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Orthopedic Billing

Orthopedic Billing That Captures Every Dollar You've Earned

Global period tracking, implant billing optimization, and a dedicated OON negotiation layer built for orthopedics — so every claim reflects the care you delivered.

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Up to 6×
OON Recovery
Medicare Rate
100%
Global Periods
Tracked
98%+
Clean Claims
First Pass
🦴 The Challenge

The Orthopedic
Billing Challenge

Orthopedic billing requires precise management of 10-day and 90-day global surgical periods, where post-operative visits are bundled into the procedure. Implant billing adds complexity with separate facility vs. professional component rules. Multiple procedure discounting varies significantly by payer, and OON situations are common for orthopedic surgeons operating at multiple facilities.

Our Approach

What REL1EF Does Differently

Global period tracking for every surgical procedure
Implant billing optimization across facilities
Multiple procedure discounting managed per payer rules
OON Upside

The OON Opportunity
in Orthopedics

Orthopedic surgeons operating at multiple facilities frequently encounter OON patients. High-value surgical procedures mean the gap between payer offers and negotiated rates can be significant — REL1EF recovers up to 6× Medicare.

Orthopedic OON Reimbursement — Same Procedure
Medicare Baseline1×
Unmanaged OON0.8–1.2×
REL1EF Negotiated OONUp to 6×
Based on UCR benchmarking & Fair Health data. Results vary by payer and geography.
Scope

Services Included

Global Period Management Implant Billing Fracture Care Coding Arthroscopy Billing Joint Replacement Coding Multiple Procedure Discounting OON Negotiation Prior Authorization Denial Management A/R Recovery
Get Started

No-Win, No-Fee
Orthopedic Billing

Start with the free A/R recovery trial to see our work firsthand — or contact us directly about orthopedic billing services.

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✓No-win, no-fee A/R recovery trial
✓HIPAA compliant · BAA signed before access
✓Global period & implant billing compliance
✓Works with 50+ EHR systems
Request Your Free Orthopedic Billing Assessment
🔒 HIPAA compliant · BAA signed before any data access
Orthopedic FAQ

Orthopedic
Billing Questions

Common questions about orthopedic billing, global periods, and OON negotiation.

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Global surgical periods (10-day and 90-day) bundle post-operative visits into the surgical procedure's reimbursement. Billing separately for bundled visits triggers denials. REL1EF tracks every global period by procedure and payer, ensuring post-op visits are billed correctly and legitimate modifier-25 services are captured when appropriate.
Implant billing involves separate facility vs. professional component rules, manufacturer-specific coding, and payer-specific coverage policies that change frequently. Many practices leave implant revenue on the table by under-coding or failing to bill the implant separately when allowed. REL1EF optimizes implant billing across every facility and payer combination.
Orthopedic surgeons operating at multiple facilities frequently encounter OON patients, especially for high-value surgical procedures. The gap between initial payer offers and fair reimbursement is often significant. REL1EF's dedicated OON negotiation layer recovers up to 6× Medicare rates on the same procedures that payers routinely underpay.
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