The document discusses recent changes to orthopedic billing codes that have increased the complexity of orthopedic billing and coding. Over 500 Category I CPT codes were changed, added, or deleted for 2013, impacting orthopedic reimbursement. Additional changes like ICD-10 conversion will present initial challenges for small orthopedic practices. As a result, many orthopedic physicians are outsourcing their billing and coding to specialized medical billing companies that can efficiently manage the billing process and ensure practices are paid accurately and on time.

1. End to End Medical Billing Solutions
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The Significance of Responding To Orthopedic Billing and
Coding Dynamics!
In today’s challenging billing scenario, Orthopedic physicians and surgeons are facing increased
pressure due to increased billing challenges. Extensive coding changes and revision have been
introduced by the CPT Manual this year (2013), further impacting Orthopedic reimbursement in
a big way.
Orthopedic surgical coding has become more complex with 500 code changes to Category I
codes. It includes 151 new codes, 251 revisions and at least 100 deletions. CPT 2013 has
impacted Orthopedic billing and coding with a complete overhaul of nerve conduction study
codes, two new sets of codes for elbow and shoulder revision and a new spine fusion code.
In the months to come, Orthopedic practices might have to struggle with the ICD-10 switch.
These changes may benefit billing and coding later on; however initially small practices with
little resources will be the worst hit due to these changes as they will face challenges in meeting
the rising requirements. But sooner or later all Orthopedic practices will need to respond
fittingly; to the changing dynamics of Orthopedic billing; to help maintain profitably at their
practices.
The changes which have pushed Orthopedic surgeons and physicians to look into their
billing more closely include-
 Varied mix of payers including Medicare, Medicaid, private health insurance companies,
personal injury liens and workers compensation which can lead to an increase in denials,
in-accurate coding and delayed claim filing
 Rise in the number of patients, documentation, billing and coding tasks have led to
increased confusion; also demanding more time and effort to handle revenue
generation
 Regulatory intervention, changes in technology and increased practice costs are also
resulting in cash flow problems for Orthopedic physician and surgeons
All these factors have made it important for Orthopedics to respond effectively to be able to
handle the changes; as if they don’t they may end up losing out on a major part of their
revenue. Many Orthopedic physicians, running a small practice are hiring a billing partner to
increase their practice profits. They prefer outsourcing Orthopedic billing and coding services; as
the limited in-house staff (at times just 1 billing specialist) cannot handle the billable target.
In addition most practices do not have enough time to train the staff or handle their billing
systems. Untrained resources and lack of time can result in coding errors which eventually leads
to underpayment or no payment at all. A specialised medical billing partner will -
 Be focused on managing your entire billing and coding cycle

2. End to End Medical Billing Solutions
Call now 888-357-3226 (Toll Free)
http://www.medicalbillersandcoders.com
www.medicalbillersandcoders.com
Copyright ©-2013 MBC. All Rights Reserved.
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 Deal with all your unpaid claims and ensure that no disruption is caused to your cash
flow in future
 Offer you complete account receivable follow up along with feedback and weekly and
monthly reports to keep you updated
Medicalbillersandcoders.com has a team of well-trained resources that have been offering
consistent Orthopedic billing and coding services to physicians across the 50 US states. We will
help you deal with billing challenges posed by revisions and changes and handle your payment
cycle so that you can concentrate on healthcare provision rather than worry about account
receivables.