Killer 01
Modifier 24 and 79 misuse
Unrelated post-op encounters are denied when modifier strategy is wrong.
Orthopedic billing that handles
global periods correctly.
Surgical global periods, post-op modifier logic, fracture care sequencing, and DME billing accuracy.
Aetnapaneled
BCBSpaneled
UnitedHealthcarepaneled
Cignapaneled
Humanapaneled
Kaiser Permanentepaneled
Tricarepaneled
Anthempaneled
Centenepaneled
Molinapaneled
Medicarepaneled
ElevancepaneledAetnapaneledBCBSpaneledUnitedHealthcarepaneledCignapaneledHumanapaneledKaiser PermanentepaneledTricarepaneledAnthempaneledCentenepaneledMolinapaneledMedicarepaneledElevancepaneledQuiet killers
Where orthopedics revenue leaks. Three patterns we audit on every onboarding and fix first.
Killer 02
Fracture care sequencing
Initial fracture care, follow-up, and procedure transitions often overlap incorrectly.
Killer 03
DME underbilling
In-office braces and orthotics are dispensed but not billed correctly.
How we work
Orthopedics operations, built right.
A specialty pod that lives inside your workflow, not a call-center model. These are the controls we run on every claim from day one.
Orthopedics pod · operating playbookActive
01
Global period tracking by case
✓02
Surgical modifier governance
✓03
DME billing integration
✓04
ASC, hospital, and office POS split controls
✓Reviewed quarterly · last update May 2026v2.6
Codes & modifiers
The orthopedics code family.
What we actively scrub on every claim. Coders in this pod work these codes daily with payer edits and documentation patterns mapped into weekly QA.
CPT/HCPCS reviewed quarterly · payer LCD/NCD subscriptions · CCI updates · claim-level audit logs.
27130
Total hip arthroplasty
27447
Total knee arthroplasty
23472
29881
Knee arthroscopy
L-codes
DME / orthotics
24
25
57
58
78
79
Credentialing
Panels we already work for orthopedics. Enrollment, revalidation, and CAQH upkeep included.
✓Hospital privileges
✓ASC enrollment
✓Medicare and commercial paneling
✓DME supplier setup support
FAQ
Frequently asked.
Practical questions we get during diligence. Ask anything we missed.
Do you support ASC workflows?+
Yes, facility and professional coordination included.
Do you handle workers compensation?+
Yes, state-specific filing workflows included.
Can you bill in-office DME?+
Yes.
30-day review
A quick conversation, not a long form.
Six short questions. We use them to route your request to the right specialist and return a focused recommendation summary.
HIPAA-safe by default
We don't ask for PHI. Practice-level data only.
~ 90 seconds
Press Enter to continue. No long intake form.
Based on what you've told us...
We route your request to the billing pod that can move fastest.