Sports Medicine EHR and AI Medical Billing Software

Sports medicine moves fast from injury to return to play. XEHR documents each step and bills it correctly.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Rolled the right ankle at practice.

S93.401A Sprain of right ankle, initial

ReviewSign note

Diagnosis carried to the claimS93.401A

THE HARD PARTS

What makes sports medicine billing hard

Physicals that insurance will not pay

Pre-participation sports exams are often not covered and must be priced and collected as self-pay.

Concussions need careful follow-up

Return to play after concussion follows graduated steps that must be documented at each visit.

Guidance must be shown

Ultrasound-guided injections are billed only when the guidance and a saved image are documented.

WHERE THE WORK HAPPENS

How sports medicine care is delivered and billed

Primary care sports medicine physicians treat athletes and active people without surgery: injuries, concussions, overuse problems and exercise prescription. They work in clinics, training rooms and at events. Visits, injections, ultrasound-guided procedures and bracing are billed on the professional claim; pre-participation physicals are often not covered by insurance.

What payers check on sports medicine claims

Pre-participation sports physicals are often not covered and may be self-pay.
Ultrasound guidance is billed only when the guidance and a saved image are documented.
Injury codes need laterality and a seventh character for the encounter.
Concussion follow-up visits must document symptoms and the return-to-activity plan.
Braces and supplies dispensed need documented fitting.

Common sports medicine diagnoses ICD-10-CM

S06.0X0A	Concussion without loss of consciousness, initial encounter
S93.401A	Sprain of unspecified ligament of right ankle, initial encounter
M77.11	Lateral epicondylitis, right elbow
M25.561	Pain in right knee
M22.2X1	Patellofemoral disorders, right knee
Z02.5	Encounter for examination for participation in sport

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A sports medicine visit, start to payment

1
Assess the injury

Mechanism, side and exam are documented, with concussion tools recorded where used.
2
Treat without surgery

Injections and ultrasound guidance are documented with the site, drug and image.
3
Plan the return

Graduated return-to-play steps are recorded at each visit.
4
Bill and clear

Visits and procedures go out on checked claims; clearance notes come from the same chart.

How XEHR helps

From the sports medicine visit to the payment

Procedures and supplies on the claimDocumented injections and supplies carry onto the claim.
Clearance documentedReturn-to-play notes are part of the record.
Visit types for physicalsPhysicals have their own templates and scheduling.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for sports medicine

AI medical billing for sports medicine practices

XEHR is an agentic EHR: AI agents do the administrative work around every sports medicine visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Pre-participation sports physicals are often not covered and may be self-pay.
Ultrasound guidance is billed only when the guidance and a saved image are documented.
Injury codes need laterality and a seventh character for the encounter.
Concussion follow-up visits must document symptoms and the return-to-activity plan.

Around the visit

Agents run on their own

Coverage checked before each sports medicine visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a sports medicine EHR

Ask every vendor, including us. The answers show whether a system was built for sports medicine work or only adapted to it.

Ask us on a demo

Is ultrasound guidance documented with a saved image?
Are concussion symptoms and return-to-play steps recorded?
Can clearance notes be produced from the chart?
Are braces documented with fitting?
Are self-pay physicals recorded?

QUESTIONS

Sports Medicine practices ask us

Does XEHR support sports physicals?

Yes. Physicals have their own visit type and template.

Can XEHR bill braces and supplies?

Yes. Supplies documented in the note are billed on the claim.

Does XEHR support concussion management?

Yes. Symptoms, tests and the return-to-play plan are documented at each visit.

Can XEHR bill ultrasound-guided injections?

Yes. Guidance and the saved image are documented so it can be billed.

Does XEHR support event coverage?

Yes. Visits at events are documented in the athlete’s record.

Can XEHR share notes with trainers?

Yes, with consent recorded.

How much does XEHR cost for a sports medicine practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a sports medicine practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for sports medicine

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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