No More Claim Denials with Expert Prosthetics Billing Services
Copay or coinsurance may apply to orthotics and prosthetics. Prior authorization is needed for certain devices, and the requirements can vary depending on the payer. This makes prostheses billing very complex.
Pulse Medix has been the leading prostheses medical billing company in the United States for over a decade. Our certified billers have extensive experience with prostheses, and our entire team is trained in HIPAA compliance, ensuring the security of patient data. We will manage your complete revenue cycle, from prior authorization to patient billing.
Let’s team up to minimize your claim denials and maximize reimbursements.
Prostheses Billing Services We Offer
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Claims Submission -
Authorization Management -
Coding and Documentation (Rx & Dx Entry) -
Eligibility Verification -
Denial Management -
Payment Posting -
Patient Billing -
Account Reconciliation -
Compliance Monitoring -
Reporting and Analytics
Is Your In-House Billing Staff Facing the Following Challenges?
Fitting and Adjustment Appointments
The code for fitting and adjusting prostheses includes the office visit, so billers should avoid using a separate visit code in the claim.
Overlapping Codes
Codes for providing and adjusting prostheses may overlap with those for training provided by a skilled clinician. Billers need to accurately identify and code each service and use modifiers to indicate any reduced services to prevent duplicate payments. Improper coding can lead to over-coding and potential fraud charges against the physician.
Uncoded Products
Some prosthetic devices lack specific codes due to the absence of product reviews. Medical coders and billers must find the appropriate codes in these cases. The process can be time-consuming, potentially increasing labor costs beyond the claim’s value.
Outsource your prostheses medical billing services to Pulse Medix because:
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Pulse Medix handles fitting and adjustment billing accurately, integrating codes to avoid errors. -
We expertly manage overlapping codes and find the correct ones for uncoded devices, reducing compliance issues and extra costs.
Pulse Medix is the Leading Prostheses Billing RCM Provider
Accuracy You Can Trust
Pulse Medix’s focus on precision means fewer billing errors and better financial management.
Up-to-Date Compliance
We keep up with changing regulations so you don’t have to, making sure you are always on the right side of compliance.
Cost Savings
Outsourcing to Pulse Medix means you save on in-house staffing costs while still getting expert prosthetics billing services.
More Time for Patients
By handling the billing, we free you up to spend more time on patient care and less on administrative tasks.
Faster Reimbursements
With specialized billing practices, we help you get the most from your claims and keep denials to a minimum.
Pulse Medix Boosts Your Reimbursement Rate By Up To 30%
Curious about how we can boost your reimbursements? Drop us a line and let’s talk about how our prostheses billing services can make a difference.