Decades of Experience in Orthopedic Billing & RCM​
Orthopedic Billing Services
From fracture care and joint replacements to surgical pre-auths and global periods, we support practices with orthopedic billing services, built for speed, precision, and fewer denials.
We deliver consistent results for our partners
78%
Appeal Success Rate
98%
Clean Claim Rate
5000+
Claims processed monthly
22
States, Groups Served
Industry-Leading RCM,
Focused on Your Growth
At AnnexMed, we specialize in orthopedic medical billing services, mapping our workflows to your surgical schedules, managing global periods, and getting every modifier right. From accurate operative note coding to faster turnaround on Orthopedic Billing, pre-authorizations and follow-ups, we ensure your reimbursements don’t miss a beat.
Comprehensive Orthopedic Billing Services
Our orthopedic revenue cycle services don’t just follow templates, we understand the surgical schedules, high-cost implant dynamics, and payer complexity that define your specialty
Ortho-Specific Coding Reviews
Expert coders ensure accurate capture for fracture care, joint replacements, and injection series, minimizing underbilling and compliance risks.
Surgical Auth Coordination
We manage pre-op and urgent surgical authorization workflows to ensure that orthopedic procedures aren’t postponed and revenue isn’t lost.
Pre-Service Coverage Checks
We verify eligibility and benefits for high-value ortho procedures, including DME and therapy plans, before the patient walks in.
AR Tracking & Recovery
Aggressive follow-up workflows focused on Orthopedic surgical claims, implant charges, and inpatient stays to reduce delays and maximize collections.
Denials Intelligence & Appeals
Systematic tracking of denial trends for bundled services, assistant orthopedic surgeon billing, and medical necessity, followed by targeted appeals.
Daily Payment Matching
From surgical bundles to split payments, our reconciliation process ensures no payment is left unmatched or misposted.
Why AnnexMed?
Proven Revenue Cycle Solutions That Grow With You
At AnnexMed, our dermatology-focused RCM services reduce billing errors, speed up collections, and let your team focus more on care, not paperwork.
- Specialty queues for urgent orthopedic encounters like ER follow-ups and trauma coding
- Ortho-trained billers track surgical authorizations and implant-related charges in real time
- Dedicated teams for outpatient, inpatient, and ASC billing, each with tailored SOPs
- Charge capture aligned with visit types, from injection clinics to post-op rehab
- Real-time dashboards that track per-surgeon and per-procedure reimbursement trends
Rethink What Your Orthopedic Billing Can Deliver
Speak with our team and see what streamlined orthopedics billing process looks like.
Common Orthopedic Medical Billing Challenges
Behind every Orthopedic surgery and follow-up visit lies a billing process that can stall your revenue flow. We help orthopedic practices fix the pain points that cost time, money, and peace of mind:
-
Missed Post-Op Orthopedic Services
Charges that can be missed for injections, aspirations, and fracture care within global periods -
Documentation Gaps
Undercoding of Orthopedic surgical procedures due to vague or incomplete provider notes
-
Claim Denials from Modifier Errors
Inaccurate application of modifiers (-RT, -LT, -59, -51) often triggers claim denials, compliance risks, and revenue leakage. -
Missed Add-On Codes
Overlooking add-on codes for multi-site or bilateral procedures results in incomplete Orthopedic billing & underpayments
-
Errors in Coding Bundled Services
Confusion between bundled and separately billable services often leads to coding errors and lost revenue opportunities. -
Coding Pitfalls in E/M Level
Denied or downgraded claims from incorrect E/M level selection leading to reworking claims.
Adhering to Industry Standards
Orthopedic Billing Services with Built-In Compliance
Our in-house Compliance Team ensures every process meets the highest standards of data security and regulatory integrity, keeping your Orthopedic practice protected and fully HIPAA-compliant at all times.
- In-house compliance oversight
- Quarterly privacy & security refreshers
- FDCPA & HIPAA-aligned practices
- Real-time audit trails
- Active monitoring of case protocols
- Smart system for policy enforcement
SOC 2 Type 1
ISO 27001:2022
ISO 9001:2015
SOC 2 Type 2
Case Studies
Mid-Size Ohio Health System Untangled $22M in Legacy AR with Annexmed
Featured Guide
Best Practices in Orthopedic Medical Billing for Joint Replacement Surgeries
FAQs in Outsourcing Orthopedic Billing
Ready to Get Started?
Whether you need full-scale support or help with just one part of the revenue cycle, AnnexMed offers modular services tailored to your most pressing needs.
Let's get started with,
- A quick discovery call to understand your goals
- Insights on how our services align with your workflows
- Guidance on compliance, turnaround, and scaling
- Option to request case study examples
Why AnnexMed?
- 20+ Years of RCM Excellence
- HIPPA Complaince Workflows
- 50+ Specialties Supported​
- U.S. Based & Offshore Hybrid Teams​
