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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...

ABNs- Creating Doctor-Patient Trust AND Ensuring Doctors Get Reimbursed

By MBC Staff | May 25, 2018 |
For medical billing questions, call us at (949) 863-0022.

Medical billing may not seem like an obvious area for improving doctor-patient relations, but being upfront with your patients about what services Medicare will and won’t cover can build trust between the patient and the doctor. “Patients may not like what they hear,” according to Orthopedic Coding Alert Magazine, but informing patients that a service…

DWC Posts Adjustments to Official Medical Fee Schedule

By MBC Staff | May 22, 2018 |

This is what we live for! At the end of March, the Division of Workers’ Compensation (DWC) posted an order adjusting the Official Medical Fee Schedule (OMFS) to conform to changes in the Medicare payment system. And your workers’ comp billing and CPT codes need to adjust accordingly. The easiest solution? Outsource your medical billing…

Anthem’s Evaluation and Management Services Medical Billing Reimbursement Policy

By MBC Staff | May 14, 2018 |

The constant changes to policies regarding medical billing, CPT codes (Current Procedural Terminology), and modifiers can make your head spin. As if it weren’t complicated enough determining whether an E/M visit code (evaluation and management) can be applied to a service provided by the same provider on the same day as a minor surgery, Anthem…

Enormous Victory for the Qualified Medical Examiners (QMEs) of California

By MBC Staff | April 25, 2018 |
California Division of Workers’ Compensation

The Division of Workers’ Compensation will now allow the Qualified Medical Evaluators QMEs to cite medical causation as a complexity factor on accepted claims; allow them to bill for medical research that is within their scope of practice and it will allow them to charge for time spent preparing reports when using the ML 104…

New Medicare Cards Rolling out now – the MBI and Your Practice

By MBC Staff | April 19, 2018 |
New Medicare ID cards 2018

The Centers for Medicare & Medicaid Services (CMS) are removing Social Security Numbers from Medicare cards to prevent fraud, fight identity theft, and keep taxpayer dollars safe. CMS has started mailing newly-designed Medicare cards with the new Medicare Beneficiary Identifier (MBI), or Medicare Number. People enrolling in Medicare for the first time will be among…

The Hidden Payoff in Labor Code LC 5402

By MBC Staff | April 10, 2018 | Comments Off on The Hidden Payoff in Labor Code LC 5402
Need help navigating labor code compliance? Call MBC (949) 833-0022

One simple question can mean the difference between getting paid on a workers’ compensation claim or not. Under LC 5402, when attempting authorization on a workers’ comp claim, always ask if the claim/case is accepted, denied or still in discovery. If the insurance company has not decided to accept or deny the claim then provider…

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Erica Weinstein-Galvez
(949) 863-0022
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