specific updates as soon as they take effect.
Can you handle billing across multiple locations and ASCs?
Yes. We manage billing across multiple orthopedic clinics, ASCs, and hospital-affiliated departments simultaneously, applying correct place-of-service codes and site-specific payer rules for each location.
● Free Billing Audit
See exactly what your current billing process is missing
We'll review a sample of your recent orthopedic claims and show you where revenue is being left on the table — no cost, no obligation.