Orthopedic-Specific Coding
Modifiers, laterality, global periods, multi-procedure surgical cases. Coded by specialists who live in orthopedic CPT codes every day.
About Cosentus
Cosentus is a healthcare revenue cycle management company combining specialty-trained experts with AI-native technology. With 25+ years of experience, we manage the full revenue cycle for orthopedic practices in Bakersfield and across California. From coding to collections, every step is connected through Zeus AI, which runs 23 modules, and managed by people who stay in orthopedics.
98%
Net Collection Rate
48hrs
Charge Lag
99%
Clean Claim Rate
<15%
AR Over 90 Days
Local Expertise
Bakersfield serves as the healthcare center for Kern County and the southern Central Valley, with Mercy Hospital, Adventist Health Bakersfield, and Kern Medical providing orthopedic care to the region. The area’s agricultural economy generates significant workers compensation volume for orthopedic providers, while high Medi-Cal enrollment adds another layer of billing complexity. Orthopedic groups in Bakersfield need billing teams that can navigate both of these payer types with precision.
Cosentus provides full-cycle orthopedic billing and revenue cycle management for practices in Bakersfield and Kern County. Our team handles the agricultural workers comp claims, Medi-Cal managed care, commercial, and Medicare billing that define this market. Every surgical case is coded by orthopedic specialists who manage modifiers, implant documentation, and global periods correctly across every payer.
What We Manage for Orthopedics Practices in Bakersfield
- Orthopedic-specific coding: surgical modifiers, implants, global periods
- Workers compensation billing and follow-up
- Eligibility verification and prior authorization
- Claim scrubbing and same-day submission to 1,400+ payers
- Denial management with root cause review
- Appeals with clinical evidence and payer escalation
- AR follow-up and aging management
- Live analytics by provider, procedure, payer, and facility
Complete Orthopedic Revenue Cycle
Implant & Supply Billing
Accurate documentation, pass-through billing, and cost reconciliation for implants, hardware, and surgical supplies.
Workers’ Comp & Personal Injury
Different payer rules, different timelines, different documentation. Our team manages WC and PI cases separately with specialty knowledge.
Prior Authorization
Authorizations for scheduled surgeries, MRIs, and procedures tracked and cleared before the date of service.
Denial Management & Appeals
Ortho denials are high-dollar. We appeal with clinical evidence, operative notes, and strategies built for each payer. Root cause analysis on every one.
AR Follow-Up & Collections
Chris calls payers for claim status, surgical case follow-ups, and escalations. Your staff stays focused on patients, not phone queues.
Ai AGENT: CHRISPatient Billing & Support
Cindy handles patient balances, co-pay follow-ups, and payment plans in over 50 languages. Clear statements, not confusing bills.
Ai AGENT: CINDYAnalytics & Visibility
See collections by surgeon, procedure type, payer, and denial category. Know where your revenue is going as it happens.
Why Local Knowledge Matters
We Know California Payers
Bakersfield’s payer mix is shaped by agricultural workers compensation carriers and high Medi-Cal managed care enrollment alongside commercial and Medicare plans. Our team understands the specific documentation, authorization, and fee schedule requirements for each payer type active in Kern County.
Dedicated to Orthopedics
Our orthopedic billing team understands the nuances that define this specialty: surgical modifier stacking, implant pass-through billing, global period tracking, and the documentation required to support high-value surgical claims. Every coder on your account works in orthopedics, not across multiple specialties.
National Reach. Local Focus.
We manage orthopedic revenue cycles across the country, but your team understands Bakersfield and the Central Valley. They know the local health systems, the agricultural workers comp landscape, and the Medi-Cal dynamics that impact your bottom line.
Frequently Asked Questions
Know Exactly Where Your Revenue Is Going.
Wherever your revenue cycle needs to go, we can help.
- STEP 1
Connect
Tell us about your organization, your specialty and where revenue is getting stuck.
- STEP 2
Diagnose
We run a No-Cost Financial MRI on your revenue cycle and show you exactly what it finds.
- STEP 3
Recover
Together we fix the causes, and the revenue you were missing starts arriving.