Orthopedic Coding & Billing

Expert Orthopedic Coding and Billing Services That Maximize Reimbursements

When searching for reliable Orthopedic Coding and Billing Services, Synergy HCLS delivers specialized revenue cycle management for orthopedic practices—accurately coding fractures, joint replacements, arthroscopic and spine surgeries and more, so every claim is clean, compliant and paid on time.

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99%

Claim accuracy

<30

Days in A/R

24–48h

Charge capture

Orthopedic Coding and Billing Services for

Orthopedic Diseases & Conditions

Fractures (Traumatic/Pathological/Open/Closed)

Joint dislocations

Sprains and strains

Tennis elbow

ACL tear

Plantar fasciitis

Rotator cuff tear

Carpal/ Tarsal tunnel syndrome

Meniscus tear

Osteoarthritis

Scoliosis, Kyphosis

Vertebral disorders and many more..

Orthopedics Treatments & Procedures

Amputation

Arthroscopic surgeries

Joint fusion

Arthroplasty or joint replacements

Repair and reconstruction of torn ligaments and tendons

Spine surgeries including discectomy, foraminotomy, laminectomy, and spinal fusion

Craniotomy, burr hole

ORIF and advanced external fixation

Bone grafting and many more..

Synergy HCLS Orthopedics Coders

Apply accurate, complete and consistent coding practices.

Assign and report only the codes that are clearly and consistently supported by the coding documentation. This documentation can include forms, records and other electronic and/or scanned images of clinical procedures and other medical services.

Adhere to ICD coding conventions and the official coding guidelines approved by the Cooperating Parties.

Follow CPT rules established by the American Medical Association, and any other official coding rules and guidelines established by the industry.

Seek clarification and proper documentation from the provider prior to assigning codes when documentation is conflicting, incomplete or ambiguous.

Are credentialed through AHIMA, AAPC or other accredited professional coding organizations and follow all procedures necessary to maintain these credentials.

Benefits of Our Orthopedic Billing and Coding Services

We bring excellence, knowledge, and accuracy to orthopedic billing and coding services while building a revenue cycle devoid of defects for your practice.

With patient demographics entry, insurance verification, insurance authorizations, coding, billing, and reconciling of accounts, our medical billing process can add value to your organization.

Our team strives to introduce a friction-free billing, coding, claim submission, and payment posting process.

We ensure consistent accounts receivable follow-up and prior authorization to avoid claim denials.

Our claim denials management team’s #1 priority is shifting your focus from denial management to denial prevention.

Synergy HCLS helps orthopedics offer excellent care for their patients, focusing on improving their administrative & financial excellence.

Orthopedic Billing Software Experience

Orthopedic Software and Systems Integrations

We Also Provide the Following Services to
Orthopedic Practices

AR and Payment Posting

Eligibility Verification

Denial Management

Medical Coding

Provider Credentialing

FAQ's

Patient demographics entry, insurance verification, insurance authorizations, coding, billing, claim submission, payment posting, accounts receivable follow-up, denial management and reconciling of accounts, handled by a team that understands orthopedic coding.

We handle fractures (traumatic, pathological, open and closed), joint dislocations, sprains and strains, tennis elbow, ACL, rotator cuff and meniscus tears, plantar fasciitis, carpal and tarsal tunnel syndrome, osteoarthritis, scoliosis, kyphosis, vertebral disorders and many more.

We handle amputation, arthroscopic surgeries, joint fusion, arthroplasty or joint replacements, repair and reconstruction of torn ligaments and tendons, spine surgeries such as discectomy, foraminotomy, laminectomy and spinal fusion, craniotomy and burr hole, ORIF and advanced external fixation, bone grafting and many more.

We ensure consistent accounts receivable follow-up and prior authorization, and our denials management team focuses on shifting your practice from denial management to denial prevention.

Our coders are credentialed through AHIMA, AAPC or other accredited professional coding organizations, and they follow ICD coding conventions and the CPT rules established by the American Medical Association.

We seek clarification and proper documentation from the provider prior to assigning codes whenever documentation is conflicting, incomplete or ambiguous.

Trusted by Orthopedic Practices Nationwide

See how we've helped orthopedic practices reduce denials and optimize revenue cycles.

"Our denials dropped sharply once Synergy took over our orthopedic coding. Joint replacement and spine surgery claims are finally coded correctly."

Dr. Marcus Vance

Orthopedic Surgeon, Apex Bone & Joint

"Their team handles prior authorizations and A/R follow-up so well that our staff can finally focus on patients."

Sarah Jenkins

Practice Administrator, Metro Orthopedics

"Cleaner claims and faster payments have made a real difference to our cash flow. Denial prevention works."

Dr. Emily Chen

Sports Medicine Specialist

"They stay on top of coding changes so we never have to. Highly recommended for any orthopedic practice."

Thomas Patel

Operations Manager