Plastic Surgery Billing Services
Plastic surgery and reconstructive procedures can get costly for your patients. You may also have to work hard to follow their billing and coding guidelines. Health Quest Billing provides comprehensive plastic surgery billing services. Contact us to get your reduced claim denials reversed and bring in their pending reimbursements.
How Can Health Quest Billing Help You?
Here’s how we at Health Quest Billing can assist you with our Plastic Surgery Billing Services:
Targeted and Quality Services
Health Quest Billing provides targeted plastic surgery billing services for each patient. Our experts have years of quality experience.
HIPAA Compliance
Our billing services for plastic surgery are fully compliant with HIPAA guidelines. We keep your data secure under those guidelines as well.
Accounts Receivable Follow-Up
We help healthcare organizations maintain their insurance model. This enables them to follow up on their A/R days and recover pending payments.
Denial Management
Our billing professionals are sufficiently equipped to manage your denial management process. They are hand-picked with decades of experience to appeal claim denials.
Collections Management
Health Quest Billing also has expertise in the submission of billing statements. Their submission is a large part of collections management, which we automatically excel at.
Best Practices for Plastic Surgery Billing Services
Choose Relevant ICD Codes
Hospitals have to understand the importance of ICD codes in plastic surgery procedures. They must only select the relevant ones so that they are accurate. To do this, they can evaluate each patient’s case. Such evaluations ensure that you correctly classify appropriate conditions. They include facial nerve disorders, burns, breast-related issues, and other related disorders.
Assign Accurate CPT Codes
You must also be proficient in assigning accurate CPT codes to your plastic surgery procedures. These procedures can get complex, so you have to be careful. They mostly include breast reconstruction, skin lesions, and nasal surgeries. Many healthcare organizations are noticing a rise in hand surgeries as well. Accurate codes for these procedures ensure optimal payments.
Report Evaluation and Management Services
Another key practice is reporting E/M services for plastic surgery procedures. Your billing team should possess the necessary skills to report them. You have to use the relevant modifiers and codes to report those services. These practices facilitate the documentation of your patient encounters. You can also apply the applicable consultation codes wherever necessary.
Modifier Optimization
Healthcare organizations can also utilize the relevant modifiers to optimize their revenue sources. You can increase the cash flow for your plastic surgery procedures. There are specific modifiers like 51 and 59 that can be assigned to multiple procedures. They have to be assigned within a global period to ensure non-duplicated reimbursement.
Reduce Administrative Burden
The administrative burden is easily piled on hospitals as plastic surgery billing involves a lot of complex administrative tasks. You should specifically focus on those tasks to improve the quality of your patient care. Some outside help from a third-party service provider can also reduce your administrative burden.
Effortless Onboarding for Plastic Surgery Billing
At Health Quest Billing, we specialize in plastic surgery billing, ensuring a seamless revenue cycle for your practice. From cosmetic and reconstructive procedures to insurance pre-authorizations, our streamlined onboarding process helps plastic surgeons maximize reimbursements and reduce administrative burdens. Here’s how we onboard plastic surgery practices for maximum efficiency:
Comprehensive Practice Evaluation
- We begin with a detailed assessment of your plastic surgery practice, identifying billing challenges such as procedural bundling, reconstructive vs. cosmetic classification, and payer-specific guidelines. Our customized approach ensures compliance and revenue optimization.
Seamless EHR & Practice Management System Integration
- We integrate our billing solutions with your existing Electronic Health Records (EHR) and Practice Management (PM) systems. This enhances workflows for claims processing, prior authorizations, and plastic surgery-specific documentation, reducing denials and administrative workload.
Accurate Data Collection & Plastic Surgery-Specific Coding
- Our billing experts meticulously document and code plastic surgery procedures, including facelifts, breast augmentations, liposuction, rhinoplasty, and reconstructive surgeries. We ensure precise use of CPT, ICD-10, and HCPCS codes to prevent claim rejections and maximize reimbursements.
Ongoing Provider Training & Support
- We provide specialized training for plastic surgery providers and staff, covering payer guidelines, medical necessity documentation, and compliance best practices. Our team remains available for ongoing support, keeping your practice financially secure.
