Orthopedic Surgery Medical Billing Services
Orthopedic clinics, with their complex coding rules and pre-authorization requirements, are among the hardest types of clinics to run. Fortunately, Atlas brings years of orthopedic billing expertise to the table.
Get An Expert TakeHow Dr. Pradhan Built a Thriving Orthopedic Clinic in Nine Months
Dr. Anup Pradhan spent years as an orthopedic surgeon in the MedCity Dallas hospital system, building a reputation for excellent outcomes and patient-first care. He had the clinical credentials, but not the billing expertise. He chose Atlas as his business partner so he could focus on the patient experience.
Read the full story →
No Two Orthopedics Clinics Are The Same...
...but many deal with similar issues. We bring our experience from working with many other orthopedics groups to help you navigate the key questions for your practice.
Should I open my own ASC?
Owning an ASC allows you to capture significantly more for each surgery: depending on the payer, 50-70% of the surgery payment goes to the facility (only about 20% is paid to the surgeon). While owning the surgery center invites additional costs and complexity, many of our surgeons have found it to be worth the hassle.
Should I bring PT in-house?
Having physical therapy provided by the orthopedic clinic can really simplify the patient journey and allow the provider group to capture more value. We have talked a few clinics through this choice, which raises important billing and regulatory questions.
When should I hire a PA or NP?
Mid-level providers expand your capacity but create incident-to billing questions, shared surgery modifier complexities, and credentialing requirements that vary by payer. We manage credentialing, configure incident-to vs. independent billing by payer rules, and ensure your mid-levels are billed at the highest allowable rate.
What We Do For Your Practice
Claims & Coding
Accurate submissions with optimized coding to maximize reimbursement on every visit.
Denial Management
Aggressive follow-up and appeals on every denied claim — we don't write off revenue.
Payer Contract Negotiation
We negotiate directly with payers to improve your fee schedules and reimbursement rates.
Technology Transitions
Sourcing vendors, migrating data, negotiating fees — we help in each part of finding the best technology.
Accounting
Real-time visibility into the full business of your clinic — not just the revenue cycle.
Practice Growth Strategy
We help you identify and stand up new lines of medicine — from feasibility to launch.
We Work With Your EMR
Atlas integrates with every major electronic medical records system. No switching required — we meet you where you are.
Frequently Asked Questions
How does Atlas handle complex orthopedic surgical coding? +
Our coders read every operative report and assign CPT codes based on the documented procedure, not the surgeon's suggested codes. We apply appropriate modifiers for multiple procedures, bilateral cases, and co-surgery scenarios, then validate against current NCCI edits before submission. This approach catches both undercoding and overcoding before claims ever reach the payer.
How long does the transition take? +
Most practices are fully transitioned within 30 days. We run in parallel with your current billing operation during the overlap period so there is zero disruption to your cash flow and no claims fall through the cracks.
Do you provide a dedicated billing manager? +
Yes. Every Atlas client gets a dedicated billing manager with a direct phone number you can call or text anytime. Your billing manager knows your payer mix, your fee schedules, and your practice inside and out.
Are there long-term contracts? +
No. We work on month-to-month agreements because we believe you should stay with us because of results, not because of a contract. Most of our clients have been with us for years.