Cosentus

Orthopedic Billing. 
Surgeon-Grade Precision.

Joint replacements, arthroscopy, spinal surgery, and implant cases demand accuracy at every billing step. We deliver it.

High-Value Cases. Predictable Revenue Leakage.

  • Modifier errors on multi-procedure surgical cases cost hundreds of dollars per visit and multiply across volume
  • Implant pass-through billing is complex and frequently underpaid or missed entirely
  • Workers’ comp and personal injury cases carry different billing rules that generic teams get wrong
  • Global period confusion leads to bundled services that should have been billed separately

Surgical Practice Veterans + Ai

  • Orthopedic billing specialists who understand modifiers, global periods, implant pass-throughs, and workers’ comp, because that’s their full-time job
  • Ai handles eligibility, authorization tracking, and claim follow-up across your full volume
  • Every denied claim gets a root cause review. Ortho denials are high-dollar, so every appeal matters
  • Live visibility into collections by procedure, provider, payer, and case type
What Sets Us Apart

Orthopedics Is What Our Team Does. All Day.

Modifiers, implant pass-throughs, global periods, workers’ comp. Our ortho team doesn’t switch to behavioral health after lunch. They stay in their lane.

We Don’t Just Recover Denials. We Prevent Them

Every denied claim gets a root cause review. Ortho denials are high-dollar, so we don’t just appeal. We fix the pattern so it stops happening.

Built on Real Surgical Practice Experience

In 2025, Cosentus acquired Alta Management Solutions, expanding our orthopedic and surgical billing expertise with a team that has managed ASC and ortho revenue cycles for years.

Orthopedics Is What Our Team Does. All Day.

Modifiers, implant pass-throughs, global periods, workers’ comp. Our ortho team doesn’t switch to behavioral health after lunch. They stay in their lane.

We Don’t Just Recover Denials. We Prevent Them

Every denied claim gets a root cause review. Ortho denials are high-dollar, so we don’t just appeal. We fix the pattern so it stops happening.

Built on Real Surgical Practice Experience

In 2025, Cosentus acquired Alta Management Solutions, expanding our orthopedic and surgical billing expertise with a team that has managed ASC and ortho revenue cycles for years.

Complete Orthopedic Revenue Cycle

Orthopedic-Specific Coding

Modifiers, laterality, global periods, multi-procedure surgical cases. Coded by specialists who live in orthopedic CPT codes every day.

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.

Patient Billing & Support

Cindy handles patient balances, co-pay follow-ups, and payment plans in over 50 languages. Clear statements, not confusing bills.

Analytics & Visibility

See collections by surgeon, procedure type, payer, and denial category. Know where your revenue is going as it happens.

Prior Authorization Management

Paige tracks and clears authorizations for scheduled orthopedic procedures, knee replacements, spinal fusions, arthroscopic surgeries. Zero procedural delays. Zero OR schedule disruptions.

Zero
Procedural Delays
24/7
Auth Tracking
Paige, Prior Authorization Management
Paige
Prior Auth Tracking Specialist
Orthopedic Leadership

Surgical practice veterans with deep orthopedic and ASC expertise, strengthened by the 2025 Alta Management Solutions acquisition. Full team profiles publishing soon.

What Our Clients Say.

Orthopedic

Cosentus has been efficient, responsive, and personable in managing my revenue cycle. I have seen my revenue grow tremendously. I highly recommend them.

JM
Dr. Jothi Murali-Larson
Orthopedic Surgeon
Orthopedic

My collections have significantly increased with their stewardship. They have always been available to answer my questions.

SK
Dr. Samir and Kavita Sharma
South Bay Orthopedics, San Jose, CA
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