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Our Services
Orthopedics Billing
Orthopedics Revenue Cycle Management by GladMedRCM
Who We Help
We partner with:
Orthopedic surgeons and multi-specialty orthopedics practices
Joint replacement centers (hip, knee, shoulder)
Spine, sports medicine, hand & upper extremity, pediatrics
Ambulatory surgery centers (ASCs) and hospital-based orthopedics
Practices with high volumes of implant/device billing
Our Core Orthopedic RCM Services
| Service | How GladMedRCM Supports Your Orthopedic Practice |
|---|---|
| Pre-Service & Patient Access | Eligibility verification, insurance benefit checks, prior authorization, demographic & benefit collection to avoid costly denials. |
| Charge Capture & Coding | Expert orthopedic coding: CPT, ICD-10, HCPCS, implant/device coding. Accurate charge entry to ensure proper reimbursement. |
| Claims Preparation & Submission | Clean claims on first pass, electronic submission, adherence to payer-specific rules (global periods, bundling, modifiers etc.). |
| Denial & Appeal Management | Root cause analysis, fast appeals, denial trend tracking, process improvements to minimize future denials. |
| Accounts Receivable (AR) & Aging Management | Active follow-up on outstanding claims, reducing AR days, reconciliation, ensuring timely payments. |
| Payment Posting and Reconciliation | Ensure posted payments match expected, catch underpayments or short pays, correct entries. |
| Transparent Reporting & Analytics | Dashboards & customized reports: denial rates, AR aging, payer performance, profitability per procedure, implant/device costs. |
| Compliance & Audit Preparedness | Maintain coding compliance, payer policy adherence, implant reporting rules, regulatory updates; ready for audits. |
Why GladMedRCM for Orthopedics
Here’s what sets us apart and why orthopedic practices choose GladMedRCM:
Depth of orthopedic expertise — We know the surgical workflows, implant coding, global periods, bundling, and payer idiosyncrasies.
High first-pass claim acceptance — We prioritize clean, accurate claims to reduce delays.
Speed & cash flow improvement — Faster billing cycles, minimized denials, and proactive AR management help your practice get paid sooner.
Scalable & flexible partnership — Services scale with your volume, whether one surgeon or many; we tailor solutions to your size and scope.
Data-driven decisions — Detailed metrics help you understand where revenue is being lost and opportunities lie.
Patient-friendly billing — We help with upfront estimates, clear statements, and support to reduce patient confusion and improve collections.
Common Orthopedic RCM Challenges & Our Solutions
| Challenge | GladMedRCM Solution |
|---|---|
| Complex implant/device billing & supplies | We ensure proper documentation and coding, track device charges separately, manage supply costs, and ensure accurate reimbursement. |
| Variability in payer contracts & reimbursement | Regular contract reviews, payer benchmarking, identification of underpayments, negotiation support where possible. |
| Denials due to documentation or coding errors | Continuous coder training, documentation audits, provider feedback, use of checklists to ensure completeness. |
| Delays from prior authorizations | Dedicated workflows & follow-ups for prior authorization; tracking tools so no procedure starts without required approvals. |
| High AR days / cash flow fluctuations | Aggressive but courteous follow-up on payer and patient balances; reporting to monitor aging and prioritize collections. |
Outcomes You Can Expect
By working with GladMedRCM for your orthopedic practice, you should see:
Decreased claim denial rates
Reduced AR aging days
Increased cash inflows and more predictable revenue
Better utilization of implant/device reimbursements
Enhanced operational efficiency
More time for clinicians and staff to focus on patient care instead of billing paperwork
Get Started with GladMedRCM
Orthopedic care providers deserve a revenue partner who understands the pressures of their specialty.
Let’s work together to:
Audit your current RCM workflows and identify revenue leaks
Build a customized plan that fits your practice size, location, and service mix
Implement processes and tools that ensure clean claims, strong documentation, faster payments
Contact GladMedRCM today for a free practice evaluation and see how we can help your orthopedic practice optimize revenue, reduce administrative burden, and grow with confidence.