Surgical billing is complex. We specialize in it—from CPT coding to implant recovery to bundling edits.
Surgical procedures require precision coding with modifiers, multiple procedures, and bundling rules. One mistake can trigger a denial or compliance audit.
High-cost implants and devices often go unbilled or under-billed due to missing documentation, incorrect coding, or lack of follow-through with payers.
CCI edits, global periods, and bundling logic change constantly. Billing software doesn't catch everything—denials follow.
Payers deny surgical claims if authorization isn't obtained pre-op, documented correctly, or linked properly during billing.
Our certified surgical coders understand CPT modifiers, bundling edits, and payer-specific rules. We code it right the first time.
We track every implant, verify documentation, and ensure proper billing with device serial numbers and invoice matching.
We monitor CCI edits, NCCI updates, and payer-specific bundling rules so your claims pass edits and get paid.
We verify authorization status before surgery, link auth numbers to claims, and appeal any denials related to authorization issues.
Track revenue by procedure type, surgeon, and payer so you can optimize case mix and negotiate better contracts.
Get a free revenue audit and see exactly where you're losing money—and how much we can recover.