Prostheses
Billing Services
Medicotechllc helps Prosthetist Orthotist providers by securing complete and timely reimbursements for custom durable medical equipment (DMEPOS) items through proper coding and documentation.
Get your first month free audit for prosthetics billing services now.
What is Orthotics Billing & Prostheses Billing Services?
Orthotics and Prosthetics billing services are a specialized subset of medical billing focused on durable medical equipment (DME). They handle the complex process of submitting claims to insurance companies for custom-made orthopedic braces (orthotics) and artificial limbs (prostheses). These services ensure proper coding, documentation, and compliance to maximize reimbursement for the providers while navigating the intricate rules of Medicare, Medicaid, and private payers.
All-in-One Prostheses Medical Billing Services
We offer a complete suite of revenue cycle management services designed specifically for orthotics and prosthetics practices. Our services ensure a smooth revenue stream while providing you with complete control over your finances.
Clear Patient Statements
For the peace of mind of both providers and their patients, we create clear and easy-to-understand statements. This helps patients understand their financial responsibilities and what they owe the practice.
Compliance & Data Security
With Medicotechllc, you get a guarantee of 100% HIPAA compliance. We also adhere to all regulatory standards set by government and commercial payers. Your data is secure with us, so you can focus on patient care.
Prior-Authorization
Lengthy prior authorization delays for orthotics and prosthetics can disrupt patient care. We streamline approvals for custom-fabricated devices, ensuring a smoother process and faster patient access to essential care.
Accurate Payment Posting
Effective payment posting is crucial for maintaining accurate financial records. It also helps identify underpayments or denials that require further action, ensuring a healthy revenue cycle for your practice
Out-Of-Network Billing
A common challenge for patients with out-of-network prostheses is the provider’s charge exceeding the insurer’s allowed amount or Usual, Customary, and Reasonable (UCR) rate. We verify all charges before billing the patient for the remaining balance.
Advanced Technology
Our certified billing experts are trained in the latest EHR/EMR systems. With the resources and technology for the complete revenue cycle, we ensure every dollar is accounted for with accurate healthcare data.
Billing Specific To Your Practice Specialty
Looking for a medical billing company that delivers on-time and is specific to your needs? Partner with Medicotechllc. We are a nationwide service that helps every size hospital, clinic, and medical practice manage their billing, especially for complex specialties like prosthetics and orthotics. We understand that billing for these services uses highly specific HCPCS Level II codes, primarily from the “L” series (L0112-L9900), which define the device type, function, and fabrication method, whether it’s custom-fabricated, custom-fitted, or off-the-shelf.
Credentialing, Billing, & Coding Services
With more than 10 years of industry experience in all medical healthcare revenue cycle services, we’ve got you covered. We provide credentialing and enrollment services to providers for both government and commercial payers, helping you get contracts for the highest possible pay. We also handle medical billing services efficiently, designing a workflow that results in fewer claim errors and reworks. Our services are powered by our CCA- and AAPC-certified coding gurus, who expertly avoid over- and under-coding.
Better Revenue Comes From Expert Denial Management
Medicotechllc works to avoid denials. We expertly handle claims the first time by thoroughly checking for coding and documentation errors. Get a first month free billing audit now to experience our billing and coding expertise. This audit will show you whether a partnership with us is right for you, giving you a strategy to improve your practice’s revenue and make your workflow seamless.
Why Outsource Prostheses Medical Billing Services?
Outsourcing is often the more efficient and cost-effective option for healthcare practices, offering numerous benefits for both patients and providers alike.
- Optimizes billing and payment collection for better cash flow
- Frees up time for providers to focus on patient care
- Cuts costs by eliminating the need for in-house billing staff
- Ensures accurate orthotics and prosthetics coding, reducing denials
- Maximizes reimbursements with expert knowledge of specialty regulations
Frequently Asked Questions
What specific codes are used in prostheses billing?
Prostheses billing typically involves HCPCS Level II codes, mainly from the “L” series (L0112-L9900), which define the device type, function, and fabrication method.
How does outsourcing affect my cash flow?
Outsourcing prostheses billing optimizes payment collection processes, improving cash flow and reducing delays in reimbursements from insurers and patients.
What benefits does credentialing bring to prosthetics providers?
Credentialing allows prosthetics providers to join insurance networks, which is crucial for receiving reimbursement. It legitimizes the provider’s practice, making them a trusted choice for patients and a qualified partner for payors. Ultimately, this expands their patient base and ensures a stable revenue stream.
How to bill for Orthotics?
Billing for orthotics requires using specific CPT and HCPCS codes that correspond to the type of device provided. You must also ensure that a supporting diagnosis code is included to demonstrate the medical necessity of the orthotic.
How can I ensure accurate reimbursement for custom prostheses?
Accurate reimbursement requires proper documentation, precise coding, and adherence to payer-specific requirements, especially for custom-fabricated devices.