Sports Medicine Medical Billing For Clinic and Sideline Care

We move them onto a self-pay workflow with written estimates and collection at the time of service, rather than submitting claims that will predictably be denied. Platelet rich plasma and similar treatments are excluded by most plans. Billing them anyway wastes time, delays the practice getting paid, and leaves the patient with an unexpected balance and a bad impression.

Very likely. Many sports medicine practices dispense braces and supports without billing them at all, or bill them without the supplier documentation payers require. Dispensed equipment is billable revenue when the workflow is set up correctly, and for a busy practice it adds up quickly across a year.

Yes, when guidance is actually performed and the documentation supports it, including a permanent image and a description of the guidance. Ultrasound guidance is separately reportable from the injection itself, and practices that perform it routinely but document it casually lose that revenue on every case.

Generally not through insurance. Team coverage is usually a contractual arrangement with the school or organization, and preparticipation physicals are often not a covered benefit. We help separate those revenue streams so contract work is invoiced properly and clinical care is billed to insurance, rather than mixing the two and collecting neither cleanly.