Orthopedics
Pacific Orthopedics recovers $150K in denied claims
A 4 surgeons orthopedics practice in San Diego, CA achieved $150k revenue recovered after restructuring its revenue cycle. Denial rate decreased from 35% to 9%.
- Specialty
- Orthopedics
- Location
- San Diego, CA
- Practice size
- 4 surgeons
- Contact
- Dr. James Thompson, Managing Partner
$150K
Revenue recovered
The starting position
Surgical coding complexity had produced a 35% denial rate on orthopedic procedures. The previous billing company had limited orthopedic expertise, resulting in systematic undercoding and a backlog of denied surgical claims nobody had appealed.
What we did
We assigned certified orthopedic coders, implemented comprehensive procedure documentation review, and launched an appeal process covering every rejected surgical claim still inside its filing window.
What changed
- Denial rate decreased from 35% to 9%
- $150,000 recovered in previously denied surgical claims
- Surgical reimbursement rates increased 28%
- Documentation improvements reduced ongoing compliance risk
“Vizora's orthopedic billing expertise has been a game-changer. They recovered revenue we thought was lost and dramatically improved our surgical claim acceptance.”
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