Medical billing
Charge flow, clearinghouse exceptions, claims submission and payment posting.
Explore billing →Specialties / Surgical
Orthopedic Surgery Medical Billing & Revenue Cycle Support
Joint replacement, fracture care and postoperative global-period billing with attention to implant documentation, assistant-surgeon scenarios and professional/facility reconciliation. Our approach begins with the claim lifecycle, clinical documentation controls, payer-specific requirements and accountability for unresolved balances.
Claims and documentation
Where billing complexity shows up
These are common review areas, not a claim that every payer or procedure is covered identically.
- Procedure-to-authorization matching for major joint and fracture cases
- Implant and assistant-surgeon documentation integrity
- Global surgery modifiers and professional/facility reconciliation
- Common denial patterns around medical necessity, laterality and staged procedures
- Aged A/R follow-up for unpaid implant or global-period related balances
Our implementation approach
- Map major procedure types, coding responsibilities, payer policies and authorization dependencies.
- Review charge capture, edits, denials and aged A/R queues using aggregate records.
- Define an approved operating scope, escalation owners and secure access boundaries.
- Report exceptions, follow-up activity and unresolved payment variances.
Services you can combine
Denial management
Preventable denial root-cause reviews and supported payer follow-up.
Explore denials →Old A/R recovery
Evaluate viable claim paths for aged balances, documentation and appeals.
Explore A/R →Questions before an engagement
Can Millennova manage every payer for this specialty?
We assess payer mix, contractual restrictions, authorized system access and specific operational requirements before proposing coverage. No payer participation or payment outcome is guaranteed.
What should we share at the first meeting?
Aggregate A/R aging, payer mix, service volume, billing platform, and an overview of denials and authorizations. Do not send patient records through the website.
Start with the specialty and actual payer mix.
Request a scoped discussion without submitting patient information.
Speak With Our RCM Team