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Orthopedics Billing

Surgical global periods, implants, and DME crossover, reconciled against the operative note.

Overview

Orthopedic billing spans office visits, high-dollar surgical procedures with global periods, and DME crossover for braces and mobility devices - all of which need to be reconciled against what the operative note actually documents. AspireMedX checks that reconciliation before the claim goes out, not after an underpayment posts.

Where claims usually go wrong

Visits that fall inside a procedure's global period often get billed separately by mistake, which draws an automatic denial or recoupment. We track active global periods per patient so follow-up visits are billed correctly the first time.

What we handle

  • ✓Surgical procedure coding with correct global period and modifier application
  • ✓Implant and hardware billing tied to operative documentation
  • ✓DME crossover billing for braces, walking boots, and post-surgical equipment
  • ✓Prior authorization management for imaging and elective procedures
  • ✓Fracture care global billing vs. itemized visit billing

Talk to us about orthopedics billing

info@aspiremedx.com · +1 (716) 242-2898

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