Specialty billing

Surgical globals, implants, DME, and workers' comp — all in one specialty. Mindlox AI pairs orthopedics-aligned coders and denial specialists with intelligent automation, so the details that decide orthopedics reimbursement are handled before they become denials.

Orthopedics playbook

Billing challenges

  • 90-day global periods with post-op visit tracking
  • Workers' compensation and auto liability claims
  • DME and bracing billed alongside professional services

Common denial types

  • Global period bundling
  • Missing laterality
  • Workers' comp documentation requirements
Specialty-aligned coders · denial specialists · payer rules kept current
The Orthopedics playbook

Five things every billing partner should be able to tell you about your specialty before you sign anything.

01

Billing challenges

  • 90-day global periods with post-op visit tracking
  • Workers' compensation and auto liability claims
  • DME and bracing billed alongside professional services

02

Coding complexity

  • Fracture care global vs. E/M + procedure
  • Modifier 24/25/57/58/78/79 in globals
  • Arthroscopy code bundling and laterality (RT/LT)

03

Common denial types

  • Global period bundling
  • Missing laterality
  • Workers' comp documentation requirements

04

RCM workflow

  • Case-type identification (WC/auto/commercial)
  • Auth for surgery and imaging
  • Global period calendar
  • DME documentation capture

05

How Mindlox AI solves it

  • Global period management tooling
  • Workers' comp claim specialists
  • DME/bracing billing integration
Specialty-first

Three things a generalist billing queue cannot do — and the reason specialty-aligned teams recover more with less rework.

  • E/M leveling and modifier logic specific to your procedures
  • Documentation feedback written in your clinical language
  • NCCI edit and MUE awareness by code family
CPTICD-10-CMHCPCSModifiers 25 · 59 · 26/TC
FAQ

Specific to your specialty. If it's not here, an RCM specialist will answer it directly.

The orthopedics denials we work most often are global period bundling, missing laterality, and workers' comp documentation requirements. Each one is categorized by root cause, prioritized by recoverable value and timely-filing risk, and fed back into prevention at the front desk and in coding.

A structured review of your orthopedics denials, A/R aging, coding patterns, and underpayments — findings are yours to keep, whether or not we work together.

  • · Findings you keep, whether or not we work together
  • · No patient information requested
  • · A named RCM specialist, not a sales queue

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