Orthopaedic billing support for Alberta physicians

Fracture management, multi-procedure cases, and GR 6.9.7 adjustments — structured billing review for orthopaedic encounters.

ABPhysCode helps Alberta orthopaedic surgeons review operative and clinic billing with code suggestions, multi-procedure fee calculations, and modifier checks against SOMB rules.

Why orthopaedic billing needs structured review

Orthopaedic encounters frequently combine fracture management, soft tissue procedures, and hardware-related codes in a single operative session. GR 6.9.7 multi-procedure adjustments, same-incision vs. different-incision classification, and companion code relationships all affect the final billable amount. Missing these interactions means leaving revenue behind.

What ABPhysCode does for orthopaedics

• Reviews multi-procedure operative encounters with GR 6.9.7 logic
• Checks fracture management coding against Alberta SOMB categories
• Surfaces companion codes for combined operative procedures
• Flags modifier applicability for bilateral, after-hours, and complex cases
• Highlights pre-op and post-op inclusion rules affecting billability

Common orthopaedic billing gaps

• GR 6.9.7 adjustments not calculated correctly for multi-procedure OR cases
• Companion codes missed when combining fracture management with soft tissue repair
• Bilateral modifier not applied to eligible procedures
• After-hours trauma cases billed without eligible premiums

Safety framing

ABPhysCode is assistive billing decision support — not a claims submission service. Final billing decisions and verification remain with the physician. Always confirm against current official SOMB references.