Orthopedics Medical Coding & Billing Solutions

Partner with the most advanced AI workforce to transform your RCM operations

Orthopedics

15% Higher
Collections

60% Lower
Costs

30% Reduction
in A/R Days

75% Reduction
Claim Denials

What is Orthopedics

Orthopedics is the branch of surgery concerned with conditions involving the musculoskeletal system- bones, joints, ligaments, muscles, and tendons. Orthopedic surgeons treat injuries and deformities through surgical and non-surgical means. Their work ranges from setting broken bones to more complex procedures such as spine surgery or hip replacements, and they often work in sports medicine to help athletes recover from injuries.. According to the latest reports, there are more than 18,469 providers in Orthopedics in the US.

Our Expertise in Orthopedics Coding & Billing

Orthopedics focuses on sports injuries and degenerative diseases. Common procedures are joint replacement and fracture repair. Major ICD codes are M16.0 (Bilateral primary osteoarthritis of hip) and S72.001A (Fracture of right femur). CPT codes include 27447 (Knee arthroplasty) and 29881 (Knee arthroscopy with meniscectomy). HCPCS codes are L1832 (Knee orthosis) and L4360 (Pneumatic walking boot).

Amy, CombineHealth's AI medical coder, is well-versed with different diagnosis and procedure codes realted to Orthopedics as well as follows all the Orthopedics coding guidelines. Amy analyses the provider notes and determines the most appropriate ICD-10, CPT and HCPCS codes to maximise collections and reduce denials.

Benefits of Our AI-Powered Orthopedics Coding and Billing Solutions

Improved accuracy of medical coding AI

Superior Quality

Capable of understanding complex medical notes, Amy has an astonishingly high accuracy of 99.2%, ensuring all the Orthopedics charts are correctly coded

Medical coding AI is compliant to latest guidelines

Adherence to Guidelines

Medical coding guidelines evolve each year, making it difficult for human coders to track. Amy is well-versed with Orthopedics guidelines and ensures full compliance with them.

AI medical coding reduces costs and can code 1000 cases per hour

Faster and Cost Effective

Have a huge backlog of cases to be coded at the end of the month? No problem, Amy’s got you covered. Worried about rising coding costs? Amy helps with Orthopedics coding at a fraction of the cost

Reduced denials due to autonomous coding

Less Denials

Denials are on the rise due to several factors. By carefully analysing the medical records, Orthopedics guidelines and proactively asking for required information, Amy ensures the highest collections and lowest denials.

Reliable AI Employees available 24/7

Amy

Meet Amy

AI Medical Coder

  • Customizable configuration for autonomous coding
  • Understands medical context
  • Compliant with latest coding guidelines
Marc

Meet Marc

AI Medical Biller

  • Handles billing end to end
  • Aids with denial management
  • Consistent followups
Alice

Meet Alice

AI Auditor

  • Automated data analysis
  • Detects inaccuracies in real-time
  • Efficient and accurate audits
  • Provides continuous education on coding standards.
Catherine

Meet Catherine

AI Charge Entry

  • Increased Efficiency
  • Enhanced Accuracy
  • Substantial Cost Savings
  • Scalable and fast
Deborah

Meet Deborah

AI Denial Manager

  • Automated claim tracking
  • Denial Analysis
  • Consistent & Autonomous Appeal Management
  • Real-Time Error Detection

Why Choose CombineHealth?

CombineHealth’s Amy is a powerful AI-powered medical coder for Orthopedics. Amy analyses medical records, including doctor notes, lab test descriptions, medical history, etc., and automatically assigns the appropriate ICD-10 and CPT codes. This increases coding accuracy and reduces claim denials. Like human coders, Amy also recognises gaps in medical documentation, promptly querying the providers to give additional context whenever needed.

Finally, Amy clearly highlights her thought process behind determining the medical codes. This significantly eases the process of auditing Amy’s outputs, helping with a reliable and trustworthy adoption of medical coding AI for Orthopedics.

Our AI Workforce Supports All Types of Specialities

Internal Medicine

Critical Care

Pediatrics

Emergency Medicine

Anesthesiology

Dermatology

Neurology

Radiology

Psychiatry

Pathology

Family Medicine

Orthopedics

Gastroenterology

General Surgery

Obstetrics and Gynecology

Hematology and Oncology

Delivering Superior Results with Trust by AI

Explainability is a key attribute of CombineHealth's AI coding solution

Explainability

AI is often dubbed as black box, making it difficult to trust and rely upon. CombineHealth’s AI workforce is built to provide full transparency and explanation for each of their decisions

CombineHealth offers completely human-in-the-loop coding

Human in the loop

The AI workforce tells you when they are not sure and need help. They proactively inform when a human review is needed, thus ensuring that you are in control of all the decisions.

CombineHealth's medical coding AI learns from human feedback

Continuous learning

AI continuously learns from your feedback as well as adapts to ever-changing compliance scenario and ensures each of the generated code is 100% compliant with the rules.

Future-proof your
Healthcare RCM
with AI Workforce

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