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Manage your plastic surgery practice with expert billing solutions designed for both reconstructive and cosmetic procedures. Focus on comprehensive patient care and surgical excellence while we handle your plastic surgery medical billing, including accurate plastic surgery coding (utilizing CPT, ICD-10, and HCPCS codes specific to surgical procedures) and efficient plastic surgery claims management.
Plastic surgery practices involve a broad spectrum of services—from reconstructive surgeries after trauma or disease (e.g., breast reconstruction, skin grafts) to cosmetic procedures, each with distinct billing requirements and payer rules (medical necessity vs. cosmetic). Our specialized approach identifies accurate coding, minimizes claim denials, and keeps your plastic surgery practice billing efficient and your revenue cycle management robust.
Managing the delicate balance between medically necessary reconstructive procedures and elective cosmetic procedures can complicate billing workflows.
Finding billing staff skilled in CPT codes for infusion services (e.g., initial, sequential, concurrent infusions), drug supply codes (HCPCS), and understanding medical necessity for various infused medications is critical for RCM success.
Incorrect coding for drug administration time, drug units, hydration services, or improper sequencing of infusion codes can lead to significant revenue leakage and audit risk.
Co-pays and deductibles for infusion sessions, often involving high-cost medications, must be tracked accurately to maintain positive cash flow.
Patients receiving medical infusion therapies often face high deductibles, requiring precise benefit verification and prior authorization for medications and administration services to minimize claim denials.
Denials due to lack of medical necessity documentation for reconstructive procedures, pre-authorization issues, or coding errors demand prompt, specialized follow-up.
Perform specialized audits to guarantee accuracy and compliance for both reconstructive and cosmetic procedures, consultations, and follow-up care.
Improve your plastic surgery billing process with our targeted claims submission and scrubbing services. We identify errors before claims leave your system, reducing denials and making sure every service is billed correctly.
Simplify charge entry for the wide range of plastic surgery services. Our system accurately captures consultations, surgical procedures, office-based treatments, and follow-up care, making sure every service is reflected in your billing for timely payment.
Efficiently post payments (including Electronic Remittance Advice – ERA and Explanation of Benefits – EOB) for all plastic surgery services. Our streamlined process reconciles payments quickly, enhancing your overall revenue cycle management.
Utilize our specialized process for managing and appealing denied plastic surgery claims, addressing Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs). We review claim denials, address coding errors, and promptly resubmit claims to get every dollar owed.
Optimize your collections with proactive accounts receivable management and follow-up on aging AR. Our systems reduce outstanding balances and see that patient accounts are managed efficiently, supporting your practice’s cash flow.
Net Collection Rate
of A/R Less than 30 days
Clean Claims on First Submission
Increase in Practice Collection
or Less Initial Denial Rate
Deliver valuable insights and training to help your staff better manage claims, post payments and. develop standard operating procedures.
Provide fully customized consulting services to medical providers that include medical billing, coding, credentialing, and practice management analytical that help profitability.
Get expert support to navigate the complex process involved in enrolment and credentialing, all at an affordable cost.
Let us manage your billing challenges so you can devote your energy to providing exceptional surgical care to your patients. Our expert RCM services promise a smooth revenue cycle and maximized reimbursements.