4.9/5.0
100+ Providers Trust
Orthopedic Surgical & Outpatient Billing
Full-Spectrum Billing Support Aligned With Your Clinical Goals & Administrative Demands.
Expert Surgical & therapy billing precision.
Efficiently improve cash flow with faster reimbursements.
Error-free Reduce denials with pre-op auth verification.
Data-driven Monthly KPI reporting for orthopedic services.
Streamlined Medical Billing Solutions
Designed To Maximize Your Practice Revenue
Our Experienced Team Delivers Accurate, Compliant, & Efficient Billing Services, Helping Healthcare Providers Reduce Denials, Improve Cash Flow, & Focus On Patient Care.
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Maximizing Orthopedic Practice Revenue
Nationwide With Confidence
Accurate Orthopedic Billing That Delivers
Orthopedic billing includes fracture care, joint replacements, and surgical procedures. In California, Florida, and New Jersey, payer rules often complicate reimbursements. Evocare simplifies workflows with automation and coding expertise tailored to orthopedic care. Our solutions reduce denials and ensure faster claim approvals. Orthopedic practices benefit from improved cash flow and reliable billing support, backed by comprehensive orthopedic medical billing and revenue cycle management services that ensure compliance, accuracy, and long-term financial stability.
Stop Orthopedic Revenue Leakage
Missed surgical modifiers and outdated implant billing are common denial triggers. States like Texas, Illinois, and Ohio frequently report stalled orthopedic claims. Evocare prevents these issues by applying clean edits and ensuring compliance. Our team maintains accuracy that keeps rejection rates below industry standards. With us, orthopedic practices strengthen financial outcomes across the country through proactive orthopedic billing audits, payer-specific rule enforcement, optimized revenue cycle management processes, and faster, predictable reimbursement cycles.
Simplify Orthopedic Billing Increase Revenue Faster & Smarter
Our team offers specialized expertise in fracture care, joint replacements, and injections, ensuring accurate surgical coding and proper modifier application. We streamline billing for imaging and DME while providing dedicated support for hospital and ASC procedures. By minimizing delays in high-value orthopedic claims and implementing proactive denial management, we help you maximize collections and maintain a healthy revenue cycle.
Orthopedic Revenue Cycle Process
Eliminate Financial & Operational Challenges With Optimized Workflows For Fracture Care, Joint Replacements, & Orthopedic Surgeries.
Orthopedic Billing & Revenue
Optimization Solutions You Can Trust
Driving Faster, Accurate Reimbursements With Precise Surgical & Therapy Coding Solutions Nationwide.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On.
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Maximize Collections For Your
Orthopedic Practice
Orthopedic billing is complex, covering fracture care, joint replacements, injections, and durable medical equipment. Our team of qualified AAPC-certified CPC & CPB professionals ensures accurate surgical coding, proper modifier use, and timely claim submission to reduce delays and denials. This means faster, more reliable reimbursements for your practice.
We provide dedicated billing solutions for both hospital-based and ASC orthopedic procedures. By leveraging the expertise of our certified billing specialists, we improve efficiency and revenue flow, helping orthopedic practices manage financial performance while focusing on patient recovery and outcomes.
Let's get in touch
Please fill up the form, one of our AAPC certified medical biller and coder will reach out to you
Frequently Asked Questions By
Orthopedic Providers
If You Can’t Find The Answer You’re Looking For, That’s No Problem. Schedule a Demo, & We’ll Work To Answer Your Question.
Why do joint injection claims deny for bilateral procedures?
CPT 20610 billed for both knees requires modifier -50 or RT/LT depending on payer. Missing modifiers leads to payment for one side only.
How do global periods impact fracture care?
Closed fracture management (e.g., 25600 for distal radius) includes 90-day follow-up. Billing E/M for pain during this period is denied unless modifier -24 is used for unrelated care.
Why do spinal fusion claims face high denial rates?
CPT 22612 requires documentation of instrumentation (22840–22844). Missing device codes or nonspecific diagnoses (M54.5 low back pain) instead of M43.16 (spondylolisthesis) results in denial.
How do ICD-10 laterality rules complicate ortho billing?
Shoulder arthroscopy (29822) requires coding M75.51 (right shoulder bursitis) or M75.52 (left). Using M75.50 unspecified leads to payer rejections.
How do I bill for post-operative visits during a global surgical period?
Post-operative visits within a global surgical period are generally included in the original procedure payment and should not be billed separately. Only visits for complications or unrelated conditions can be billed with the appropriate modifier (e.g., -24). Always document the reason for the visit clearly.
Why do physical therapy referrals impact orthopedic billing?
Physical therapy referrals impact orthopedic billing because insurers require them to verify medical necessity. Accurate referrals ensure correct CPT coding, prevent claim denials, and maintain compliance with payer rules. Timely, documented referrals also speed up reimbursements and protect practice revenue.
Get paid faster with 24/7 expert medical billing support
Seamless integration with your EHR for smooth workflow operations
Trusted nationwide for a 99% client retention rate
