Specialty RCM Orthopedic Surgery & Sports Medicine Atlanta, GA (8 Surgeons)
Metro Orthopedics: Streamlining Surgical Billing & Reducing Days in A/R to 24 Days
Mastering global surgical package billing, 90-day post-op modifiers, and DME supply claims for an 8-surgeon surgical center.
Published August 2026 5 min read
24 Days
Days in A/R
Down from 48 days
88%
Denial Reduction
In post-op surgical claims
98.8%
Net Collections
Overall net collection rate
The Challenge
- Post-operative visit claims denied due to un-appended global period modifiers.
- DME orthopedic braces and supplies written off due to missing pre-authorizations.
- High patient deductible balances going uncollected past 90 days.
The Solution & Strategy
- Created automated global period tracking algorithms to flag re-operations with Modifier 78.
- Integrated real-time ePA authorization tools for all custom orthopedic DME items.
- Deployed automated SMS text-to-pay portals for patient co-insurance settlement.
Quantifiable Key Results
Days in A/R
24 Days
50% reductionDME Denial Write-Offs
< 1%
From 12% baselineNet Collection Rate
98.8%
+6.2% increase"Our surgical claim flow has never been cleaner. Days in A/R dropped to 24 days, and DME reimbursements are fully captured."
Dr. David Vance, MDPresident at Metro Orthopedic Institute
Actionable Takeaways for Practice Leaders
1
Automate EHR global period tracking to prevent post-op visit claim bundling rejections2
Obtain upfront ePA prior authorization for high-dollar orthopedic DME supplies prior to surgeryReady to Achieve Similar Results?
Schedule a complimentary Revenue Cycle Audit for your practice to pinpoint billing leaks and clean claim opportunities.
Organization Profile
Organization:Metro Orthopedic Institute
Specialty:Orthopedic Surgery & Sports Medicine
Location & Scale:Atlanta, GA (8 Surgeons)
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