Orthopedics
Orthopedic billing that keeps the whole episode moving.
Keep reimbursement aligned from imaging and injections through surgery, DME, and rehab — with coding, documentation, and payer intelligence that gets smarter with every outcome.
Trusted by 130K+ providers · 500M annual transactions
The problem
Every handoff can change the bill.
Follow-up visits, staged procedures, complications, and unrelated care can require different coding and modifier logic.
Diagnosis, procedure, imaging, modifier, and documentation need to identify the same site and side.
Treatment approach can determine whether follow-up visits are separately billable or included in global care.
Drug, administration, diagnosis, units, dosage, and NDC information all have to agree.
Coverage, authorization, medical necessity, visit limits, and progress documentation can change throughout the episode.
Key features & benefits
Keep orthopedic revenue moving from visit to follow-up.
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75% less manual review
Routine charge findings are resolved automatically while clean encounters move forward, leaving your team with the work that needs attention.
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Expertise only on the exceptions
Documentation-dependent and specialty-specific findings go to the people qualified to resolve them.
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70 orthopedic rules
Joint replacement, global periods, casts, injections, imaging, EMG/NCS, and PT/OT.
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Learn from what payers
Learn from payer behavior patterns, policy signals, and payment outcomes across the market so the same denial doesn’t happen again.
By the numbers
Proven across orthopedics.
Every metric tracked. Every dollar recovered.
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$37M
saved
Across $112.6M in orthopedic surgery claims, including implant, injury-date, provider, and medical-necessity findings.
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76%
faster charge processing
70% of coding and billing issues automated at Newport Ortho. No additional staff needed.
“The reports are a key tool in our monthly board meetings. They provide a clear picture of how much work is being fixed before it ever becomes a problem, which is invaluable for keeping leadership informed.”
The Aptarro Platform
Reimbursement intelligence across the orthopedic episode.
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RemitIntel
The remittance learning layer
50%avoidable denial reduction
Identify patterns from real payment outcomes and policy signals with network intelligence to sharpen new rules and get smarter with every outcome.
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RCx
The pre-claim optimizer
75%less manual review
Catches and corrects billing and coding errors before claims are created — logic for 36+ specialties.
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ClaimStaker
The industry's most complete claim scrubber
4A/R days removed
Find what stops payment before claims reach the payer.
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HCC
The real-time HCC code reviewer
$6MRAF value, year one
Guide coders to cases with the greatest RAF impact.
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Common questions
What teams ask us.
Answered clearly, without the sales pitch.
What makes orthopedic billing especially difficult?
One episode can cross imaging, injections, surgery, DME, therapy, and follow-up. The billing decision can change as care progresses.
What orthopedic logic does RCx include?
Current content addresses surgical aftercare, viscosupplementation, therapy modifiers, radiology modifiers, injection units, laterality, joint replacement policies, and procedure bundling.
Does RCX automatically correct orthopedic charges?
Yes. Modifier and procedure corrections—including additions, removals, replacements, and sequencing—can happen before claim creation. Cases requiring documentation or coding judgment stay with your experts.
What does ClaimStaker review?
Can we apply our own orthopedic billing requirements?
Can reimbursement outcomes improve future orthopedic claims?
Yes. RemitIntel connects claims, remittances, payer policy, and relevant network intelligence to identify recurring denial patterns and recommend preventive logic for your approval.
See Aptarro in action.
Reduce manual review, shorten charge lag, and prevent denials across procedures, surgery, devices, and rehab.
Request a demo20+ EHR/PM integrations · 36+ specialties out-of-the-box


