Efficient and Reliable Orthopedic Billing Services

Lately, orthopedic practices are running into real trouble with billing. Payers are cracking down on even small coding mistakes. One missed modifier or incomplete note can freeze a claim for weeks, and that money doesn’t chase itself.

At Paymedics, we handle the messy part for you. We know what insurers want to see, and we match your op notes with the right codes, line by line. You won’t need to chase anything; our team stays on top of it from start to finish.

What You Can Expect

Clean claims matched to surgical notes accurately

Coders trained in orthopedic-specific billing logic

Quick follow-ups on delays and aging A/R

Full compliance with CMS and payer guidelines

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What Makes Orthopedic Billing Services So Difficult to Get Right

Most orthopedic practices don’t struggle because of volume they lose money to bad processes. Without specialized orthopedic medical billing services, common errors like missed codes, modifier misuse, and unclear documentation quietly chip away at monthly revenue.

Even strong practices stumble when generic billing teams handle musculoskeletal care. Orthopedic billing & coding services demand a close read of surgical notes, knowledge of device-specific rules, and precise handling of post-op timelines skills many billing teams simply don’t have.

Warning Signs You’re Losing Revenue

Modifiers often rejected or flagged by payers

Claims delayed due to unclear surgical coding

High volume of denials with no root fix

Staff time wasted on payer follow-ups

No pre-authorization tracking for injections or braces

If some of this sounds too familiar, you’re not alone. Many practices reach a point where it just makes sense to outsource orthopedic billing services. It frees up your staff, stops revenue from leaking out, and puts someone reliable in charge of the follow-through.

Our Solutions to the Orthopedics Billing Services Root Problems

At Paymedics, we don’t approach billing like a generic task. As an experienced orthopedic billing services company, we work directly with your surgical flow, not around it. Our team handles pre-auths, op notes, coding, and follow-ups without missing the details that matter.

Where most billing firms miss the mark, we look closer. From improper modifiers to overlooked implants or bundled care errors, we fix problems at the source, not after a denial lands. It’s clean, clear billing built for orthopedic specialists, not generalists.

What We Bring to the Table

Modifier use checked against payer-specific rules

Pre-authorizations handled before the visit

Operative notes reviewed before coding

Aging claims tracked until payment posts

Surgery-specific coding logic applied by specialists

With systems like this in place, you won’t be left reacting to revenue issues after they happen. Paymedics keeps your billing steady, organized, and responsive—so your focus stays where it should be: on your patients and your practice.

Orthopedic Billing Services That Keep Work Moving and Payments Coming In

Many practices run into billing issues that slow things down. With our orthopedic billing services, the goal is simple, help your team avoid problems before they start and get paid without delays.

At Paymedics, we don’t add more steps to your day. We handle the billing work from start to finish, make sure your claims go out clean, and follow through until payments come in.

What Our Billing Services Include

Coding Based on Real Procedures

We review each chart and note carefully, then code based on what actually happened—not assumptions—so claims reflect the treatment provided.

Insurance Checks and Approvals

Before the visit, we confirm eligibility, check benefits, and get any needed approvals to avoid billing issues after the procedure is done.

Claim Filing and Error Checks

We send out claims daily after checking for missing information, incorrect codes, or anything that might cause a payer to delay or reject it.

Denial Work and Appeals

If a claim gets denied, we look into it right away, fix what’s needed, and resubmit it with the right info—so you don’t lose time or money.

Tracking and Payment Follow-Up

We keep an eye on claims that haven’t been paid, follow up directly with the payer, and push things forward until the money hits your account.

Clear Weekly and Monthly Updates

You’ll receive clear reports that explain what’s been paid, what’s still pending, and what needs attention, everything laid out in a way that’s easy to understand.

With Paymedics on your side, your staff isn’t left sorting out billing problems or waiting on answers. Our orthopedic medical billing and coding services give you real support, fewer headaches, and a steady flow of clean claims going out and payments coming in.

We Work With Providers In

Spine and back care

Joint replacement programs

Sports medicine clinics

Pediatric orthopedics

Trauma and fracture care

Hand and wrist surgery

Shoulder and elbow specialists

Foot and ankle clinics

Orthopedic urgent care

Surgical centers and ASCs

Specialized Orthopedic Billing Services for Your Practice Type

No two orthopedic practices work the same. A clinic focused on joint replacements has very different billing needs than one handling sports injuries or pediatric fractures. That’s why our services are built around the kind of care you actually deliver.

