Orthopedic Medical Billing Services

Precision Billing for Every Procedure, Joint, and Fracture We code more than bones—we code for bundled procedures, imaging, DME, and complex surgical claims with clean accuracy. Let us take your ortho billing from reactive to revenue-positive.

Orthopedics Deserve More Than One-Size-Fits-All Billing

Orthopedic billing isn’t just complex—it’s high-stakes. From total joint replacements, arthroscopic procedures, and fracture care to DME claims, modifier usage, and post-op global periods, even small mistakes can cost your practice thousands. Miss a bundled code? Use the wrong modifier? That’s revenue lost—and you may never know.
At Swiftcare Billing, we specialize in orthopedic revenue cycle management with accuracy baked in. We know the coding rules. We track every global period. We handle worker’s comp, PI cases, and multiple procedure claims without delay. The result? You get paid faster—and exactly what you’re owed.

Common Orthopedic Billing Mistakes

Orthopedic practices deal with complex procedures, multiple modifiers, global surgical periods, and DME billing—all of which make billing a minefield. One small mistake can mean thousands in lost revenue or delayed payments. And unfortunately, many practices don’t even realize they’re leaving money on the table until it’s too late.

How Swiftcare Fixes Ortho Billing Problems

Orthopedic-Specific Coding Expertise

We speak your language—whether it’s 27130 for hip replacement, 29881 for knee scope, or 20610 for joint injections. No more coding guesswork.

Accurate DMEPOS & Fracture Care Billing

We handle braces, boots, and bone treatments with documentation that holds up to audits—and gets paid.

Modifier Precision

We use the right modifiers in the right sequence to avoid denials, bundling issues, and underpayments.

Workflow-Integrated Billing

Our team syncs with your EHR, clinical notes, and practice habits to keep billing seamless—and your focus on patients.

Orthopedic Billing Services We Offer

Joint Replacements & Arthroscopies

We code and bill for total knee, hip, and shoulder replacements, plus arthroscopic procedures—ensuring proper use of modifiers and global tracking. Maximize reimbursement for high-value ortho surgeries.

Sports Medicine Procedures

From ACL repairs to tendon reconstructions, we handle complex sports injury billing with accurate CPT coding and athletic rehab claims expertise. Get paid fast for outpatient and surgical treatments.

Pain Injections & Fracture Care

We bill cortisone shots, trigger point injections, and closed fracture treatments with compliant documentation and proper linking of diagnosis codes. Say goodbye to denials for in-office procedures.

DME & Bracing Billing

Billing for orthopedic braces, boots, and splints? We handle DMEPOS claims, HCPCS coding, and payer-specific forms to get your devices reimbursed without delays.

Global Period Tracking

Our team monitors global surgical periods to prevent duplicate billing errors and ensure accurate post-op visit coding. No missed revenue. No rejected claims.

Pre-auths, VOB, and Appeals

We manage orthopedic prior authorizations, insurance verification of benefits (VOB), and handle payer appeals—keeping your revenue cycle moving and approvals coming in.

Workers' Comp & Auto Injury Claims

Specialized billing for work-related injuries and MVA claims. We work with adjusters, submit lien-based claims, and follow state-specific WC rules for timely payment.

Compatible with Your Ortho EHR & PM Tools

We work inside the systems you already use so your team doesn’t need to change a thing.
From charge capture to claims submission, we plug right in. Fully integrated with:

Nationwide Orthopedic Billing

Whether you’re a solo sports doc or a surgical group—we’ve got you. tates We Serve for Orthopedic Billing

Alaska
Washington
Oregon

Idaho

North Dakota
Montana
Minnesota
Maine

New York

New Hampshire
Vermont
Massachusetts
Connecticut
New Jersey
Rhode Island
South Dakota
Michigan
Wisconsin

Ready to Tighten Up Your Ortho Revenue Cycle?

Orthopedic billing isn’t just about codes—it’s about catching every modifier, tracking global periods, and squeezing out denials before they cost you. Let us clean up your billing backlog, reduce errors, and boost revenue without overwhelming your staff.

Have Questions?
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Frequently asked questions

Can you handle complex orthopedic surgeries and bundled procedures?
Yes. We’re experienced in billing for total joint replacements, arthroscopies, multi-site procedures, and surgeries under bundled payment models. We apply the correct CPTs and modifiers to avoid revenue loss.
We track global periods with your EHR and flag related visits to ensure proper coding. No more denied post-op follow-ups.
Absolutely. We bill DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics & Supplies) with appropriate HCPCS codes and payer documentation requirements.
Yes. We specialize in WC and No-Fault claims—handling state-specific forms, lien processes, and appeals for orthopedic practices.
How fast is your onboarding and transition?
We can get your practice up and billing within 5–10 business days—no long contracts or headaches. We work within your current EHR or PM system.
Not a problem. We handle multi-location orthopedic groups with centralized or separate billing, and we customize reports per provider or facility.
Yes. We coordinate billing between orthopedic offices, surgical centers (ASCs), and hospitals to ensure all charges are captured.