Tackle Complexities in Surgical Billing and Maximize Revenue

Surgical billing demands expertise in handling bundled payments, global periods, and specific procedural codes. Without accurate billing, revenue loss becomes inevitable. Common issues include:

Global Period Oversights

Errors in tracking pre-operative and post-operative services lead to billing disputes.

Incorrect Modifier Usage

Misapplied modifiers result in claim rejections and delayed reimbursements.

High Denial Rates

Denials due to documentation gaps or coding errors affect cash flow.

Insurance Authorization Delays

Delays in pre-authorizations for surgeries impede timely reimbursements.

Compliance Risks

Failure to meet updated regulatory requirements can lead to audits and fines.

Empower Your Practice with Tailored Surgery Billing Solutions

Global Period Tracking Made Easy

Surgical billing often involves managing services within global periods, such as pre-operative and post-operative care. We streamline this process to ensure accurate claims and maximum reimbursements.

Modifier Accuracy in Complex Procedures

Surgical procedures frequently require the use of modifiers for correct billing. Our experts ensure precision in modifier application, reducing denials and boosting revenue.

Prior Authorization Management

Pre-authorizations for surgeries can be time-consuming and complex. We manage the entire process, ensuring approvals are obtained promptly to avoid delays in scheduling and payments.

Customized Surgical Billing Reports

Gain insights into your revenue cycle with detailed billing reports tailored for surgical practices. These reports help identify bottlenecks and optimize your financial performance.

Effortless Onboarding for Surgical Medical Billing

Our onboarding process simplifies the transition with a tailored approach to surgical billing needs, ensuring precise workflow setup and seamless integration. From data collection to team training, we streamline operations for optimized claim management.

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Surgery Coding Services: Precision in Every Surgical Code and Modifier

Accurate coding is the backbone of surgery billing, where each procedure must be properly documented for timely and full reimbursement. Our Surgery Coding Services focus on applying the correct surgical procedure codes, global period modifiers, and time-based codes.

We ensure that all surgical claims, from pre-operative assessments to post-operative care, are coded accurately, including the appropriate modifiers for multiple procedures or complications. Our team stays up-to-date with the latest surgical coding guidelines to minimize errors, reduce denials, and ensure that your practice is reimbursed fully for every surgery performed.

Proven Results for Surgical Practices – Advanced RCM for Complex Procedures

Health Quest’s RCM services are precision-engineered to handle the complexity of surgical billing, ensuring every service provided is properly reimbursed.

MSO Solutions Tailored for Modern Healthcare Providers

Comprehensive Multi-Procedure Coding

Surgical procedures often involve multiple steps and codes. We ensure accurate coding for every procedure, reducing claim rejections and delays.

Advanced AR Management

We lower AR days by actively tracking and resolving pending claims, keeping your practice’s cash flow steady and reliable.

Enhanced Global Period Tracking

We ensure accurate billing during global surgical periods, minimizing compliance risks and ensuring proper reimbursements.

FAQs

How do you manage multi-procedure claims for surgeries?

We carefully review and code each procedure, applying the correct modifiers (e.g., -51 or -59) to ensure proper reimbursement for all services provided during the surgery.

What is your approach to handling denied surgical claims?

We analyze denial reasons, such as incomplete documentation or incorrect coding, and resubmit corrected claims promptly to recover revenue.

How do you ensure accurate billing during global surgical periods?

We monitor the global period closely to ensure all follow-up visits and related services are billed correctly, reducing compliance risks and claim rejections.

How do you handle pre-authorization for surgical procedures?

We manage the entire pre-authorization process by coordinating with insurance providers, ensuring approvals are secured promptly to prevent delays in scheduling and reimbursements.

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