Doctor Management Services

What portion of orthopedic revenue is lost due to “bundling” problems and not denied? More than any other practice tracks. Orthopedic visits frequently combine imaging, injections and procedures, and payers often include services under a single NCCI edit that they should be priced separately. In the field of orthopedic medical billing, there are specific combinations of modifiers that will pass the scrutiny of the review and others that will be reviewed. There are certain combinations of modifiers that will pass review and others that will be reviewed, and that is why medical billing coders need to pay attention to these errors before submitting the bill. This type of underpayment will have a cumulative effect on a practice’s claim volume that is significantly greater than any one claim denial.