Your surgeons do high-value work. Your collections should show it. When ortho revenue leaks, the global period is usually where it hides.

The Cost of Orthopedic Billing Errors Adds Up Fast

Ortho claims are large, so every denial stings. One reversed modifier can cut a surgical fee by a quarter. Multiply that across a full OR schedule and the leak turns serious. The usual failure points:

  • Billable services bundled into the global period by mistake.
  • Modifiers 58 and 78 reversed, cutting the fee paid.
  • Modifier 24 or 79 missed on legitimate visits.
  • Implant claims stalling without the right documentation.
  • New surgeons billing before privileges and enrollment clear.

Every one of these is preventable. Most billing vendors never catch them.

✔ 26+ Years of Billing Experience   ✔ U.S.-Based Specialists   ✔ Invoices Reviewed Before Charging   ✔ Works Inside Your EHR   ✔ Denial and A/R Recovery

What Software-Led Billing Platforms Cannot Do

Platforms automate submission and call it billing. Submission is the easy part. Ortho revenue is won in the detail: the global-period call, the correct modifier, the implant claim defended with documentation. Software submits. People close.

How HRG Handles Orthopedic Billing

HRG tracks the global period on every case. Specialists catch the missing modifier before the claim goes out, so distinct services pay in full. They verify implant documentation supports the claim. They work high-dollar denials instead of filing and waiting. Everything happens inside your own EHR and portals. For the full breakdown, read our guide to global-period billing traps. HRG also provides coding consultation as needed through our medical billing services, and supports privileging and enrollment so new surgeons start billing sooner.

What matters Typical vendor HRG
Global-period trackingOften missedTracked on every case
Modifier accuracyGenericOrtho modifiers built in
SystemsTheir platformYour EHR
StaffingOften offshoreU.S.-based
FeesSurprise feesReviewed before charging

The Process Designed to Help Ortho Practices Collect Faster

  1. Review. We map where your ortho claims bundle and deny.
  2. Set up. We work inside your existing EHR and portals.
  3. Clean the front end. Global-period and modifier checks stop denials early.
  4. Work the back end. We chase denials and rebuild your aged A/R.
  5. Report in real time. You see claim status inside your own system.

Get a 20-Minute Billing Review

How HRG Keeps Billing Transparent

You review invoices before charges apply, so there are no surprise fees. You watch the work happen in real time inside your own system, with weekly and monthly A/R reviews run by the actual billers.

What HRG Can Prove

HRG has run practice billing for more than 26 years. When a high-volume clinic switched to HRG from a non-responsive vendor, collections improved by 40% and denials dropped by 35%. A/R fell from millions to thousands. The pattern repeats. Clean coding and real follow-up recover money your surgeons already earned.

Orthopedic Billing FAQ

Do you understand orthopedic-specific coding?

Yes. Global periods, surgical modifiers, and implant billing are core to how we bill ortho and sports medicine.

Will this disrupt our workflow?

No. HRG works inside your current EHR. There is no new platform for your team.

Who does the work?

U.S.-based billing specialists assigned to your account. No offshore handoffs.

How do we know the billing is working?

You see it in real time inside your own system. Weekly and monthly A/R reviews run by the actual billers, and you review invoices before charges apply.

Do you handle coding and prior authorizations?

HRG provides coding consultation as needed. HRG advises on prior authorization workflow. Both stay owned by your team.

Talk to the Person Who Will Run Your Billing

No pitch. A working review of where your ortho revenue leaks. Book a 20-minute billing review or call 913-937-2995.