Managing the revenue cycle for an orthopedic practice is uniquely complex. Orthopedic procedures involve specialized codes, modifiers, and payer rules, so outsourcing billing to experts can vastly improve collections and compliance. In this listicle, we profile 10 leading orthopedic billing companies. Each entry includes an overview of the firm’s services and key stand-out features. These providers offer tailored orthopedic billing services and RCM solutions that help orthopedic practices boost revenue and reduce denials.
Quick Glance Comparison Table of the Top-Rated Orthopedic Billing Companies in USA
Here’s a list of the Top 10 Orthopedic Billing Companies. We’ll explain what each one does, highlight its expertise, and show why it’s a smart choice for the healthcare practices, labs, and clinics in USA that need faster, more accurate payments.
MedCare MSO provides specialized orthopedic billing services designed to support high-volume, procedure-heavy orthopedic practices. Their end-to-end orthopedic RCM covers charge capture, CPT/ICD-10 coding for surgical and non-surgical cases, claim submission, payment posting, denial management, and AR recovery. Using their proprietary Maximus platform, MedCare MSO tracks claims and reimbursements in real time, helping orthopedic practices maintain compliance, reduce billing errors, and streamline revenue workflows across payers.
Experience: 13+ Years
Location: United States
Among orthopedic billing companies, MedCare MSO stands out for strong, measurable results. They report a 98.5% first-pass clean claim rate, up to 30–35% revenue improvement, and a 96% collection ratio for supported practices. Claim issues are typically resolved within 7–14 days, reducing delays tied to unpaid surgical and procedural claims. With automated claim scrubbing, specialty-focused coding, and transparent dashboards, MedCare MSO delivers a reliable orthopedic billing solution that helps orthopedic practices improve cash flow and focus on patient care.
BellMedx offers outsourced medical billing and revenue cycle services for healthcare practices. Their team handles coding, claims, denial management, and reimbursement tracking. BellMedx is one of the urgent care billing companies that help clinics simplify their financial operations.
Experience: 20 Years
Location: USA
Plutus Health stands out for its experience and results. With over 20 years in healthcare RCM, it boasts AAPC-certified coders and 24/7 support for its clients. Clients see measurable improvements (e.g. dramatically higher clean-claim rates and up to 98% contracted value collection). The company uses data-driven orthopedic billing solutions to speed turnaround and aggressively rework denied claims to collect aging AR.
AnnexMed provides specialized billing services for orthopedic practices, handling the full revenue cycle from coding and claim submission through denial management. Their orthopedic RCM solution leverages experienced billers and practice management experts to boost cash flow for orthopedic providers. AnnexMed’s services cover everything from surgical procedures to physical therapy billing, ensuring claims are accurate and compliant. They work closely with practices to streamline workflows, automate key tasks, and reduce overhead costs.
Experience: 12 Years
Location: USA
AnnexMed prides itself on a client-focused, technology-enabled approach. Their dedicated orthopedic billing team deeply understands musculoskeletal procedures, which allows them to catch coding nuances and reduce errors. AnnexMed also provides analytics and reporting so practices can track performance. By building strong relationships with each clinic, AnnexMed offers a personalized orthopedic billing solution that adapts its services to each practice’s size and subspecialty and continuously identifies revenue opportunities that generalists might miss.
Medical Billers and Coders is an established billing company that offers end-to-end orthopedic billing services. MBC assigns certified coding professionals (CPCs with HCPCS certification) to orthopedic practices, ensuring that diagnosis and procedure codes are accurate and up to date. Their team handles patient demographics entry, charge capture, claim submission, and payment posting for both inpatient and outpatient orthopedics. By using experienced coders and reliable technology, MBC helps reduce the common errors that orthopedic practices face. They also offer transparent reporting and communication, so practices can trust that billing is handled properly.
Experience: 14 Years
Location: USA
Speed and diligence characterize MBC’s solution. They promise to verify patient demographics within 24 hours of a visit, and they conduct daily follow-up on denials. This rapid cycle minimizes claim delays and rejections. MBC also provides dedicated AR management in-house specialists who work claims through to payment and re-submit corrections quickly. The combination of prompt verification, certified coders, and persistent denial follow-up means orthopedic clinics see fewer glitches and faster collections.
3Gen Consulting provides customizable orthopedic billing and RCM services that act as an extension of the medical practice. Their experts analyze each clinic’s workflow and implement scalable solutions to improve clean-claim rates and cash flow. 3Gen’s team includes AAPC-certified coders and billing specialists who stay current with coding changes and payer rules. Importantly, 3Gen is software-agnostic; it can integrate with any practice management or EHR system. They handle eligibility checks, claim entry, payment posting, and denial appeals, freeing orthopedic providers from billing headaches. This partnership model lets surgeons focus on patients while 3Gen optimizes the revenue cycle.
Experience: 19 Years
Location: USA
3Gen is known for its performance-driven, cost-saving approach. As a leading orthopedic billing company, it emphasizes maximizing profitability: outsourcing billing to 3Gen saves practices the costs of in-house staff, technology, and training. 3Gen uses analytics to pinpoint denial trends and root causes, helping to refine processes over time. Its flexible, value-based service is tailored to sub-specialties (joint replacement, sports medicine, spine, etc.), ensuring expertise in each area. Clients benefit from faster reimbursement, lower overhead, and a partner that continuously improves their orthopedic billing processes.
Global Healthcare Resource is a large outsourcing company with over 25 years of experience in specialty RCM. Its orthopedic billing services are backed by a deep understanding of musculoskeletal coding and a vast team of trained professionals. GHR’s experts perform all revenue cycle functions for orthopedic facilities, benefit verification, coding review, patient follow-up, and more, customized to each practice’s needs. In fact, GHR has more than 6,000 HIPAA-compliant coders, billing professionals, and call center agents on staff, enabling it to scale its orthopedic billing services to any clinic’s volume.
