Specialty Billing Focus
Specialized Plastic & Reconstructive Surgery Billing Services
Avoid denials, avoid mismatching modifiers, and accelerate the reimbursement process with billing teams who know the inside of plastic surgery medical billing.
- HIPAA Compliant
- Certified AAPC Coders
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Membership & Certifications
Plastic surgery billing, plastic surgery medical billing, and plastic surgery billing codes require expertise not general medical billing.
Our plastic & reconstructive surgery billing services is built specifically for plastic surgery practices across all 50 states.
Why Specialization Matters?
Plastic Surgery Is Not General Medical Billing. Neither Your Billing Be
Cosmetic vs Reconstructive Determination
We help you manage coverage rules for payers, so you don't bill cosmetic services to insurance that are not covered. Accurately document medical necessity for all covered reconstructive procedures.
Distinct Procedures and Modifier 59
Automatic Denial for Wrong Modifier. Correctly use modifier 59, XS, XE, XP, XU. Modifier 50 for bilateral. Multiple procedures Modifier 51. Modifier 58 for staged. Modifier 78 for complications. Modifier 79 for unrelated procedures.
Global Surgical Package Compliance
The global period (0, 10, 90 day) is based on the operative report. Correctly apply modifier 24 and 25. Mistakes cost thousands per case globally.
Medical Necessity Documentation
No reimbursement without linkage with diagnosis, measurements, photos or treatment history. We submit complete documentation prior to any claim.
Scope Of Expertise
Comprehensive Plastic Surgery Coverage
Plastic Surgery Billing Codes
Plastic Surgery Medical Assistant
Cosmetic vs Reconstructive
High Cost Procedures
End-to-End Workflow
Revenue Cycle & Denial Prevention
Plastic Surgery Billing Company
As a dedicated plastic surgery billing company, we manage your entire revenue cycle from eligibility verification to payment posting so you focus on patients, not claims.
Plastic Surgery Billing Outsourcing Companies
Unlike generic plastic surgery billing outsourcing companies, we offer specialty-trained billers who understand cosmetic vs reconstructive rules, global periods, and payer-specific documentation requirements.
Claim Submission & Scrubbing
All claims are reviewed prior to submission to identify errors in coding, missing modifiers and documentation issues that may lead to claim denials.
Denial Management & Appeals
Denial reasons are analyzed, correct root causes are identified and appeals are filed with clinical peer support, for wrongfully denied reconstructive claims.
A/R Follow-Up & Underpayment
Aging worklists by payer. We recover underpayments when fees were deducted or included in an incorrect manner.
Patient Billing & Collections
For cosmetic self-pay procedures: Upfront collections, payment plans, CareCredit coordination, patient statements.
Reporting & Account Manager
A dedicated account manager for your practice, monthly denial trend reports, A/R aging.
HIPAA Secure Processes
All patient data encrypted. Role-based access, audit trail and secure transmission of operative reports, photographs and implant invoice.
Key Metrics for Plastic Surgery Billing Services
Our Methodology
Plastic Surgery Workflow Integration
Practice Assessment
Identify previous audits in a few checks through our precise audit systems.
Onboarding
Seamless onboarding through accurate credentialing and HER alignment.
Denial Prevention
Reduce the claim denial rate with accurate and complete Gastroenterology medical billing.
Optimization
Get the latest insights and performance metrics weekly for your revenue growth.
Practice Types
Who We Serve
Plastic Surgery Practices
Multi-Surgeon Groups
Hospital-Based Plastic Surgery
Reconstructive Surgery Clinics
Academic Plastic Surgery Departments
Overcoming Plastic Surgery Billing Challenges
Cosmetic vs Reconstructive Determination Errors
Reconstructive cases are expensive to use cosmetic codes. We never submit non-covered cosmetic services to insurance.
Documentation Gaps
No op report, diagnosis linkage, measurements, or photographs = no claim paid. Our audits fix medical necessity issues before submission through plastic surgery billing and coding services
Distinct Procedure Mistakes Modifier 59
Modifier 59, XS, XE, XP, XU misused frequently. We fix denials. Modifier 50 for bilateral. Modifier 51 for multiple. Modifier 58 for staged. Modifier 78 for complications. Modifier 79 is Unrelated procedure.
Patient Collections for Cosmetic Procedures.
Facelift, rhinoplasty, liposuction, breast augmentation = cash payment, payment plan, or CareCredit.
Comprehensive Solutions
Plastic Surgery Billing & Revenue Cycle Management Services
Our plastic surgery revenue cycle management services are integrated into one complete solution to increase claim accuracy, lower denials and improve profitability.
Plastic Surgery Billing Services
Medical billing for Cosmetic vs reconstructive determination, claim filing and denials to expedite collections.
Credentialing Services
Medicare, commercial payers and worker's compensation enrollment, CAQH support and payer follow up
Plastic Surgery Coding Services
Fewer modifier 59, modifier 50, global period and medical necessity denials. Plastic surgery billing and coding services backed by operative report documentation.
Front Office Support
Verification of insurance, prior authorization for breast reconstruction and panniculectomy, and intake support.
Transcription & Documentation Support
Process operative reports, monitor implant invoices and audit medical necessity documentation.
EHR and Plastic Surgery Billing
Seamless charge capture with EHR, EMR, PMS, and clearinghouse. Outsource plastic surgery billing services and we integrate with your systems.
Got Questions?
Plastic surgery Billing Specifics
Here is what you actually need to know about ASC medical billing services and how we keep your surgery center running without the usual headaches.
90210 Surgery Medical Center already made the switch to ASC BILLING & SOLUTIONS. Your ASC could be next.
Always Available
24/7 support for your practice
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Proven Results
Success Stories from Practices
