ClainetRCM delivers end-to-end revenue cycle management tailored for orthopedic solo providers, clinics, and hospitals. Stop leaving money on the table.
Average annual revenue lost by orthopedic practices due to billing errors, denials, and poor follow-up
Orthopedic coding is among the most complex in medicine. Musculoskeletal procedures, implant billing, modifier nuances, and payer-specific rules require deep expertise.
Arthroplasty, arthroscopy, fracture care, each demands precise ICD-10 and CPT coding to avoid denials and underpayments.
Separate line-item billing for orthopedic implants with pass-through cost documentation requires specialized experience.
Orthopedic claims are denied at above-average rates. Our proactive approach and rapid appeals protect your revenue.
Multiple procedures, bilateral surgeries, and global period compliance require expert modifier application for full reimbursement.
From charge capture to final payment posting, ClainetRCM handles every step of your orthopedic revenue cycle.
End-to-end billing management designed for orthopedic practices, clinics, and hospitals.
Certified coders with orthopedic specialty expertise ensure every procedure is captured accurately.
Faster payer enrollment means faster payments. We manage your credentials from start to finish.
Dedicated remote assistants free your front desk so your team can focus on patient care.
Aggressive yet professional AR management to recover outstanding balances faster.
Identify revenue leakage and compliance risks before they cost your practice more.
We have seen it all and built proven workflows to fix it all.
Medical necessity denials, authorization failures, and code errors. Our proactive review process prevents them before submission.
Long AR days drain cash flow. We submit clean claims within 48 hours and follow up aggressively until payment is received.
Incorrect modifiers on orthopedic claims trigger automatic denials. Our coders apply the right modifiers every time.
Orthopedic procedures require constant pre-authorizations. Our VAs manage the entire prior auth workflow end-to-end.
Improper implant invoicing and undocumented costs lead to lost revenue. We capture and bill every device correctly.
Undercoding costs practices thousands annually. Our certified coders ensure every service is captured at the highest appropriate level.
Expired credentials delay payer payments. We proactively manage re-credentialing timelines so you are never out of network.
Post-operative billing within global periods triggers payer audits. Our billing team tracks and manages global periods meticulously.
Onboarding with ClainetRCM is fast, seamless, and requires minimal effort from your team.
We analyze your billing setup and identify revenue gaps at no cost.
We integrate with your EHR and PM system and configure our workflows.
A dedicated orthopedic billing team is assigned immediately.
Clean claims submitted within 48 hours with real-time tracking.
Watch collections rise with monthly performance reports.
Real outcomes from real orthopedic practices that partnered with ClainetRCM.
First-pass clean claim rate across all orthopedic submissions
Average increase in collections within the first 90 days
Reduction in claim denials through proactive scrubbing
Average turnaround from charge capture to claim submission
Whether you are a solo orthopedic surgeon or a multi-location hospital system, ClainetRCM scales with your needs.
Independent orthopedic surgeons and specialists who need professional billing support without in-house staff overhead.
Multi-provider orthopedic practices and specialty clinics seeking to optimize RCM performance across all providers and locations.
Hospital-based orthopedic departments and large health systems requiring enterprise-level RCM solutions with detailed reporting.
Since partnering with ClainetRCM, our denial rate dropped by over 65% and our monthly collections increased significantly. Their orthopedic coding expertise is truly unmatched.
ClainetRCM transformed our billing department. The virtual assistants handle prior auths so efficiently that our surgeons can focus entirely on patient care.
We were losing thousands monthly to undercoding and claim denials. After ClainetRCM's audit, we discovered billing gaps we did not even know existed. Revenue is up 38%.
Most orthopedic practices are fully onboarded within 5 to 7 business days. We integrate with your existing EHR and PM system, configure billing workflows, and assign your dedicated team with minimal disruption to daily operations.
ClainetRCM works with all major EHR and PM systems including Epic, Athenahealth, Kareo, eClinicalWorks, Modernizing Medicine, DrChrono, AdvancedMD, and more. We adapt to your existing technology stack.
Yes. We provide comprehensive billing services for Ambulatory Surgery Centers specializing in orthopedics, including facility fee billing, implant cost reporting, anesthesia billing coordination, and payer-specific ASC rate management.
Our dedicated Virtual Assistants manage the entire prior authorization process from submission through approval. We track timelines, follow up with payers, and ensure no procedure proceeds without proper authorization.
ClainetRCM pricing is based on a percentage of monthly collections, meaning we only succeed when you succeed. There are no setup fees, no long-term contracts, and no hidden costs. Schedule a free consultation to receive a custom quote.
ClainetRCM is fully HIPAA-compliant. All data is encrypted in transit and at rest, access is role-based and logged, and we conduct regular security audits. Your patients PHI is always protected according to federal regulations.
Join hundreds of orthopedic providers who trust ClainetRCM to maximize their collections.
Request Your Free Audit TodayNo obligation. Our specialists will review your current billing setup and identify revenue opportunities.
In a single free session, our orthopedic billing experts will uncover hidden revenue gaps and give you a clear roadmap to increase collections.
We review your billing performance and identify gaps at zero cost to you.
You will speak directly with a specialist who understands orthopedic RCM deeply.
All information shared is protected by HIPAA and never shared with third parties.
Most practices go live within 5 to 7 business days of signing on.
Performance-based pricing with no setup fees and flexible terms.