At Paymedics, we adjust to your workflow. Whether it’s implants, trauma cases, or bundled post-op care, our team handles the specifics. We also know how to manage more complex cases, including orthopedic surgery billing services, without slowing your team down.

How Our Orthopedic Billing Services Process Keeps Everything on Track

At Paymedics, our team does not believe in one-size-fits-all systems, nor do we believe in rushed claims. Our process is structured, easy to follow, and built to support your team at every step.

How We Work With You

Patient and Procedure Intake

We collect complete patient and procedure details early, reducing the chance of missing codes, modifiers, or required payer documentation.

Benefit Checks and Authorizations

We verify insurance benefits and handle prior authorizations before the visit, helping avoid delays and unexpected patient billing issues later.

Note Review and Code Assignment

Operative notes are carefully reviewed and translated into accurate CPT, ICD, and HCPCS codes by trained orthopedic billing professionals.

Daily Claim Submission

Clean claims are submitted daily with payer-specific requirements met, reducing rejection rates and helping speed up reimbursement timelines.

Denial Management and Corrections

If a denial comes in, we fix the issue fast, include needed documentation, and get the corrected claim back out quickly.

Reporting and Communication

We keep you informed with clear updates, including outstanding balances, claims in progress, and issues that need provider attention.We keep you informed with clear updates, including outstanding balances, claims in progress, and issues that need provider attention.

Switch Your Orthopedics Billing Services to a Company that Gets Your Results

If billing is holding you back, it’s time to outsource orthopedic billing services to a team that understands your workflow and gets claims paid without the usual stress and delays.

The Technology Behind Our Orthopedic Billing Services

We don’t expect your team to chase claims or wonder what’s happening behind the scenes. Our billing tools are built into the process to keep things clean, quick, and fully transparent at every step.

With Paymedics, technology supports the work—not the other way around. We use it to reduce rejections, handle data securely, and keep claims moving through payer systems without bottlenecks or confusion. That’s how we make orthopedic billing services more reliable and less stressful.

Tools and Tech That Support Our Work

Integrated with leading EHR and PM systems

Automated checks to catch claim errors early

Real-time status updates for active claims

HIPAA-compliant security and encrypted access

Analytics that help spot denial trends faster

Optional reporting dashboard for your staff

We don’t let tech get in the way. At Paymedics, our systems work in the background to help you stay focused while we keep claims moving and track payments.

Take Control of Your Orthopedic Billing Today

Let’s take the billing pressure off your team. Paymedics brings accuracy, follow-through, and real orthopedic expertise to every claim. Reach out today and get a free billing review that shows you where revenue is being lost—and how to fix it.

Why Orthopedic Practices Choose Paymedics

There are plenty of billing companies out there, but few focus deeply on the details that matter most in orthopedic billing & coding services. That’s where our team comes in.

We understand how your work flows, how payers operate, and how to make both sides meet without constant back-and-forth. It’s not guesswork. It’s experience, applied the right way.

What Makes Us Different

98% First-Pass Claim Approval Rate

Our claims go through clean the first time, with fewer payer edits or rejections—saving time, effort, and money across your entire process.

Less Than 20 Days in A/R

We don’t wait around for payments. Our team follows up early and often to make sure your revenue doesn’t sit in limbo.

Orthopedic-Focused Billing Team Only

We don’t split our attention. Every specialist on our team works only on orthopedic billing, so nothing gets lost in translation.

Certified Coders With Surgical Knowledge

Our coders know the procedures. They read op notes like insiders and apply codes that match the care delivered—not just what’s on the schedule.

Frequently Asked Questions

Do you work only with orthopedic practices?

Yes. We don’t bill for everything under the sun. Our team works with orthopedic clinics and surgery centers, so the work stays focused and familiar.

Usually no. Most practices keep what they already use. We fit into your setup and work around it instead of forcing changes.

If something keeps getting denied, we stop and figure out why. Once it’s fixed, we don’t let the same issue repeat again.

Yes. We check coverage and deal with authorizations ahead of time when they’re required, especially for surgeries and injections.

Implants are reviewed carefully. We check how they’re documented and billed because payers treat those charges very differently.

You won’t be in the dark. You can see what’s been sent, what’s paid, and what’s still sitting unpaid.

We don’t wait months. Claims are checked regularly, and follow-ups happen early so payments don’t just stall out.

Yes. The people handling your billing work with orthopedic cases only. That’s important, because general billing teams miss details.