Orthopedic Medical Billing Services
Orthopedic billing covers everything from fracture care and joint injections to major reconstructive surgery — each governed by its own global-period, DME, and modifier rules. CoreStone's orthopedics-trained billing team keeps fracture care, surgical, and DME claims clean and on schedule.
Billing That Understands Orthopedics
From fracture care and joint injections to total joint replacement and arthroscopic surgery, orthopedic practices bill a wide mix of procedural, surgical, and E/M services — each with its own global-period and bundling rules. Our coders and billers are trained specifically on the codes and payer rules unique to musculoskeletal care.
- ICD-10 coding for fractures, joint disorders & musculoskeletal injuries
- CPT coding for joint injections, arthroscopy & total joint replacement
- Global-period and surgical-package billing for orthopedic procedures
- Prior authorization support for imaging, implants & elective surgery
- DME and bracing billing aligned to payer coverage requirements
Medical Practices Who Can Use Our Orthopedics Billing Services
Whether you're a solo provider just getting started or a multi-location group, our team scales to fit how your practice actually operates.
- Solo Physicians
- Independent Practice Groups
- Medical Clinics
- Physician Groups
- Hospital-Owned Practices
- Urgent Care Centers
- In-Home Health Providers
- Laboratories
- Freestanding ER Centers
- Hospitals
- Non-Emergency Medical Transport
- New & Growing Practices
Orthopedic Billing Services We Handle
Every claim type your orthopedic practice generates, coded and billed by a team that already knows musculoskeletal care.
Fracture Care Billing
Fracture care visits coded and billed with the correct global-period rules so follow-up visits aren't billed in error.
Surgical & Joint Injection Coding
Arthroscopy, joint replacement, and injection procedures billed with the correct bundling and modifiers so nothing gets denied.
Prior Authorization Management
Prior authorizations and appeals for imaging, implants, and elective surgery, handled before they delay patient care.
DME & Bracing Billing
Durable medical equipment and bracing billed accurately to the payer's coverage requirements.
Denial Management
Appeals for medical-necessity denials common to orthopedic imaging, procedure, and surgical claims.
Specialty Credentialing
Payer enrollment and credentialing for orthopedic surgeons and ambulatory surgical center providers.
Caring Revenue Cycle Management For Orthopedics Practices
Orthopedics practices are under constant pressure to raise the standard of care while facing reduced reimbursement, growing regulatory risk, and thinner margins. Maximizing your revenue cycle — billing, coding, and accounts receivable — is essential to keeping up with an increasingly complex payer landscape.
CoreStone is committed to offering the best orthopedics billing services available, covering nearly every aspect of the billing and patient revenue cycle. We work to secure the fastest possible reimbursement for your practice — the sooner a clean claim goes out, the sooner you get paid. That's why our billing experts are on call around the clock, working while you sleep.
Orthopedics Billing: Your Needs, Our Solutions
Orthopedics billing isn't one-size-fits-all — practices across the country have different needs when it comes to revenue cycle management. That's why our orthopedics billing solutions are highly personalized, giving your practice real autonomy over its finances and workflow while we handle the coding, claims, and collections behind the scenes.
Our Medical Billing Process
A clear, repeatable process from intake to payment. The steps below outline how this service runs day to day — other CoreStone services follow their own version of this same process.
Practice Audit & Assessment
We start with a free trial-base audit of recent claims and reports to pinpoint exactly where your practice is losing revenue.
Enrollment & Credentialing
We confirm payer enrollment status and handle any outstanding credentialing before your first claim goes out.
Data Entry & Charge Capture
Patient encounters and superbills are entered into our system quickly and accurately, saving your staff hours of manual work.
Certified Coding & Billing
Certified coders and billers scrub, code, and submit every claim — compliant, accurate, and up to date with current payer policy.
We Work Within The Software You Already Use
No need to switch systems — our billing team plugs directly into the EHR and practice management platform you're already running.
98%
Clean Claim RatioUp to 30%
Average Revenue IncreaseSpecialty-Trained
Orthopedics Coding & Billing TeamHere to Help You
Revenue cycle management is a complex maze of coding, claims, registrations, collections, remittance, and follow-ups — but we can help.
Enhanced Infrastructure
CoreStone has the infrastructure and expertise to avoid the costly troubles that come from regulatory changes and unexpected billing errors.
Higher Competency
Revenue cycle management is one of the biggest challenges healthcare organizations face. We streamline the process with proven technology and experienced medical billing experts.
One-Stop Solution
We're your trusted, one-stop outsourcing partner for every healthcare billing need — medical billing, coding, claims adjudication, credentialing, and more.
Offering Orthopedics Billing Services at Affordable Rates
We believe in offering quality Orthopedics billing services at reasonable prices, so your practice stays financially stable and healthy.
Starter
Collections under $10,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
Growth
$10,001 – $25,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Established
$25,001 – $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Enterprise
Collections over $50,000 / mo.
- Credentialing
- Dedicated Billing Team
- Claim Submission
- Payment Posting
- Daily Reporting
Frequently Asked Questions
Orthopedics mixes global-period fracture care with surgical procedures and DME billing, each with bundling and coverage rules that general billing teams often miss.
Yes. We submit and track prior authorizations for imaging, implants, and elective procedures, and handle appeals if a request is denied.
Yes. We bill durable medical equipment and bracing accurately to each payer's specific coverage requirements.
Our coders track each patient's global period so follow-up visits, injections, and related procedures are billed correctly instead of being denied as included.
Yes. Our billing team plugs directly into the EHR and practice management platform you're already running — no need to switch systems.
Most practices are fully onboarded and submitting claims within 5-10 business days, depending on payer credentialing and EHR access.
Request Your Free Billing Quote
Tell us about your practice and one of our billing specialists will follow up within one business day.
CoreStone Medical Billing Services
Serving healthcare providers across all 50 states with accurate, compliant, and technology-enabled medical billing.