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Orthopedic Medical Billing

Orthopedic Medical Billing: MBC Systems has the experience

MBC Systems is a medical billing company that has been providing Orthopedic Medical Billing for over 25 years. We understand the very specific needs of orthopedic surgeons medical billing, that you work long and odd hours and can be called in to the hospital for emergency surgeries due to car accidents and other accidental traumas that can lead to surgery.

We know that you need to depend on your medical billing company so that you can focus on delivering the work.

"The bottom line is this: we help our clients understand current legislation and create operating workflows to help them get paid, and we are on top of the changes and there are a ton of them."

We know that as an orthopedic (or orthopaedic) surgeon you will examine patients, educate them on their condition, and then determine the best treatment plan for that disease or injury, which may include medication, exercise, or surgery.

With work this complex its no doubt that you should be fairly compensated and that’s where our medical billing expertise will come in handy for you. What good is billing if it’s not correctly coded? You may never get paid or it may be severely delayed for lack of the proper coding knowledge.

We take the same approach to medical billing as you have done to medicine: specialization. We understand the gap between the performing a surgical procedure and collecting what is due and we’ve developed a modular system of division of labor and training that makes our team the best in the orthopedic billing industry.

We understand that single letter or number changes to the CPT Codes can change the entire characteristic of the procedure and thus its compensation. Bones, tendons, ligaments and muscles are your specialty, the proper representative CPT Codes are ours.

  • “0” indicates a medical procedure
  • “P” specifies that they’re bones of the upper body
  • “Q” indicates that the procedure is a repair

We have seen your margins tighten as there have been changes in the insurance and medical care marketplace and we realize that accurate, timely billing is more important to doctors and their practices than ever.

We know that, when procedures change, when codes change, when reimbursements change, that its hard for any billing team to stay on top of those changes in a timely way. Before these affect your bottom line you should hire a medical billing company like MBC Systems.

If you’ve got an orthopedic surgery practice and you want expert orthopedic medical billing to compliment it contact us to schedule a meeting - (949) 863-0022 or use our handy request a call form.

Related Orthopedic Medical Billing reading...

Location-Based Adjustments (aka GPCIs) in effect for CA as of January 1st, 2019

By MBC Systems Staff | February 21, 2019 |
Location-Based Adjustments (aka GPCIs)

The State of California has added another wrinkle for doctors seeking work comp reimbursements to keep track of. Say hello to “location based adjustments or Geographic Practice Cost Indices (GPCIs)”. Doctors in many areas will be taking another hit to their net reimbursements, approximately 3 – 4% while in the most expensive locations doctors will…

Can Blockchain Improve Medical Billing Efficiencies?

By MBC Systems Staff | February 4, 2019 |
Medical blockchain

With healthcare and insurance costs rising year over year many people, including Warren Buffet, Jamie Dimon and Jeff Bezos (Healthcare Costs are Eating the Economy), are turning to new ideas and technology in an effort to address this problem. Can blockchain play a part in this solution? First off, it probably helps to revisit the…

George Parisotto, administrative director of the DWC, on the Worker’s Comp landscape

By MBC Systems Staff | December 18, 2018 |
We have over 25 years of experience with Workers Comp billing

Recently George Parisotto, administrative director of the DWC, was interviewed by Insurance Journal on the Worker’s Comp landscape. Here are the main takeaways for doctors, doctor’s groups and surgery centers that perform. the bulk of Workers Comp treatments. New Pharmacy committee has created a new worker’s compensation drug formulary that went into effect at the…

Getting Clear on CPT Codes 99080 and WC007

By MBC Systems Staff | September 11, 2018 |
Have questions about medical billing or collections? Call the experts at MBC Systems - (949) 863-0022

If you’re doing your practice’s medical billing, you know that your bottom line depends on all your coding and paperwork being just right. Your job is complicated by the fact that many Current Procedural Terminology (CPT) codes are eliminated or revised each year. At MBC Systems, our dedicated legal team has years of expertise and…

Evaluation and Management Services 101

By MBC Systems Staff | August 28, 2018 |

The codes for evaluation and management services are a subset of the Current Procedural Terminology, or CPT, the code set published and maintained by the American Medical Association (AMA), and refer to services provided by physicians in evaluating patients and managing their medical care. The coding and medical billing for E/M (Evaluation and Management) services…

Acupuncture Services 97810 – 97814 Remain Compensable

By MBC Systems Staff | July 30, 2018 |

On 07/18/2018 the DWC issued information reminding workers’ comp payers that acupuncture continues to remain within the definition of “medical treatment” under Labor Code 4600 and employers and or their insurers MUST PAY for it if it is deemed medically necessary. At MBC Systems, we specialize in California Labor Codes and workers’ compensation billing. We…

Senate Bill 1160, Workers’ Comp, Automatic Authorization and You

By MBC Systems Staff | July 3, 2018 |

Senate Bill 1160 was passed by the California legislature in 2016 in a wide-ranging effort to reform the state’s Workers’ Comp billing system. It included changes to automatic authorization, utilization review, lien filing, billing deadlines and much more. While most of the changes took effect in 2017, some did not start until January 1st, 2018.…

Medically Unlikely Edits and CPT Code 97750

By MBC Systems Staff | June 18, 2018 |
Medically Unlikely Edits and CPT Code 97750

Medical billing for physical performance testing is an area where many doctors get frustrated due to claim denials. This is usually because of coding errors and misunderstandings around the “eight-minute rule” and MUEs. Current Procedural Terminology (CPT) Code 97750 is the procedure code to bill for functional capacity exams, including physical performance tests and measurements,…

Hand it Over! Four Reasons to Outsource to a Medical Billing Service

By MBC Systems Staff | June 7, 2018 |
By outsourcing your revenue cycle management to an experienced medical billing service, you gain access to expert resources, methodology, and state of the art technology.

By outsourcing your revenue cycle management to a reputable and experienced medical billing service, you gain access to expert resources, methodology, and state of the art technology that come only with specialization and scale. Here are four ways we can save you time and money: Staying up to date on CPT codes The sheer volume…

DWC Posts Fee Schedule Adjustments for Hospital Outpatient Departments/Ambulatory Surgical Centers

By MBC Systems Staff | June 5, 2018 |
DWC's Latest Changes in Workers’ Comp Billing Legislation

It is our passion to help physicians stay on top of the latest changes in workers’ comp billing legislation. If you have any questions about the changes to the Medicare payment system below, please feel free to call us–we’d love to talk to you. Who knows? It might be time for you to switch to…

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Erica Weinstein-Galvez
(949) 863-0022
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