Surgical Accuracy. Financial Strength.
Orthopedics Billing & Revenue Cycle Management
Our orthopedic billing expertise ensures every procedure gets paid. You deliver movement—we deliver momentum.
Robust RCM Solutions for
Orthopedic Practices
Orthopedic practices require specialized billing for surgeries, physical therapy, imaging, and other complex services. Health Prime’s orthopedic revenue cycle management services help reduce errors, improve reimbursement rates, and streamline your billing and coding processes, so you can get paid faster and more consistently.
Health Prime’s deep expertise in orthopedic revenue cycle management simplifies your complexity, ensuring accurate billing, faster reimbursements, and a streamlined, compliant process—allowing you to focus on delivering quality patient care without the administrative headache.
The Tools You Need, Tailored for You
Technology that powers RCM performance
Health Prime’s purpose-built technology platform is designed for orthopedic billing precision — from surgical coding and implant tracking to global period management and multiple procedure rules. Our integrated tools can simplify high-volume, high-complexity billing challenges, by:
- Automating charge capture across office visits, surgeries, imaging, and physical therapy
- Applying rule-based logic to ensure compliant use of CPT codes, and fracture care bundling
- Streamlining implant tracking and documentation for accurate billing and inventory management
- Tracking global surgery periods and documenting all post-op visits in a timely manner to ensure billing accuracy and compliance.
Data-driven analytics and business intelligence
Health Prime’s analytics platform gives orthopedic practices access to the metrics that matter most—surgical volumes, procedure mix, modifier usage, denial trends, and payer behavior.
With customizable dashboards, you get the insights needed to optimize performance from consult to post-op. Our data-driven tools:
- Track surgical volume, reimbursement rates, and payer trends by procedure type or provider
- Analyze denials by modifier usage, coding accuracy, or documentation gaps
- Monitor performance across office visits, imaging, and ASC or hospital-based procedures
Results You Can Expect
Clean Claims for Complex Procedures
Reduce denials with expert handling of surgical coding and modifiers.
Optimized Reimbursements
Capture all revenue from pre-op, intra-op, and post-op care.
Clearer Billing for Patients
Help patients navigate surgery costs and payment plans with ease.
What Sets Us Apart for Orthopedic Practices
Ortho-Specific Coding Knowledge
We’re fluent in fracture care, joint replacements, arthroscopies, and more.
Efficient Surgical Billing Workflows
We track global periods and documentation to ensure complete claims.
High-Volume Practice Support
We help busy practices manage scheduling, claims, and denials without bottlenecks.
Outcome-Driven Reporting
Monitor collections by procedure type, payer, or provider.
stats
It's all in the numbers
Success rate of claims accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
stats
It's all in the numbers
Success rate of claims accepted on the first pass
Increase in reimbursement year-over-year
Increase in overall practice productivity
Want More?
Explore in-depth articles, updates, and expert insights on orthopedics revenue cycle management.
Take The Next Step
Let’s improve your ortho billing outcomes—from consult to post-op. Contact our RCM experts today.
Take The Next Step
Let’s improve your ortho billing outcomes—from consult to post-op.
Contact our RCM experts today.