Are you an orthopedic surgeon? It’s time to ask this question yourself. Are you doing everything that you can boost your surgical reimbursement for your Orthopedic Practice?
In surgical cases, many times complex, required multiple procedures are involved to resolve a patient’s ailments. This is a particularly correct statement in orthopedic surgery field. Human bodies are complex biomechanical structures and can be in affected by a number of conditions requiring surgical interventions.
Your patients get relief from your expert surgical treatments that you provide, and then you deserve to be fully reimbursed for all important and separate procedures as far as reimbursement guidelines allow.
Though surgical processes are complex but to hire a orthopedic billing Service Company like Medisys is not that complex. With the help of skilled and certified experienced orthopedic medical coders, you can maximize your reimbursements in your surgical cases. CPC certification by the AAPC has become the gold standard with additional specialty certification available such as AAPC’s COSC (Certified Orthopedic Surgical Coder).
Orthopedic procedure examples to maximize your reimbursement:
Extensive Synovectomy vs Limited Synovectomy
Extensive synovectomy vs limited synovectomy or major vs. minor as a quantitative description is important to note rather than a qualitative description.
The documentation needs to clearly support that synovium was excised from at least 2 compartment s of the knee to bill an extensive synovectomy (29876).
Mumford procedure
The Mumford procedure is also known as distal clavicle excision or distal clavicle resection. It’s important to note the size of the bone that is being removed. As per CPT and AAOS guidelines, this procedure is reportable as 29824, if 8-10mm or more of the clavicle is removed.
If less than that amount is removed, or if the size is not reported, then the procedure will only qualify as a debridement.
These are the most common orthopedic procedures scenarios are listed here because of these scenarios you are getting less reimbursement. But there are many more procedures cause in less amounts of reimbursement from insurance companies.
Contact today to Medisys billing manager for error-free coding and affordable medical billing quote.
About Medisys
We are a group of medical billing experts who offer comprehensive billing and coding services to doctors, physicians & hospitals. We provide end to end billing and coding solutions. Medisys Data Solutions RCM solutions ensures that the providers recover every $ they are entitled to. Our vision for the providers is “You Cure. We $ecure.”
