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2478 Street City Ohio 90255

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+(402) 763 282 46

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Orthopedics

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    Opening Hours

    Monday - Tuesday:9am - 6pm

    Friday - Sunday:8am - 5pm

    Sunday: Closed

    Orthopedics

    We streamline billing for orthopedic surgeries, physical therapy, and diagnostic imaging. Our expertise in coding for procedures like joint replacements and fracture repairs ensures clean claims and faster payments, reducing the risk of underpayments.

    Expert billing for surgical and non-surgical care. Optimizes surgical billing through data analysis to enhance cash flow. High-volume surgical billing benefits from analytics to reduce underpayments From joint replacements to fracture care and injections, our team handles the unique billing requirements of orthopedic practices. We assist with proper global period tracking, implant billing, and workers’ comp claims.

    QuantumX ensures:

    • Accurate procedural billing for arthroscopies, injections, and surgeries
    • Implant tracking and revenue optimization
    • Work comp and accident claim management
    • Modifier use for staged procedures and global period compliance
    Surgical procedures, implant billing, and global periods require specialized attention. QuantumX manages these intricacies, ensuring optimal revenue capture.
    • Surgical Billing with Zero Margin for Error From fracture care to joint replacement, orthopedic billing is packed with global periods, implant codes, and surgical bundles.
    Billing Challenge QuantumX RCM Solution
    Unbundling (e.g., 29826 + 29827) Claims scrubbed against NCCI edits before submission.
    Fracture care coding errors /td> ICD-10 specificity (e.g., S72.001A for initial encounter).
    Missing DME documentation (e.g., braces) Integrated DME checklists with proof of medical necessity.
    Physical therapy denials Functional limitation reports (G-codes) auto-generated from PT notes.
    Common Errors QuantumX Solution
    Missed Pre-Authorization We ensure all surgeries and procedures are pre-authorized before submission.
    Inaccurate Surgical Coding Our team uses specific CPT codes for joint replacements, fracture care, etc.
    Improper Use of Modifiers Our specialists apply correct modifiers (like -RT/-LT) after thorough verification.
    Bundling Errors We unbundle codes appropriately to reflect the full scope of treatment.
    Incomplete Operative Reports We request detailed documentation directly from surgeons to support billing.
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