Revenue Infrastructure for Orthopedic & Behavioral Health Practices
Recover missed revenue, eliminate preventable denials, and build a stronger revenue engine without adding internal staff.
ClaiMed Solutions helps orthopedic groups, mental health organizations, and specialty practices maximize reimbursement through our Revenue Recovery & Growth System™.
THE PROBLEM
Most Practices Don't Have A Billing Problem.
They Have A Revenue Infrastructure Problem.
Claims are submitted.
Payments arrive.
Reports look fine.
Yet thousands of dollars disappear every month through underpayments, aging accounts receivable, preventable denials, and reimbursement gaps.
Most practices never see the leak because they only track what was approved—not what was actually paid.
ClaiMed helps practices identify, recover, and prevent those losses.
THE REVENUE RECOVERY & GROWTH SYSTEM™
Three Pillars. One Goal.
Maximize Every Dollar Earned.
Pillar 1: Recover Revenue
Revenue Leak Recovery
Identify revenue that should have been paid but wasn't.
We analyze historical claims, payment variances, payer behavior, and reimbursement patterns to uncover hidden revenue opportunities.
A/R Recovery
Aging receivables are often recoverable with the right process.
Our team works old balances, unresolved claims, and neglected accounts to improve cash flow and reduce outstanding AR.
Payment Variance Analysis
Approved does not always mean paid correctly.
We compare contracted reimbursement rates against actual payments to identify underpayments and payer discrepancies.
Outcomes
Pillar 2: Protect Revenue
Medical Billing Operations
Accurate claim submission, payment posting, follow-up, and account management designed specifically for orthopedic and behavioral health workflows.
Denial Prevention
Our ClaimShield™ methodology identifies root causes before claims are submitted, reducing costly rework and reimbursement delays.
Credentialing & Payer Enrollment
Ensure providers remain enrolled, contracted, and ready to bill without interruption.
Outcomes
Grow Revenue
Executive Revenue Visibility
Through our ClearView™ Dashboard, leadership gains visibility into the metrics that drive financial performance.
Strategic Revenue Reviews
Quarterly revenue performance reviews uncover growth opportunities, payer trends, and operational improvements.
Revenue Infrastructure Optimization
We help practices build scalable revenue systems that support growth without increasing administrative burden.
Outcomes
Built For Specialty Practices
Orthopedic Practices
From surgery authorizations and global periods to imaging, injections, DME, and complex payer rules, orthopedic billing requires specialty expertise.
We understand the workflows that drive reimbursement and help practices improve financial performance while reducing administrative burden.
Behavioral Health Organizations
Behavioral health practices face unique challenges including authorizations, telehealth billing, payer limitations, and ongoing compliance requirements.
Our team helps behavioral health providers improve collections, reduce denials, and strengthen revenue performance.
What Success Looks Like
NextStep Orthopedics
“They treat your money as if it were their own.”
Why Practices Choose ClaiMed
20+ Years Revenue Cycle Experience
Deep healthcare revenue cycle expertise across multiple specialties and payer environments.
Specialty Practice Expertise
Focused experience supporting orthopedic and behavioral health organizations.
Revenue Recovery & Growth System™
A structured methodology designed to recover, protect, and grow practice revenue.
ClearView™ Revenue Dashboard
Executive-level visibility into collections, denials, AR performance, and reimbursement trends.
Dedicated Revenue Team
Consistent support from professionals who understand your practice and financial goals.
AdvancedMD Certified Partner
Technology-enabled workflows designed for efficiency, transparency, and scalability.
How Much Revenue Is Hiding In Your Practice?
Most practices don't know until they look.
Schedule a complimentary Revenue Leak Assessment and discover where revenue is being lost between Approved and Paid.