Every October 1, the same thing happens to practices that didn't prepare. A code your team has used for years stops working, the claim bounces, and nobody notices until the denial report runs. This year's ICD-10-CM update is smaller than most, which makes it easy to assume you can skip the prep. That assumption is exactly what causes the denials.
Medical Billing / RCM | KPI | Orthopedic
Your monthly report lands with 40 metrics on it, and somehow none of them tell you whether the practice is actually healthy. That's not a reporting problem you fix by adding more columns. It's a sign the dashboard is measuring everything except what orthopedics actually needs watched.
The Importance of Patient Engagement: Why They - And You - Need It
Learn why patient engagement is a necessity and how you can master it within your practice.
Medical Billing / RCM | Orthopedic
Your billing server went down on a Friday afternoon, and your third location couldn't submit a single claim until Monday. That's not a hypothetical for a lot of multi-site orthopedic groups. It's this quarter's actual story, and it's exactly the kind of risk cloud-based RCM was built to remove.
Medical Billing / RCM | Orthopedic
Your best coder just gave notice. Again. That's the moment most orthopedic administrators start asking whether the billing model itself is the problem, not the person walking out the door. It's the right question, and the answer isn't as simple as in-house versus outsourced.
Medical Billing / RCM | Electronic Health Records | Orthopedic
Your surgeon just spent ten minutes explaining a knee exam to a template built for primary care. That's the moment most orthopedic practices realize their EHR wasn't built for what they actually do. It was built for everyone, which means it was built for no one in particular.
Your practice already has the patients who need it. You just aren't billing for it. Chronic condition patients call in with blood pressure spikes between visits. Diabetic patients need glucose trend data you don't see until the next appointment. Every one of those touchpoints is billable today, and most practices are walking past the revenue without realizing it's there.
Looking to improve your revenue cycle? Visit our Revenue Cycle Management page → to see how ADS can help. A denial notice lands in your inbox six weeks after the visit. Nobody on staff remembers the appointment, let alone what went wrong. Your biller pulls the chart and finds a missing referral number from before the patient ever walked in. Now the appeal clock is running, and it's running on a mistake nobody caught until today.
Revenue cycle management covers everything that happens between a patient scheduling an appointment and your practice actually getting paid for the care delivered. That sounds simple. In 2026, it is anything but.
Medical Billing / RCM | mental health | behavioral health
Run a behavioral health practice? Visit our Behavioral Health Solutions page → to see how ADS supports practices like yours. A per diem claim for a residential patient comes back denied. The level of care does not match the authorization on file. The consent form for the disclosure is outdated under the new federal rule. And your utilization review team is now reconstructing three weeks of documentation to defend a stay that already happened.
Medical Billing / RCM | Laboratory
Run a clinical laboratory? Visit our Laboratory Solutions page → to see how ADS supports labs like yours. For many laboratories, the biggest reimbursement threat is no longer claim denials. It is clawbacks. Insurance clawbacks occur when a payer recovers money that was previously paid to a laboratory, often months or even years after the original claim was processed. While many labs focus heavily on getting claims paid, far fewer are prepared to defend revenue that has already been collected.