Sports Medicine Billing Services | Accurate & HIPAA-Compliant

iMagnum Healthcare Solutions offers a solution to solve the problem between specialized coding skills and up-to-date technology. With 8+ years of specialized RCM experience, a team of certified coders and billing experts, and a documented 95–98% clean claim rate, we help reduce claim denials, improve first-pass resolution rates, and accelerate reimbursements (typically within 30–60 days). Our transparent reporting system ensures measurable financial outcomes while lowering denial ratios over time.

Complete Sports Medicine Billing Services

The entire range of sports medicine procedures is handled correctly by our team, which guarantees that all claims are maximally processed correctly the first time for faster reimbursement. With over 1.2 million CPTs billed, 3.4 million CPT payments posted, and 800K A/R & denials handled, we bring proven high-volume specialty billing expertise to every practice.

Specialized Coding Expertise

• Fracture Care: Expert management of casting, splinting, and taping codes, including accurate global period tracking to prevent revenue leakage.
• Rehabilitation & Therapy: Accurate billing for post-injury/surgery therapies and customized recovery exercises, supported by medical necessity validation and payer-specific compliance checks.
• Global Period Management: Expert tracking of fracture care and surgical follow-ups to avoid unbillable service errors and maximize reimbursement opportunities.

DME Billing (Durable Medical Equipment)

• HCPCS Level II Expertise: Precise coding for L-codes (orthotics) and E-codes (equipment) to ensure proper reimbursement.
• Modifier Accuracy: Expert application of NU (New), RR (Rental), and UE (Used) modifiers to prevent technical denials and audit risks.
• Compliance Support: We verify "Certificate of Medical Necessity" (CMN) compliance to protect your practice against audits, backed by SOC 2 Type II, HIPAA certification, and ISO/IEC 27001:2022 standards, with US-based secure data hosting and multi-layer data encryption protocols.
• Inventory Recovery: Streamlined charge capture processes ensure every brace or boot dispensed is captured and billed accurately.

Injection Billing Services

• Viscosupplementation Billing: Expert handling of J-codes (J7321–J7332) for Hyaluronic Acid, including payer-specific brand preferences and documentation compliance.
• Imaging Guidance: Proper unbundling and coding for CPT 20611 (Large joint with Ultrasound) to capture higher-valued services.
• Waste Management (JW Modifier): We capture revenue for unused portions of single-dose vials, ensuring 100% CMS compliance.
• Prior Authorization Tracking: Credentialing and prior authorization support ensures high-cost injections are verified before treatment to prevent avoidable denials.

Flexible Billing Solutions for Every Practice

Whether you run a solo practice, a multi-specialty clinic, or a hospital, we provide scalable billing solutions supported by a 300+ employee workforce, multi-location operational infrastructure (Texas HQ, Maryland, Florida, Chennai, Tirutani, Trichy), and 25+ years of combined management experience in RCM and compliance leadership.

• Revenue Management Consulting: Workflow analysis, revenue leakage identification, KPI optimization, and regulatory compliance.
• Outsourced Billing and Coding: End-to-end RCM including patient access, documentation & coding, charge capture, claim submission, A/R follow-up, denial management & appeals, and practice management.

Why Choose iMagnum Healthcare Solutions?

• Dual-Specialty Navigation: Resolves Family Medicine vs Sports Medicine credentialing denials.
• AI & Automation-Driven Accuracy: Predictive denial analytics, RPA posting, real-time scrubbing, and EHR integration.
• Technology-Backed RCM Excellence:
  • CodeEase HCC – AI-powered HCC coding
  • CredPro – Credentialing automation
  • Code Flow A.I – Auto coding (Radiology, ED, Ortho)
  • iMSync – AdvancedMD data migration
  • ClinicXai – AI medical scribe
  • Integrated analytics dashboard
• Outcome-Based Pricing Model: Performance-focused engagement models aligned with measurable financial improvements.

The Working Together

• Smoother billing process (RCM)
• Reduced administrative workload and overhead costs
• More consistent payments and smoother daily operations
• Improved first-pass resolution rate
• Lower denial ratio over time
• Faster collections, including recovery of old A/R (90+ days)

Conclusion

Sports financial management is complicated, but we are here to help. With enterprise-grade compliance, AI-powered automation, certified coding expertise, and proven high-volume operational performance, iMagnum Healthcare Solutions enables you to eliminate billing issues, strengthen compliance, improve cash flow predictability, and devote more time to providing your patients with quality care.