Surgical globals, fracture care, injections, DME and imaging each carry their own traps. Helix assigns orthopedic coders who get the modifiers and global windows right, so the surgery you perform is the revenue you keep.
Clean-claim rate
Avg. collections lift
Days in A/R
Denials overturned
Orthopedics mixes high-value surgery with a steady stream of office visits, injections and DME. Global-period modifiers, fracture-care rules and bundling edits make it one of the easiest specialties to under-bill or trigger denials.
Helix assigns orthopedic coders, builds global-period tracking into the workflow, and scrubs every claim for the modifiers and units that decide whether a complex procedure gets paid in full.
0/10/90-day tracking with modifiers 24, 25, 57, 58, 78, 79.
Manipulation vs. non, casting/strapping and supply codes.
Joint/trigger-point injections, J-codes, braces and orthotics.
NCCI edits, -59/-XS and multiple-procedure rules handled.
Where surgery, injections and DME meet global periods, revenue leaks. We capture the procedure plus every supportable modifier, unit and supply.
| 27447 | Total knee arthroplasty | 90-day global |
| 29881 | Knee arthroscopy w/ meniscectomy | -59 / -XS |
| 20610 | Major joint injection/aspiration | -RT / -LT |
| 25600 | Distal radius fracture, closed treatment | fracture care |
| 99213 | Office E/M during global period | -24 / -25 |
| L1833 | Knee orthosis, adjustable | -RT / -LT |
Post-op visits denied as included in the surgical global when they were unrelated or staged care.
Helix fix: global-period calendar applies 24/58/78/79 to qualifying encounters.
Arthroscopy components stripped by NCCI edits when separate compartments warranted -59/-XS.
Helix fix: NCCI-aware scrubbing applies the correct distinct-service modifier.
Injectable drug units mis-stated, causing underpayment or denial on injection claims.
Helix fix: dose-to-unit conversion validates J-code quantities before billing.
Scheduled procedures or advanced imaging performed without the payer's prior authorization.
Helix fix: surgical scheduling queue secures auth before the date of service.
Authorization secured for procedures and advanced imaging.
Procedures, fracture care and injections coded with full capture.
Global-period and bundling modifiers validated per claim.
Orthopedic appeal templates and aged-A/R workdown.
"Our post-op visits and scope add-ons were getting denied constantly. Helix rebuilt the global-period logic and the denials dried up."
A high-volume surgical group losing revenue to global-period E/M denials, bundled arthroscopy components, and a backlog of aged surgical claims after rapid growth.
Helix deployed a global-period calendar with automatic modifier assignment, NCCI-aware arthroscopy scrubbing, DME unit validation, and a 90-day aged-A/R recovery project.
Clean-claim rate reached 98.7%, A/R days fell to 22, the group recovered $372K in aged claims, and collections rose 24%.
Representative composite based on Helix engagement outcomes. Individual results vary.
"Every post-op visit used to be a fight. Now the modifiers are right the first time."
Result: $96K recovered on reworked global-period claims.
"The brace and orthotic billing was a mess of modifier rejections. Helix cleaned it up."
Result: +$13K average monthly DME revenue.
Representative composites based on Helix engagement outcomes. Individual results vary.
Get a free audit of your global-period modifiers, surgical coding and DME, and a clear picture of the revenue you could be recovering.