Orthopedic claims are high-impact—and small errors can mean big delays. When your biller is strong at submission but struggles with denials, bundling edits, global rules, authorizations, and payer-specific requirements, you don’t need a full outsourcing company—you need an experienced billing lead to help your team work the problem correctly the first time.

This page is for orthopedic practices that want to keep billing in-house while getting ongoing support for denials, underpayments, policy research, training, and SOP development—especially for surgery-heavy practices, spine, injections, and DME workflows.

What We Help With 

Common ortho support areas include:

• Denial/underpayment troubleshooting and next-step strategy
• Prior auth workflow support (front-end processes that protect payment)
• Surgical claim issue resolution (payer rules, common edits, documentation needs)
• Modifier coaching and clean-claim habits (based on recurring issues you see)
• Global/post-op workflow guidance to reduce missed revenue
• DME-related workflow support (when applicable) and claim correction guidance
• SOPs/checklists that reduce repeat errors and staff confusion

Want faster resolution and fewer repeat denials?

Book a free 30-minute discovery call to review your top payers, claim volume, and the biggest issues slowing reimbursement.