Global surgery periods are not supposed to mean free follow-up care.
Global period visits treated as unbillable when they should not be, implant cost pass-through that never reconciles, and DME that gets dispensed but never charged. Book a free 15-minute conversation and we will show you the three we see most often.
15 minutes. Custom financial scorecard for your practice.
At a glance
Is This Right for You?
This is for orthopedic practice owners who:
Want ongoing financial oversight? Our Fractional CFO service for orthopedic practices may be a better fit.
What We Analyze
Where Orthopedic Practices Lose Revenue
We trace every dollar from claim submission to bank deposit in your orthopedic practice.
Surgical Coding & Global Periods
- •Global surgery period compliance audit
- •Separately billable service identification during global periods
- •Multi-procedure surgical coding accuracy
- •Assistant surgeon and co-surgeon billing review
Injection & Procedure Coding
- •Joint injection coding standardization across providers
- •Image-guided procedure billing review
- •Fracture care coding and global period management
- •Cast/splint application charge capture
DME Billing
- •DME dispensing-to-billing reconciliation
- •Medical necessity documentation for DME
- •ABN documentation for non-covered items
- •DME payer-specific billing requirements
Workers Comp Process
- •Initial evaluation documentation compliance
- •Impairment rating and independent medical exam billing
- •Follow-up visit coding within workers comp guidelines
- •Employer notification and return-to-work documentation
Results
What Orthopedic Practices Recover
| Finding | Typical Outcome |
|---|---|
| Implant cost savings | $186,000 annually through vendor renegotiation and standardization |
| DME revenue recovered | $73,000 from billing process corrections |
| PT department improvement | 4% to 13% margin through productivity optimization, adding $108K annually |
Case Study
Real results from a practice like yours
6-surgeon orthopedic group with ASC ownership, in-house PT, imaging center, and DME dispensing. Total revenue across all entities was $11.4M, but partner take-home had declined 15% over three years. The partners suspected declining reimbursements but the real problems were operational.
What we found:
- •Implant costs had increased 22% over three years without any vendor renegotiation. $186K in annual savings was available through competitive bidding and standardization
- •The PT department was operating at a 4% margin instead of the 12 to 15% benchmark because three of the six PTs were averaging only 8.5 visits per day against a target of 11
- •DME was dispensed on 35% of eligible visits but billed on only 22%. The 13% gap represented $73K in missed annual revenue
- •Global surgery period coding errors meant the practice was leaving $117K per year in separately billable post-surgical services uncollected
The results
$186,000 annually through vendor renegotiation and standardization
Implant cost savings
$73,000 from billing process corrections
DME revenue recovered
4% to 13% margin through productivity optimization, adding $108K annually
PT department improvement
“We were blaming the insurance companies for our declining income. Turns out we had $350K sitting in our own operations that we were not collecting.”
— Managing Partner, South
Common Questions About Revenue Cycle Analysis for Orthopedic Practices
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