Practices & health systems
Orthopedics groups modernizing the billing and RCM workflow.
Billing & RCM for Orthopedics
Billing & RCM for Orthopedics
We build billing and RCM for orthopedics — pairing the engineering of a purpose-built billing and RCM with the real workflows, codes, and devices of orthopedics care, all handled to HIPAA standards.
HIPAA-ReadyFHIR R4InteroperablePHI-Safe
Trusted by global innovators
What billing and RCM for orthopedics involves
Orthopedics care has specific needs — Orthopedics software spans imaging and surgical planning, patient-reported outcomes, and the rehab journey after surgery — a workflow that runs from X-ray to recovery. A billing and RCM built for it has to serve those needs directly rather than repurpose a generic product.
Building billing and RCM for orthopedics means solving capturing the specialty's codes correctly the first time and working denials down, tuned to the codes and workflows that matter here (Orthopedic surgery & procedure CPT coding, Musculoskeletal imaging (X-ray/MRI), FHIR R4 ImagingStudy, CarePlan & Observation), with PHI handled to HIPAA standards from the first commit.
What we build into Orthopedics Billing & RCM
The billing and RCM engineering, tuned to orthopedics.
Coding and charge capture
Coding and charge capture, built for the orthopedics use case.
Claims and denial management
Claims and denial management, tuned to orthopedics workflows.
Eligibility and payments
Eligibility and payments for a connected, useful billing and RCM.
Orthopedics codes & workflow
Built around the codes and workflow that matter in orthopedics: Orthopedic surgery & procedure CPT coding, Musculoskeletal imaging (X-ray/MRI), FHIR R4 ImagingStudy, CarePlan & Observation.
Privacy-first by design
PHI protected with encryption, access controls, and audit logging under a BAA.
Built to integrate
We engineer for capturing the specialty's codes correctly the first time and working denials down, connected to the systems orthopedics care already uses.
Where it fits
Who builds billing and RCM for orthopedics
Teams bringing better orthopedics products and workflows to market.
Digital health startups
Orthopedics-focused billing and RCM products.
MedTech & device makers
Orthopedics billing and RCM tied to devices and data.
Payers & programs
Orthopedics billing and RCM as a benefit or program.
Built for orthopedics, engineered to last
Billing & RCM for orthopedics earns its place by fitting the workflow, not the other way round.
X-ray-to-recovery
One workflow across the surgical journey
Interoperable
FHIR R4, HL7 v2, and SMART on FHIR by default
MVP-ready
Core billing and RCM workflow for orthopedics, shipped then scaled
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Why orthopedics needs a purpose-built billing and RCM
Orthopedics codes, standards & devices
CPTDICOMFHIR
Our Process
How we build billing and RCM for orthopedics
We prove the core workflow with real users before scaling — clinical fit and adoption decide the outcome.
1.
Discovery & Clinical Design
We map the orthopedics workflow and the core billing and RCM job to be done.
Workflow-shaped
2.
Core Build
We build the billing and RCM substance with interoperability and PHI handling engineered in.
Compliant
3.
Integrations
EHR, device, and standards integration so it connects to the systems already in use.
Connected
4.
Launch & Iterate
A measured launch tracking adoption and outcomes, then iteration.
Adoption-tuned
Frequently Asked Questions
It is built around orthopedics — Orthopedics software spans imaging and surgical planning, patient-reported outcomes, and the rehab journey after surgery — a workflow that runs from X-ray to recovery — and its codes and workflows (Orthopedic surgery & procedure CPT coding, Musculoskeletal imaging (X-ray/MRI), FHIR R4 ImagingStudy, CarePlan & Observation), rather than a one-size-fits-all product. That fit is where the clinical value and the engineering live.
Ready to build billing and RCM for orthopedics?
Tell us your orthopedics workflow and goals. We'll return a plan for billing and RCM that's clinically credible, interoperable, and built to ship.
contact@agnotic.com
Partnerships
contact@agnotic.com