Precision Ortho. Clean Claims. Faster Pay.

Orthopedics RCM that gets surgeries, injections, imaging, and DME paid right

Ortho billing is tricky—global surgical bundles (10/90-day), fracture care, casting/splinting, joint injections/aspirations (with image guidance), DME/bracing, therapy, and ASC/hospital cases—each with strict rules. We verify eligibility and auths up front, capture charges accurately, and apply the right modifiers (RT/LT, 50, 51, 58, 59, 78, 79, AS/62) while scrubbing against NCCI/MUE and payer-specific edits. From implants and multiple-procedure reductions to workers’ comp/auto claims, we send clean claims the first time—so you see faster reimbursements and fewer write-offs.

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  • Global Periods & Modifier Accuracy
  • DME/Bracing, Casting & Image-Guided Injections 
  • Prior Auths, WC/Auto, and Payer Edits

From fracture care to joint replacements—we handle complex orthopedic billing so your practice gets paid faster and more accurately.

Orthopedic practices deal with some of the most complex medical billing scenarios in healthcare. Between bundled surgical packages, high denial rates for DME, and payer-specific rules for therapy and imaging, even small errors can create large revenue leaks. That’s where we come in.

Orthopedic Billing Challenges

Billing for orthopedics is never simple—and it comes with unique challenges that generic billing teams often overlook:

  • Complex coding for surgical procedures (fractures, joint replacements, spine, arthroscopy)
  • Global surgical package billing issues, including modifiers and follow-up care
  • High denial rates for DME (braces, prosthetics, mobility aids)
  • Payer-specific requirements for physical therapy and rehab visits
  • Pre-authorization delays for imaging and surgeries that slow down care and payment

How We Solve These Challenges

We bring specialty knowledge and proven processes to ensure your claims get approved the first time.

  • Certified coders trained in CPT/ICD-10 for orthopedic procedures
  • Deep expertise in surgical global periods & modifier usage
  • Experience handling DME billing & prior authorizations
  • Full compliance with payer rules and HIPAA standards
Our Process Works - Aquila Billing Solutions

How Our Billing Process Works — Simple & Transparent

We believe billing shouldn't be a mystery. With Aquila Billing Solutions, you'll always know what's happening with your claims and your revenue. Our workflow is clear, efficient, and designed to keep your practice running smoothly.

1

Easy Onboarding

We get you set up quickly with minimal disruption. Our team handles credentialing, system setup, and data transfer so you're ready to go in weeks, not months.

2

Clean Claim Submission

From eligibility checks to coding and charge entry, every claim is scrubbed for accuracy before it goes out — giving you a higher approval rate and fewer headaches.

3

Continuous Monitoring & Follow-Up

We track every claim after submission. If denials or delays pop up, our A/R specialists jump in immediately to resolve issues and recover revenue.

4

Clear Reporting & Insights

You'll receive easy-to-read reports and real-time analytics that show exactly where your revenue stands. No guesswork, no black boxes — just full transparency.

Services We Provide

  • End-to-End Revenue Cycle Management
  • Coding & billing for orthopedic surgeries, therapies, and follow-ups
  • Prior authorization & insurance verification for imaging and surgery
  • DME billing for braces, prosthetics, and mobility aids
  • Denial management and appeals to recover lost revenue
  • Transparent reporting & analytics with actionable revenue insights
Savings Calculator - Aquila Billing Solutions

See How Much Revenue You’re Missing

Our Savings Calculator helps you uncover the potential revenue your practice may be leaving on the table. Simply enter a few details about your patient volume and billing processes, and instantly see estimated savings you could recover each month. This tool is designed to give you transparency, insight, and a clearer picture of how professional medical billing can positively impact your bottom line.

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Your Potential Savings

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Benefits Of Choosing Aquila Billing Consultation Service

KPI Dashboard

Get visibility into key performance indicators such as copays collected and accounts receivable per payer.

