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.