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Orthopedics FL · GA · TXOrthopedic billing & denial recovery for Independent Practices
Independent orthopedics practices lose real revenue to global-period bundling, DME, and modifier denials — claims that are denied, underpaid, and too often written off. Apex Flow recovers them.
The denials orthopedics practices see most
- Global-surgical-period bundling and modifier denials (CARC 97, 4, 234)
- Medical-necessity denials on imaging and procedures (CARC 50)
- DME-related denials and documentation requests (CARC 252)
- Prior-authorization on surgeries and advanced imaging (CARC 197)
How Apex Flow helps orthopedics practices
We run a free, full-population forensic audit of your denied and aging claims, tie each denial to the specific payer policy or coding edit behind it, and pursue what's recoverable on contingency — you pay only on what we collect. $0 setup, no contract to start. Most reviews sample a handful of claims; we examine your entire claim population.
Common orthopedics denial codes — explained
New to the codes on your ERAs? Start with our plain-English denial code library.