Optimized Reimbursements with Expert General Surgery Medical Billing
We combine professional excellence with the latest technology to manage medical reimbursement services for general surgery efficiently. Our billing & coding team is certified by the American Association of Professional Coders (AAPC).
Here’s how we stay ahead of the curve:
-
We use the latest technology, including -
Advanced medical billing software like NextGen Healthcare, Epic, Cerner, AthenaOne, NueMD, TherapyNotes, DrChrono, eClinicalWorks, Allscripts, Athenahealth, and Practice Fusion. -
Latest cloud-based coding software. -
Standard CPT, HCPCS procedure and supply codes, and ICD-9-CM diagnosis coding as per CMS guidelines. These cover medical, surgical, and diagnostic services related to general surgery.
A Walkthrough of Our General Surgery Medical Billing Process
Patient Registration
Collect the patient’s information, including personal and insurance details.
Verify their insurance coverage to ensure the upcoming surgery is covered.
Pre-Authorization
Get pre-authorization from the insurance company for the specific surgical procedure.
Medical Coding
Accurately code the surgical procedures, diagnoses, and any additional services using CPT, HCPCS, and ICD-10-CM codes.
Make sure the codes accurately reflect the details and complexity of the surgery performed.
Charge Entry
Enter the coded surgical services into the billing system.
Confirm that all surgical charges, including pre- and post-operative care, are correctly recorded.
Claim Submission
Prepare and submit detailed claims to the insurance companies.
Include all necessary surgical documentation, such as operative reports and doctor’s notes, to support the claim.
Insurance Follow-Up
Keep track of submitted claims to make sure they’re processed by the insurance companies.
Follow up on any claims that are delayed or denied, providing additional information if needed.
Payment Posting
Post payments received from insurance companies and patients to the surgical billing accounts.
Review Explanation of Benefits (EOB) statements to ensure payments match the billed services.
Patient Billing
Send detailed invoices to patients for any balances remaining after insurance payments.
Offer payment plans or options for patients with significant out-of-pocket costs for their surgery.
Denial Management
Investigate any denied or rejected claims related to surgical procedures.
Find out why they were denied and take corrective actions, like providing additional documentation or fixing coding errors.
Resubmit corrected claims promptly.
Accounts Receivable Management
Track outstanding surgical claims and patient balances.
Implement strategies to efficiently collect overdue payments, including patient follow-ups and payment reminders.
Reporting and Analysis
Generate reports to analyze the financial performance of the surgical practice’s billing process.
Identify trends and areas for improvement, such as frequently denied codes or delayed payments, to enhance efficiency and revenue.
Range of Surgical Procedures We Handle
Laparoscopic
Procedures
Trauma
Surgeries
Colorectal
Surgeries
Breast
Surgeries
Vascular
Surgeries
Endocrine
Surgeries
Dermatological
Procedures
Why Choose Pulse Medix for Your General Surgery Medical Billing
As the leading general surgery medical billing company, we speed up your collections with the following services:
-
Ensure precise billing with our specialized surgical coding team. -
Let us handle billing so your staff can focus on patient care. -
Cut down on overhead by outsourcing your billing needs. -
Keep patient and financial data safe with our robust security measures. -
Get personalized attention from our dedicated billing professionals.
-
Speed up your claims process and get faster reimbursements. -
Improve collections and minimize denials effortlessly. -
Stay compliant and avoid audit risks with expert oversight. -
Keep patient and financial data safe with our robust security measures.
Schedule A Free Meeting Today!
Outsource general surgery billing to Pulse Medix for expert accuracy, faster reimbursements, and reduced administrative hassle.