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 Los Angeles 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
Los Angeles is the largest orthopedic market in California. With Cedars-Sinai, UCLA Health, Keck Medicine of USC, and hundreds of ambulatory surgery centers across LA County, surgical volume is enormous. Orthopedic practices in LA deal with complex payer mixes, significant workers compensation volume, high Medi-Cal enrollment, and wide variation in contract terms across facilities. Billing accuracy in this market is not optional. It is the difference between a thriving practice and one that leaves revenue on the table.
Cosentus provides full-cycle orthopedic billing and revenue cycle management designed for the scale and complexity of the Los Angeles market. Our orthopedic coding team handles surgical modifiers, implant billing, global periods, and workers comp follow-up across every payer and facility your practice touches. From charge entry to final payment, your revenue cycle is managed by people who specialize in orthopedics.
What We Manage for Orthopedics Practices in Los Angeles
- 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
Los Angeles practices navigate one of the most complex payer environments in the country. Commercial carriers, Medicare, Medi-Cal managed care, Medicare Advantage, and workers compensation carriers all operate with different rules. Our team knows the surgical authorization requirements, implant documentation standards, and global period policies for each of them.
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 knows LA. They understand the local hospital systems, the ASC landscape, and the payer dynamics that shape revenue for orthopedic groups in this market. National scale, local understanding.
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.