Orthopedic Billing Solutions

Enhance your orthopedic practice’s financial performance with VLMSHealthcare.com. We specialize in streamlining orthopedic medical billing to help you achieve your revenue cycle objectives.


Financial robustness in orthopedic practice hinges on efficient claim submissions and receiving timely, accurate reimbursements. However, orthopedic medical billing is fraught with complexities due to the extensive range of services provided, payer- specific regulations, and intricate billing codes. A profound understanding of these nuances is crucial, yet, about 35% of orthopedic surgery claims are inaccurately processed by insurers. Moreover, 25% of claims are initially rejected, with 15% never being resubmitted, leading to substantial revenue losses annually.

With the significant costs associated with orthopedic services, high denial rates can drastically impact revenue and patient care. At VLMSHealthcare.com, we dedicate ourselves to offering comprehensive orthopedic billing services that elevate your clean claim submission rate, boost cash flow, and minimize denials.

The VLMSHealthcare Advantage

Choosing VLMSHealthcare means opting for excellence in orthopedic billing management. We function as an integral part of your team, providing tailored, scalable solutions that enhance operational efficiency and foster business growth. Your success fuels ours.

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Deep Expertise in Orthopedic Billing Complexities

The landscape of revenue cycle regulations is increasingly complex. Adapting to ongoing changes is more critical than ever to maintain compliance. We transform your billing processes using our refined, regularly updated procedures, safeguarding you against severe penalties for non-compliance.

Exceptional Orthopedic Billing and Coding Expertise

Our team comprises highly skilled professionals proficient in orthopedic billing, including AAPC-certified coders experienced in ICD, CPT, HCPCS codes, and modifiers, and billing experts with a proven track record in managing both commercial and government payer claims.

Best Practices and Performance-Driven Methodology

Implementing an error-free billing process is challenging. Leveraging years of expertise, VLMSHealthcare devises strategies that enhance your clean claim rates and ensure steady cash flow. Our software-agnostic approach allows for seamless integration with your existing systems, enabling immediate improvements.

Cost Efficiency and Revenue Maximization

In-house billing can be costly. With VLMSHealthcare, reduce overhead costs while accelerating revenue through timely claims submission and increased reimbursements. Partner with us and witness a substantial increase in profitability!

Orthopedic Revenue Cycle Management Services
  • Eligibility Verification & Prior Authorization
  • Orthopedic Medical Coding Services
  • Orthopedic Medical Billing Services
  • Accounts Receivable & Denial Management
  • Clinical Documentation Improvement

VLMSHealthcare Insights

Our analytics pinpoint specific denial causes, preventing repeated errors and future rejections. Here are some common, yet preventable, reasons for orthopedic claims denials we’ve identified:

  • Claims exceeding the timely filing limit
  • Insufficient proof of medical necessity
  • Incorrect application of orthopedic codes and modifiers
  • Missing prior authorization
  • Incomplete or incorrect claim information required

Orthopedic Sub-Specialty Expertise

From arthroplasty to trauma surgery, VLMSHealthcare covers a broad spectrum of orthopedic sub-specialties, ensuring comprehensive support regardless of your specific practice area:

  • Arthroplasty, Bone Health Center, Chiropractic
  • Foot and Ankle, Hand, Hip and Knee, Joint Replacement Surgery
  • Kinesiology, Occupational Therapy, Orthopedic Oncology
  • Orthopedic Trauma, Osseointegration Clinic, Pediatric Orthopedics
  • Physical Therapy, Physiotherapy, Podiatry
  • Shoulder and Elbow Surgery, Spine Surgery, Sports Medicine, Trauma Surgery
medical coding VLMS Healthcare

Compliance First: Your Assurance of Trust