Orthopedic Surgery Billing Best Practices: For Joint Replacements and Fracture Care

Orthopedic billing is complex, especially for joint replacements and fracture care. This guide breaks down essential strategies to ensure accurate coding, proper use of modifiers, and adherence to payer policies for better reimbursement and fewer denials.

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Bariatric Surgery Billing Guideline: CPT 43770–43775 and ICD-10 Codes

Bariatric surgery billing requires accurate CPT coding, such as 43770–43775 for common procedures, and matching ICD-10 codes to justify medical necessity. Compliance with CMS documentation, correct modifier use, and timely pre-authorizations are essential to reduce denials and accelerate reimbursement in 2025.

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Top 4 Reasons for Physical Therapy Claim Denials and Solutions

Denied claims are the type of claims that were received and processed by the insurance payer and a negative determination was made. It is no wonder that in Physical Therapy there are a greater number of denied claims compared to any other specialty. Read more about reasons for claim denials in Physical Therapy and ways to rectify them.

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Understanding Payer-Specific Credentialing: Medicare vs. Commercial Insurance

Payer-Specific Credentialing is vital in healthcare. This blog explains how Medicare, Medicaid, and commercial insurance processes differ and impact your revenue.

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