Optimize Your Practice Revenue & Billing Efficiency.
.webp)
Getting Started
Orthopedics encompasses a wide range of procedures, from diagnostic imaging and joint injections to surgical interventions and post-operative care. The complexity of the specialty demands a billing process that understands the nuances of musculoskeletal care and the variety of services involved. At Gedeihen Healthcare, we recognize the specific needs of orthopedic practices. Our billing services are built to support the workflow of orthopedic providers by ensuring that all services—from in-office procedures to outpatient surgeries—are correctly documented and categorized. Whether you manage a private clinic or are part of a multi-provider group, our team offers the experience and insight required to manage the intricate administrative tasks that accompany orthopedic care. With growing advancements in orthopedic techniques and technology, it's essential to have a billing partner who can keep pace. Our approach ensures that the operational side of your practice runs as efficiently as the clinical side, allowing providers to focus more on delivering quality care and less on paperwork.
Orthopedic Billing Services
Maximizing claim efficiency and compliance for superior revenue management
Mastering Every Code for Orthopedic Specialty
Our expertise spans the full code range, ensuring precision and compliance in every claim we process
Foot and Ankle Procedures
A5500
Diabetic shoe fitting and modification (use KX modifier for reimbursement).
L3030
Removable foot inserts (use L3030LTKX for left and L3030RTKX for right foot).
Joint Reconstruction and Replacement
27130
Total hip replacement (arthroplasty).
27447
Total knee replacement (arthroplasty).
29881
Knee arthroscopy with meniscectomy (partial removal of damaged meniscus).
Fracture and Dislocation Care
24500
Closed treatment of humeral shaft fracture; without manipulation.
26600
Closed treatment of metacarpal fracture; without manipulation.
Up to
27%
More cash collected
Up to
23%
Outstanding A/R collection
Up to
29%
Patient collections
Up to
$80 M
Charges billed last year
Medical Billing At A Glance
Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.
Claims Processing Metrics
96%
First Pass Resolution Rate
Percentage of claims paid on the first submission.
23-40 Days
Average Days to Payment
Average number of days it takes for claims to be paid.
First-Pass Claim Acceptance Rate (FAR):
We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.
Days in Accounts Receivable (AR):
Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.
Clean Claim Rate:
With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.
Financial Metrics
90%
Net Collection Rate
Percentage of total charges that are collected.
30 Days
Average Denial Resolution Time
Average number of days taken to fix and resolve a denied claim.
Operational Metrics
94%
Average Claims Submitted Per Month
Volume of claims submitted.
97%
Volume of claims submitted.
Claims processed per biller per day.
Aged A/R Clearance Rate:
Measures the percentage of aged receivables (especially over 90days or above)
Reflects the effectiveness of backlog reduction efforts.
A faster resolution time means improved collections and cleaner aging reports
Unbilled Claims Backlog:
Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.
Denial Resolution Rate:
Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.
Reach Us
Phone
#3159612661
Address
3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.
© 2023 Gedeihen Healthcare.