Orthopedic Surgical & Outpatient Billing
Full-Spectrum Billing Support Aligned With Your Clinical Goals & Administrative Demands.
Expert Surgical & therapy billing precision.
Efficiently improve cash flow with faster reimbursements.
Error-free Reduce denials with pre-op auth verification.
Data-driven Monthly KPI reporting for orthopedic services.
4.9/5.0
100+ Providers Trust
Simplify Medical Billing With,
Evocare Billings, Your Trusted Partner
Enjoy The Confidence Of Knowing Your Billing Is Accurate, Compliant, & Handled By A Team That Puts Your Success First
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
YEARS IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Maximizing Orthopedic Practice
Revenue Nationwide
Accurate Orthopedic Billing That Delivers
Orthopedic billing includes fracture care, joint replacements, and surgical procedures. In California, Florida, and New Jersey, payer rules often complicate reimbursements. Evocare simplifies workflows with automation and coding expertise tailored to orthopedic care. Our solutions reduce denials and ensure faster claim approvals. Orthopedic practices benefit from improved cash flow and reliable billing support.
Stop Orthopedic Revenue Leakage
Missed surgical modifiers and outdated implant billing are common denial triggers. States like Texas, Illinois, and Ohio frequently report stalled orthopedic claims. Evocare prevents these issues by applying clean edits and ensuring compliance. Our team maintains accuracy that keeps rejection rates below industry standards. With us, orthopedic practices strengthen financial outcomes across the country.
Simplify orthopedic billing &
increase revenue
Our team offers specialized expertise in fracture care, joint replacements, and injections, ensuring accurate surgical coding and proper modifier application. We streamline billing for imaging and DME while providing dedicated support for hospital and ASC procedures. By minimizing delays in high-value orthopedic claims and implementing proactive denial management, we help you maximize collections and maintain a healthy revenue cycle.
Orthopedic Billing & Revenue
Optimization Solutions
Driving faster reimbursements with precise surgical and therapy coding.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boot Productivity With Our Innovative Solutions
Orthopedic Revenue Cycle Process
Eliminate financial and operational challenges with optimized workflows for fracture care, joint replacements, and orthopedic surgeries.
4.9/5.0
100+ Providers Trust
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR
Your Practice Runs On
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Maximize Collections for Your
Orthopedic Practice
Orthopedic billing is complex, covering fracture care, joint replacements, injections, and durable medical equipment. Our expert team ensures accurate surgical coding, modifier use, and timely claim submission to reduce delays and denials. This means faster, more reliable reimbursements for your practice.
We provide dedicated billing solutions for both hospital-based and ASC orthopedic procedures. By improving efficiency and revenue flow, we help orthopedic practices manage financial performance while focusing on patient recovery and outcomes.
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Frequently Asked Orthopedic
Questions
If you can’t find the answer you’re looking for, that’s no problem. Schedule a demo, and we’ll work to answer your question.
Why do joint injection claims deny for bilateral procedures?
CPT 20610 billed for both knees requires modifier -50 or RT/LT depending on payer. Missing modifiers leads to payment for one side only.
How do global periods impact fracture care?
Closed fracture management (e.g., 25600 for distal radius) includes 90-day follow-up. Billing E/M for pain during this period denies unless modifier -24 is used for unrelated care.
Why do spinal fusion claims face high denial rates?
CPT 22612 requires documentation of instrumentation (22840–22844). Missing device codes or nonspecific diagnoses (M54.5 low back pain) instead of M43.16 (spondylolisthesis) results in denial.
How do ICD-10 laterality rules complicate ortho billing?
Shoulder arthroscopy (29822) requires coding M75.51 (right shoulder bursitis) or M75.52 (left). Using M75.50 unspecified leads to payer rejections.
Why do physical therapy referrals impact orthopedic billing?
Post-op rehab is often bundled into the global period. If billed prematurely, therapy claims deny. Therapy can only be billed once global ends unless unrelated.
Get paid faster with 24/7 expert medical billing support
Seamless integration with your EHR for smooth workflow operations
Trusted nationwide for a 99% client retention rate
Get paid faster with 24/7 expert medical billing support
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