Orthopedic practices bill a wide mix of work: office visits, imaging, injections, bracing, surgery, and post-op care. Each has its own rules, and payers watch them closely.
VeroRCM provides full-service medical billing for independent orthopedic practices that want to keep ModMed while getting closer oversight of surgical claims, authorizations, denials, A/R, and underpayments.
Your surgeons and PAs keep documenting in ModMed. Your staff keeps scheduling and checking in patients the same way.
What changes is the work after the visit: checking surgical and injection claims before they go out, working denials, following up on A/R, and making sure paid claims were paid correctly.
For the bigger picture, see orthopedic medical billing and ModMed medical billing.
Surgical claims start a global period. Follow-up visits, related care, and unrelated problems during that window each bill differently, and modifiers matter.
We track the global period so payable work is billed and bundled work is not sent as a denial waiting to happen.
Joint injections, viscosupplementation, and other drug-related services involve both the procedure and the drug, along with units, documentation, and payer coverage rules.
Small errors in units, documentation, or drug billing can repeat across a large volume of claims.
In-office X-ray and other imaging can involve professional and technical components.
The claim needs to reflect what your practice performed and owns.
MRIs, surgeries, and some injections often need authorization.
We review whether the authorization matches the service, date, and payer on the claim before submission when that information is available.
Braces and other DME come with their own documentation and supplier requirements.
We review the documentation and supplier requirements that can cause these claims to delay or deny.
Authorization, modifier, bundling, medical necessity, and documentation issues are common.
We work each denial and look for what keeps causing it.
Surgical claims are too valuable to sit in an aging report.
We prioritize A/R by balance, payer behavior, deadlines, and the next action needed.
Multiple-procedure reductions, drug pricing, and contract terms make orthopedic payments easy to get wrong.
Where reimbursement information is available, we look for claims that were paid short.
Collections alone do not tell you:
Vero gives your practice a clear view of the work that still needs attention.
Vero uses technology to flag at-risk claims, recurring denials, and payments that look off.
Technology helps us surface what deserves attention. Experienced billing professionals review the findings and do the actual work.
VeroRCM is an independent medical billing and revenue cycle management company. We are not ModMed and are not affiliated with ModMed's own billing services.
You can keep ModMed and still choose a different billing partner.
Yes.
Your documentation, scheduling, and front-office workflows stay in ModMed. Vero manages the revenue cycle around them.
Yes.
Your surgeons, PAs, and staff can keep using ModMed for clinical and front-office workflows. Vero manages the billing operation around that existing environment, including surgical claims, denials, payments, A/R, and underpayment review.
Yes.
We bill surgical claims and track global periods so post-op visits and related care are handled correctly.
Yes, including the procedure, the drug, units, and the documentation payers expect.
Yes, where reimbursement information is available.
Multiple-procedure and drug claims are common places for short-pays.
No.
The Free Revenue Leak Audit reviews your existing claims and payments first.
You do not have to replace them to get another perspective.
Vero's Free Revenue Leak Audit reviews your claims, payments, denials, underpayments, and aging A/R and shows you what deserves a closer look.
See what the data says first. Then decide.