Cut Through Orthopedic Billing Chaos – We Handle What Holds You Back

CloudRCM is your one-stop RCM partner, offering far more than basic billing. Our all-inclusive package tackles credentialing, prior auth, denial management, and patient collections. We partner with you to eliminate revenue loss caused by:

  • Prior Authorization FailuresDowncoding or denials for complex cases (e.g., multi-level fusions, fracture care bundles).
  • Modifier Misapplication Rejections for -62 (co-surgery), -59 (distinct procedure), or -22 (increased procedural services).
  • Medical Necessity Denials Challenges proving necessity for high-cost implants or specialized procedures.
  • With Bundled Procedure Errors Downcoding or denials for complex cases (e.g., multi-level fusions, fracture care bundles).

Specialized Solutions for Every Orthopedic Revenue Challenge

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    Orthopedic Auditing

    Losing revenue on complex cases? Undercoded procedures or missed implant charges drain profits unseen. CloudRCM’s surgical audits pinpoint billing gaps, uncover hidden revenue, and fix systemic issues—securing rightful payments and restoring financial health.

    Orthopedic Credentialing

    Delayed joining ASCs or networks? Slow credentialing stalls new revenue streams. CloudRCM expedites enrollment with hospitals, ASCs, and payers—cutting red tape and accelerating your ability to operate and bill.

    Orthopedic Coding

    Are coding errors causing denials or audits? Incorrect CPTs (e.g., arthroscopy codes), missed modifiers, or inadequate op-note support cripple reimbursement. CloudRCM’s certified orthopedic coders ensure precise CPT/ICD-10 use, prevent compliance risks, and align claims with payer rules—maximizing surgical revenue.

    Orthopedic Billing

    Unresolved surgical claims piling up? Denials, late filings, and poor follow-up shrink margins. CloudRCM manages the full billing cycle—from claim scrub to payment posting—eliminating backlogs, reducing write-offs, and capturing every dollar for your work

    Prior Authorization & Insurance Verification

    Surgeries delayed or denied for coverage? Manual checks waste time and frustrate patients. CloudRCM automates eligibility and secures critical prior authorizations proactively—preventing costly delays and denials for procedures and implants.

    Patient Help Desk

    Patients confused by high deductibles or implant bills? Collection calls overwhelm staff. CloudRCM’s specialists handle inquiries, explain benefits, and arrange payment plans—boosting collections and freeing your team.

    Performance-Based Partnership – We Win When You Get Paid

    CloudRCM simplifies orthopedic revenue cycles: we file, follow, and collect. We slash denials, boost first-pass approvals, and integrate seamlessly with major EHRs/Surgery Suites like Epic, Cerner, and Athenahealth. No setup fees. No long-term contracts. Our success is tied to yours: we earn only when you get paid. Expect full, predictable revenue recovery.

    Is Your Billing System Hurting More Than Helping?

    Free Your Team from Billing Chaos—Focus on Surgery. Let CloudRCM eliminate financial stress while your staff delivers exceptional orthopedic care.

    Signs you need us:

    • Chronic prior auth denials delaying surgery
    • Cash flow choked by delayed reimbursements
    • Billing team drowning in complex claims
    • A/R for surgeries stuck above benchmarks

    If you’ve answered “yes” to any of these, it’s time to consider outsourcing your billing department.

    • 24/7 RCM Support
    • 24-Hour Claim Scrubbing
    • Faster Payer Approvals
    • HIPAA-Compliant Security
    • 100% Payment Pursuit

    How We Help Orthopedic Practices Thrive?

    End-to-End Billing Support That Drives Success

    CloudRCM’s expert billers conquer orthopedic billing. From claim submission to complex denial appeals, we drive steady revenue—boosting collections by 30%+ with:

    • Automated payment posting for real-time financial clarity
    • Aggressive follow-up on high-value surgical claims
    • Dedicated prior auth & denial resolution experts
    • Custom performance dashboards to optimize revenue cycles

    Our Expertise Across Specialties

    From Sports Med to Complex Spine—Master Your Billing.

    CloudRCM is fluent in the intricate coding and payer rules across all orthopedics:

    Joint Replacements & Revisions: Precise coding for hips, knees, shoulders (CPT 27447, 23472, etc.).

    Our experts navigate the complexities of root canals and other endodontic procedures.

    We specialize in billing for periodontal treatments, including scaling and root planing.

    We handle billing for complex surgical procedures, including extractions, implants, and facial surgery.

    We understand the unique billing challenges faced by each specialty, and our team of verified billing experts is here to manage them, so you don’t have to.

    Think of Us as Your Surgical Revenue Partners®.

    No More Stressful Billing—Focus on Growing Your Practice!

    CloudRCM isn’t just a vendor—we’re an extension of your practice. Partner with us to eliminate billing stress, slash denials, and maximize surgical reimbursements. While we manage your complex revenue cycles, your team focuses on groundbreaking orthopedic care. Grow your surgical volume, not your billing headaches.

    Get Started Today!

    Unlock Peak Revenue—Schedule Your Free Consultation!

    Zero setup fees. Zero hidden costs. Zero minimums. CloudRCM only succeeds when you do. Reclaim lost surgical revenue and achieve financial peace of mind—contact us today for a free, no-obligation consultation and discover how much more you can collect!

    Contact us today for a free consultation and see how much you can save!

    Frequently Asked Questions (FAQs)

    How do you handle complex prior authorizations for surgeries/implants?

    Our dedicated team secures authorizations proactively using payer-specific protocols, reducing delays and denials by 40%.

    Can you prevent bundling downcodes for multi-procedure cases?

    Absolutely. Our certified coders expertly apply modifiers like -59, -51, and -62 ensuring proper payment for all distinct procedures.

    How do you manage high patient balances for major surgeries?

    Our Help Desk implements empathetic collection strategies and payment plans, improving patient payments by 35%.

    How do you improve revenue cycle health for a surgery center?

    We optimize surgical coding, reduce A/R days for high-value claims, and provide ASC-specific KPI dashboards.

    Is my complex surgical and implant data secure?

    Yes—Military-grade HIPAA-compliant encryption, audits, and strict access controls protect all sensitive data.

    Let’s Get Started