Doctor Management Services

What is the impact on orthopedic revenue when claims are not monitored after they are submitted? They stagnate — they remain in a ‘payer queue’ for weeks, with no one following up until the appeal window begins closing. Orthopedic claims management must be a continuous process and not a single event for the submission of claims, particularly because there are so many imaging, injection, and procedural codes that are often bundled or reviewed. Proactive claims management that involves monitoring the claims at all stages, from submission to resolution, identifies issues before they accumulate in a pattern of under payment that is months into the future.