Revenue Monitoring

Track your practice's revenue by monitoring patient and insurance payments, as well as identify trends and track financial progress.

Patient Balancing

Send reminder notices to patients with overdue payments and collect outstanding balances to reduce owed money.

Automated Validation

The system checks a patient's insurance benefits at check-in to avoid billing surprises. Patients are prompted to pay co-pays at this time.

Performance Metrics

Get a quick overview of your practice's financial performance and create performance initiatives to improve your practice at scale.

Bills Collection

Get a summary of your medical bills, including status (paid, denied, in process, rejected). Our experts will follow up on these bills for you and provide one-click support for any billing problems.

AI Workflow

An AI-powered billing rules engine automatically detects & corrects errors in medical claims, ensuring faster payments and higher reimbursement rates.

Intelligent Billing

Smart billing with a well-defined charge coding means accurate and compliant superbills with zero chances of up/down coding.

Compliance Driven

AI-charged algorithms recommend the appropriate E&M level, and identify and prevent medical fraud abuse to eliminate the need for a separate coder.

Aquila vs Others – Comparison

Why Aquila Billing Beats Other Solutions

When it comes to your practice's revenue, the details matter. Here's how Aquila Billing Solutions stacks up against typical billing firms — and why the difference directly impacts your bottom line.

Feature Other Billing Companies Aquila Billing Solutions Why It Matters for You
Claim Approval Rate 85–90% on average Needs work 98%+ acceptance ✓ Best-in-class Every denied claim is lost time and money. With fewer rejections, you get reimbursed faster and keep your cash flow steady.
Support Hours 9–5, weekdays only Limited 24/7 expert support Revenue questions don't stop at 5 p.m. Neither do we. Get answers and support whenever you need them.
Specialties Covered Limited (often just primary care) Gaps 15+ specialties supported From pediatrics to cardiology to telemedicine, our expertise fits your practice — not the other way around.
Transparency Generic monthly reports Low visibility Custom analytics & real-time insights Know exactly where your revenue stands, with reports that actually make sense for your practice.
Revenue Impact Slow, incremental improvements Slow ROI Up to 30% increase in collections We don't just manage billing — we actively help you grow revenue and reduce leakage.

Claim Approval Rate

Others
85–90% on average
Aquila
98%+ acceptance
Why it matters
Fewer rejections mean faster reimbursement and steady cash flow.

Support Hours

Others
9–5, weekdays only
Aquila
24/7 expert support
Why it matters
Get answers anytime—revenue questions don't stop at 5 p.m.

Specialties Covered

Others
Limited (often just primary care)
Aquila
15+ specialties supported
Why it matters
Expertise tailored to your practice—not the other way around.

Transparency

Others
Generic monthly reports
Aquila
Custom analytics & real-time insights
Why it matters
Always know where your revenue stands.

Revenue Impact

Others
Slow, incremental improvements
Aquila
Up to 30% increase in collections
Why it matters
Grow revenue and reduce leakage.
Your Trusted Partner

We're your partners in success.

Aquila Billing is here to help you achieve practice success. Our billing experts have deep knowledge of the medical billing and coding regulations for all specialties, and we use the latest technology to ensure accurate claim processing with quick payments.

24/7 Medical Billers Support

Our dedicated account managers are available 24/7 to provide you with personal attention and support. They work with you to ensure that your claims are processed correctly and on time.

Out of State Medicaid Billing

We understand the complexities of billing out-of-state Medicaid. And can help you navigate the process to ensure you get paid. We have experience billing out-of-state Medicaid for specialties like family medicine, pediatrics, and oncology.

Clearinghouse Support

Our medical coding consultants have engineered a high-performance clearinghouse connecting seamlessly to top insurers such as Aetna, UnitedHealthcare, and Blue Cross Blue Shield. This direct integration empowers rapid claim submission and prompt reimbursement.

Schedule a free Orthopedics billing consultation today.

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