Orthotics & Prosthetics

Orthotics & Prosthetics
Billing Services

Trusted Orthotics and Prosthetics billing services with L‑code expertise, DMEPOS rules & modifier accuracy driving revenue.

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    Same-Day Auth

    Clean Claims Rate

    Denial Reduction

    Net Collection Ratio  

    Unbeatable Service, Quality & Price

    Monthly Starting Price

    Flat Monthly Fee Per Dedicated FTE

    99%

    Accuracy


    < 24 Hours

    Turnaround Time


    97%

    Collection

    Trusted O&P Billing Solutions

    Orthotics & Prosthetics Billing Expertise

    Our Orthotics and Prosthetics billing specialists handle L codes, DMEPOS compliance, medical necessity documentation, and RT LT modifier rules unique to custom O&P devices. 

    We support growth by handling patient calls, eligibility checks, prior authorizations, denial management, and proactive AR follow-ups to reduce delays, improve collections, and stabilize your cash flow.

    OUR PROCESS

    Expert, Comprehensive Billing for Orthotics & Prosthetics

    01

    Patient Intake & Eligibility Review

    Manage patient calls and verify coverage & benefits.
    02

    Full Prior Authorization Support

    Full Prior Auth Support
    04

    Claim Scrubbing & Submission

    Submit clean claims per payer & NCCI rules.   
    03

    Specialty Coding & Charge Capture 

    Apply apt HCPCS, ICD‑10s & modifiers.
    05

    Accurate Payment Posting 

    Payment posting through ERA/EOB, analysis & reporting. 
    06

    Denial Resolution & AR Follow-up 

    Resolve denials & recover underpaid/aging claims..
    Benefits

    Outcomes Guaranteed

    Clean Documentation 

    99% Accuracy

    Eligibility Verified

    100% DOS Checks 

    Fast Claim Filing

    Same‑Day Submission 

    Fewer Denials 

    50% Reduction  

    Hiscox Insurance

    $1M Coverage  

    Workflow Precision  

    30% Faster Cycles  

    Dedicated Support  

    Specialty Team  

    Compliance Assured   

    100% Audit‑Ready

    Why Us

    What Sets Us Apart 

    We excel in end-to-end O&P billing, ensuring correct L‑code assignment, compliant claim processing, and DMEPOS payer alignment to minimize denials and secure prompt reimbursement.  

    Prior Authorization‑Driven Revenue Protection

    Same-day authorization management to prevent coverage gaps.  

    Real‑Time Reporting  

    Full visibility into claims & payments 

    Denial‑Resistant Claim Submission  

    We scrub claims for coding, modifiers, frequency caps, documentation & payer rules.  

    EMR‑Agnostic Integration  

    We seamlessly integrate with your workflows & EHR/EMR without any disruptions.   

    Unbeatable Pricing and Scalability

    Fully scalable RCM solutions at a flat monthly price per dedicated FTE to unlock >75% savings.  
    Our Testimonials

    Client Testimonials

    Thank you guys for making things simple for us. Auth requests are submitted promptly, follow-ups are consistent, and approvals are secured quickly, helping us avoid treatment delays.

    CFO, O&P Practice, Louisiana

    Keep it up! Things are running better with you handling our billing. Your team keeps our claims audit-proof and collections faster. 

    OPS Head, O&P Center, New Jersey

    Your team has really made our prior authorizations easier to handle. Thanks for keeping documentation complete and approvals timely so everything moves forward without delays.

    VP, O&P Practice, California

    We used to face lots of eligibility-related denials but no more, thanks to you. Coverage details are confirmed early, helping us avoid surprises and reduce claim issues.

    Owner, O&P Center, New York

    You guys have improved our O&P POD issue handling. Everything is more organized and steadier, with quick resolutions and clear tracking. You truly make the process simple and reliable.

    Director, O&P Practice, Florida

    With your team managing denials, our claims are moving faster. Claims are tracked closely, issues are resolved quickly, and turnaround times are shorter.

    RCM Manager, O&P Center, Texas
    FAQs

    Frequently Asked Questions

    How do you streamline O&P prior auth?

    We optimize O&P prior authorization with complete physician notes, medical necessity, missing signatures, same-day submissions, and correct delivery dates since gaps often lead to claim denials.

    Yes, we ensure O&P eligibility by verifying if the plan is active, confirming if the treatment is covered under the plan & checking patient responsibilities upfront to avoid surprises.  

    Yes, we prevent audit triggers by ensuring PODs have correct delivery dates, missing signatures, complete documentation, and required patient or provider signatures.

    We use root cause analysis to address O&P denials by fixing coding errors, medical necessity gaps & prior auth issues, reducing repeats and improving cash flow. 

    Don’t Let Your Revenue Slip in Any Way!

    Ready to Transform Your Revenue Cycle?