Experience: 18 Years
Location: USA
GHR’s scale and focus on training set it apart. All employees undergo rigorous internal training via the GHR Academy to master the latest CPT, ICD-11, and payer guidelines. This ensures compliance and accuracy, even in complex cases such as novel procedures or new implant codes. GHR also offers specialized coding for procedures like chondroplasty or hardware removals. That many general billing vendors can’t handle it expertly. Additionally, GHR provides patient call center support for orthopedics, answering billing questions and managing patient collections. This comprehensive approach combines enormous capacity, trained specialists, and extra patient services. It helps orthopedic practices maximize reimbursements and improve satisfaction.
PGM Billing is widely regarded as a leader in orthopedic billing companies. Its orthopedic RCM services cover all specialties such as joint replacement, sports medicine, spine, etc. The PGM team has in-depth coding and payer knowledge specific to orthopedics, and they manage the entire billing cycle. By focusing on precision and transparency, PGM ensures that only clean, compliant claims go out, which helps practices collect revenue faster and avoid rejection. PGM also offers practice reporting, so providers can see improvements in clean claims and collections.
Experience: 17 Years
Location: USA
What makes PGM stand out are its proven results and longevity. With decades of experience, PGM delivers personalized, scalable solutions that have measurably boosted clients’ revenues. On average, practices report a 20–30% increase in collections and a 40% reduction in denials after partnering with PGM. The company invests in advanced billing software and a proactive reimbursement strategy. For example, using integrated platforms to automate coding checks and engaging payer collaboration to negotiate optimal rates. Its focus on compliance and staying current with Medicare, Medicaid, and commercial rules also helps protect practices.
CureMD is a healthcare IT company that offers integrated EHR, practice management, and orthopedic medical billing services. Its orthopedic RCM experts bring a wealth of coding knowledge (including ICD, CPT, and HCPCS) and decades of experience to practices nationwide. CureMD handles all aspects of billing, charge entry, claims submission, payment posting, denial review, and patient billing. In addition, the team manages prior authorizations and patient eligibility checks to prevent denials. Overall, CureMD’s service lets orthopedic providers offload labor-intensive billing tasks while maintaining high accuracy.
Experience: 26 Years
Location: USA
CureMD’s strength is its end-to-end technology-driven solution tailored to orthopedics. The company combines a clinically focused workflow with an integrated, paperless billing system. Practices using CureMD report greater efficiency and staff productivity, as the system streamlines charge entry, claims tracking, and follow-up. CureMD’s orthopedic billing services also emphasize accuracy and patient satisfaction. Claims are submitted the first time, and any billing issues are resolved quickly. This results in faster reimbursement and lower denial rates. In short, CureMD’s integrated platform and experienced team give orthopedic clinics peace of mind and better financial outcomes.
CompuGroup Medical (CGM) offers ARIA RCM Services, an award-winning billing division, for orthopedic practices. CGM’s orthopedic billing experts understand the nuances of musculoskeletal procedures and insurance requirements. They handle everything from scheduling and charge capture through claims submission and collections. CGM’s services include sophisticated claim scrubbing and analytics to streamline the reimbursement cycle. Practices get dedicated specialists for coding (ensuring CPT, ICD-10 and modifiers are used correctly) and fast turnaround on claims. The integrated technology enables providers to track claim status in real time and catch issues early.
Experience: 34 Years
Location: USA
CGM’s ARIA RCM has been recognized for excellence. It was named Best in KLAS for billing services for ambulatory practices two years in a row. This customer-driven accolade underscores CGM’s high satisfaction and effectiveness: ARIA is ranked #1 by its clients and can work seamlessly with any practice software (even non-CGM EHRs). For orthopedics, CGM adds AI-based eligibility checks and denial analytics that identify root causes and prevent repeat errors. In practice, this means fewer rejections and faster payments. CGM’s tech-enabled, compliance-first approach, combined with its award-winning service, makes it a standout orthopedic billing partner.
Integrity Practice Solutions offers orthopedic billing services focused on accuracy and compliance. Their specialists accurately code and submit claims for all orthopedic services, including surgeries, imaging, and therapy, in accordance with current guidelines. Integrity handles insurance verification upfront and monitors claims through to payment. By ensuring thorough documentation and timely follow-up, the service maximizes reimbursement and minimizes denials. Orthopedic providers benefit from Integrity’s end-to-end process, which frees them to concentrate on patient care while their billing is managed by experts.
Experience: 6 Years
Location: USA
Integrity is distinguished by its personal, experience-driven service. Having worked with hundreds of practices across many states, the company takes pride in a “personal touch” and a proactive approach. Integrity’s team knows the common pitfalls of orthopedic billing and works diligently to prevent mistakes. They maintain open communication with providers about coverage and patient balances, so issues are resolved before they become costly denials. This hands-on attention ensures clinics get paid on time and as much as possible. In summary, Integrity’s combination of deep orthopedic billing knowledge and tailored service helps practices optimize revenue with confidence.
Choosing the best orthopedic billing company in the USA starts with understanding your practice’s billing challenges, such as complex CPT/ICD coding and frequent procedure modifiers. Look for vendors with proven experience in orthopedic RCM and a track record of improving clean-claim rates and reducing denials. Check whether the company uses advanced technology (like AI claim scrubbing and real-time dashboards) to speed reimbursement. Evaluate their orthopedic billing services, including denial management, AR recovery, and payer follow-up. Also review certifications (AAPC, CPC) and HIPAA compliance. Compare transparent pricing structures and client testimonials to assess reliability. Finally, choose a partner that communicates clearly and aligns with your goals for cash flow, compliance, and practice growth.
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