Orthopedics Specialty Billing

Surgical Precision. Billing Precision.

From injury evaluation to surgical procedures and rehabilitation, orthopedic billing spans a wide procedural range. DI RevNexus manages global-period tracking, imaging and injection coding, and authorization timing so claims move without delay.

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HIPAA-Aligned Workflows
Orthopedic-Trained Coders
Orthopedic billing specialist reviewing surgical claims and imaging codes
Surgical Claims Coded, tracked, and followed through the global period
Surgical Coding
Global Period Tracking
Faster Reimbursement
01 Orthopedics RCM Services

Every Stage of Orthopedic Billing. Handled With Precision.

From evaluation and imaging through surgery and rehabilitation, our team manages the coding, authorization, and follow-up orthopedic claims depend on.

Surgical Coding

Accurate CPT and ICD-10 coding for surgical procedures, including bundled and multi-procedure claims.

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Eligibility Verification

Coverage and benefits confirmed before surgery, imaging, or therapy sessions begin.

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Prior Authorization

Timely authorization requests for surgery, imaging, injections, and physical therapy.

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Claims Processing

Clean, scrubbed claims submitted electronically and tracked from submission to resolution.

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Global Period Tracking

Post-surgical global periods tracked accurately to prevent bundling errors and lost revenue.

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Payment Posting

Timely, accurate posting and reconciliation of payments across every orthopedic account.

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Denial Management

Proactive appeals for bundling, imaging, and authorization-related denials, worked to resolution.

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AR Follow-up

Structured, scheduled follow-up on aging balances tied to surgical and therapy claims.

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1 Evaluation → 2 Procedure → 3 Claim → 4 Revenue
Why Choose Us

Why Orthopedic Practices Choose DI RevNexus

A billing partner that understands surgical coding, global periods, and payer authorization rules — not a generic back office.

Orthopedic-Trained Coders

Coders fluent in surgical CPT, ICD-10, and modifier rules across orthopedic subspecialties.

Global Period Accuracy

Post-surgical global periods tracked precisely to avoid incorrect bundling and lost revenue.

Authorization Timing

Prior-authorization requirements tracked by payer and procedure to keep surgeries on schedule.

Transparent Reporting

Clear visibility into orthopedic claims, collections, and AR — whenever you want to look.

Denial & Appeal Management

Bundling and authorization denials are appealed promptly, not left to age in a queue.

Scalable Support

Billing support designed to scale as your orthopedic practice and case volume grow.

HIPAA-Conscious Processes

Patient and billing data handled with care, consistent with HIPAA principles throughout.

Client-Focused Communication

A dedicated point of contact who knows your account and answers directly.

Coverage

Orthopedic Services We Bill and Code

From fracture care to joint replacement and rehabilitation, our team codes and bills across the full orthopedic service line.

Fracture Care

Joint Replacement

Sports Medicine

Spine Procedures

Physical Therapy Coordination

Post-Surgical Follow-up

DME Coordination

Pain Management Injections

How It Works

The Orthopedics Workflow, Start to Finish

A disciplined, repeatable process built around surgical documentation, imaging, and global-period requirements.

1

Evaluation

Patient history, injury details, and clinical findings are documented at the point of care.

2

Imaging

X-rays, MRIs, and other imaging are ordered and coded to support diagnosis and treatment planning.

3

Procedure Coding

Certified coders apply accurate surgical CPT, ICD-10, and modifier codes, including bundled procedures.

4

Authorization

Prior authorization is confirmed for surgery, imaging, injections, and physical therapy.

5

Claim Submission

Scrubbed, clean claims are submitted electronically and tracked from day one.

6

Payment Posting

Payments and adjustments are posted and reconciled promptly against every claim.

7

Denial Resolution

Bundling and authorization denials are reviewed, corrected, and appealed on a tracked timeline.

8

Revenue Recovery

Recovered payments flow back into reporting, closing the loop on every orthopedic claim.

Turn Orthopedic Billing Into a Stronger Revenue Cycle.

Let our team review your current orthopedic billing process and show you exactly where cleaner coding and tighter authorization can recover revenue.

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