How to improve revenue for orthopedic billing services

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How to Improve Revenue for Orthopedic Billing Services


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• This doesn’t paint a rosy picture for the orthopedics. It is well known that practices that lose more than 20 percent of their potential revenue are doing so because of inept medical billing processes. • Moreover, in orthopedic billing services, due to rules associated with various multiple procedures, tracking of underpayments is crucial, as these payments can increase revenue collection by 7 to 10%. So, how can you get a robust revenue cycle management system going without compromising on your core practice?

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Improve Management •

Streamlining most processes and sending specific people for training in specific tasks thereby decentralizing the management will help improve better patient satisfaction and thereby bring in more footfalls, increasing revenue.

Aligning with the trends: •

Bringing in or aligning with a specific area of expertise such as sports medicine or in-house physical therapy (PT) programs can bring in additional revenues for a hospital or even private clinics. A single orthopedic surgeon services was known to have contributed an estimated $2,111,764 as revenue to a hospital service in a 2010 survey

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In-House Physician (non-operative orthopedist) • This helps increase direct revenue by Giving room to the main principals to perform surgery which brings in higher reimbursement. • Helping with ancillary services like pain management and pre surgical medical clearance. • Handling office procedures giving more time for the orthopedist to concentrate on core practice.

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Outsourcing • Outsourcing orthopedic billing services can help reduce a lot of extra work, especially with the transition from the ICD-9 to ICD-10 coding systems. • Overall, in future, with the changing healthcare reforms, and the opening up of Medicare facilities for uninsured patients, and an increase in surgical and medical interventions, there will soon be a need for niche specialties and orthopedists will need to rise to these demands. Knee replacements, one of the most sought after elective surgeries has helped boost orthopedists revenues, and more such procedures are bound to follow. Are you ready?

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