Orthopedic Underpayments in 2026: How Everest A/R Management Group Recovers Hidden Revenue
In 2026, orthopedic practices are facing a silent but growing revenue threat: underpaid claims. Unlike denials, underpayments don’t land in rejection queues or denial worklists. They post as “paid” — but not paid correctly.
Across joint replacements, fracture care, arthroscopy, and sports medicine procedures, commercial payers are reimbursing less than contracted rates, often without explanation. Many practices never discover the loss.
At Everest A/R Management Group, orthopedic underpayment recovery has become one of the highest ROI revenue cycle strategies for practices nationwide.
Value-Based Care Is Reshaping Orthopedic Billing — Are You Ready for 2026?
Orthopedic practices are facing one of the biggest reimbursement shifts in decades.
As healthcare moves away from fee-for-service, value-based care (VBC) models are rapidly reshaping how orthopedic services are coded, billed, reimbursed, and audited. By 2026, bundled payments, quality-based incentives, and outcome-driven contracts will no longer be optional—they will be a core part of orthopedic revenue.