We focus on KPIs that reflect your revenue success.
Connect with our #1 general surgery medical billing services today to experience the laser-focused coding & billing services that your practice needs.
Spending too much time outside the OR to manage billing-related tasks? Working with a small or non-technical team often results in missed documentation, incorrect coding, and costly denials. But when you choose our inpatient & outpatient surgery billing solutions, we let you focus only on “saving the lives of your patients”, while we take care of your reimbursements.
Our hospital & ASC surgical coding experts efficiently file
claims for the surgical procedures to ensure you are paid on time. Whether it’s working on unlisted lap/robotic codes or NCCI unbundling, our AAPC-certified master’s in handling all complex cases of general surgery billing.
General surgery billing requires more precision than any other healthcare practice, as it involves complex procedures, bundled codes, and strict global periods. Even minor coding or modifier errors can lead to denials, compliance issues, or significant revenue loss.
We understand that running a surgical practice means every second — and every record — counts. And integrating with a new general surgery billing services company can feel risky. However, when you outsource your general surgery billing services to us, we integrate seamlessly with your existing EHR/EMR system, ensuring a smooth transition with no data loss or workflow disruption.
Looking for inpatient & outpatient surgery billing solutions that cover every aspect of surgical billing for you? From delivering patient-centric services to ASC vs hospital outpatient surgical reimbursements, we cover every aspect of revenue cycle management for you.
To keep your practice away from delays and uncertainties, we handle all your pre-operative approvals. From real-time insurance checks (270/271) to getting prior authorization for bariatric or robotic surgeries, we cater to it all. We keep no surprises for your patients either, and handle ABN issuance upfront, so your payments don’t get held up.
Worried about your aging buckets? We convert your AR into cash and identify common denial reasons (like global overlap, modifier errors, and medical necessity issues under LCD/NCD rules). We utilize AI predictive analytics to maximize your collections and improve your RCM metrics, like reducing days in A/R (<40), charge lag (<48 hours), and first-pass claim acceptance.
Our general surgery medical billing and coding services ensure 100% compliance with CMS, HIPAA rules & regulations. Our experts stay current with the ever-changing guidelines of government and private payers. We align your claims with the latest ASC and OPPS 2025 final rules to maximize reimbursement under new payment structures.
Too busy managing pre-op plans, surgeries, and post-op
care to worry about billing?
You’re not alone because most surgeons don’t have time to decode modifiers, track global periods, or chase claims.
Our best general surgery medical billing services keep you informed, not only improving your cash flow but also keeping you up-to-date on 2025 billing & AR trends.
We look for ways to improve your cash flow and turn every stone to ensure you get paid, even with the strict Medicare and Medicaid CY 2025 Payment Policies.
It’s all the magic we do to help you achieve cleaner claims.
MS-DRG Selection & ICD-10 Coding
Accurate Use of Modifiers
Unbundling & Bundling
Error-Free Documentation
Value-Based & Medicaid Bundle Models
Laparoscopic Procedures
Laparoscopic cholecystectomy
|
47562 |
|
Laparoscopic appendectomy
|
44180 |
|
Laparoscopic colon resection
|
44160 |
|
Thyroidectomy |
60220 |
|
Parathyroidectomy |
60500 |
|
Cricothyroidotomy |
31500 |
|
Exploratory laparotomy |
49000 |
|
Intubation |
64702 |
|
Arterial bypass graft |
35600 |
|
Endarterectomy |
35301 |
|
Vein stripping |
36475 |
Colorectal Surgical Procedures
|
Colectomy |
44140 |
|
Rectal surgery for cancer |
45110 |
|
Colonoscopy with biopsy |
45380 |
Breast Surgical Procedures
|
Mastectomy |
19301 |
|
Simple mastectomy |
19303 |
|
Excision of breast
tumor |
19120 |
“Client names are withheld for confidentiality and may be shared upon request”
Surgical revenue cycle management (RCM) encompasses the entire billing process:
Choosing the right inpatient and outpatient surgery billing solutions company means looking beyond basic billing support. You need a team that understands the complexities of surgical billing — from coding accuracy to payer compliance. Here’s what to look for:
Certified Coders: AAPC- or AHIMA-certified coders who specialize in general surgery and understand CPT, ICD-10, and HCPCS coding guidelines for both inpatient and outpatient cases.
Experience with Surgical Billing: Look for demonstrated success in billing for procedures like colectomies, laparoscopic cholecystectomies, tumor excisions (CPT 49186–49190), and hernia repairs, across both hospital and ASC settings.
Technology-Driven Processes: Choose a company that uses real-time eligibility tools (270/271 checks), payer-specific pre-auth workflows, and automated claims scrubbing to speed up your revenue cycle.
Compliance & Reporting: They should follow CMS and NCCI guidelines and provide regular reporting on KPIs like first-pass claim rate, denial rate, Days in A/R, and net collection ratio.
The cost of surgical RCM outsourcing depends on the services you choose. To know more about the price, contact us today!
