U.S.-based surgical billing for ASCs, hospitals & surgeons—97% clean claim rate, accurate CPT/HCPCS coding, and 60% fewer denials. Specialized in complex multi-procedure cases.
Request a Free RCM AuditExpert application of surgical codes, modifiers (-51, -59, -22), and bundling rules (NCCI) to prevent underpayment or denials.
We identify missed charges for implants, anesthesia time, and assistant-at-surgery fees—recovering hidden revenue in every case.
Pre-submission checks for medical necessity, prior auth status, and payer-specific surgical policies prevent 90% of avoidable denials.
Works with Epic, Cerner, and surgery center scheduling systems—capturing charges from pre-op to post-op in real time.
Denied claims are appealed within 72 hours with operative notes and clinical documentation—recovering 87% of lost surgical revenue.
Your U.S.-based expert tracks surgeon-specific KPIs: case lag, denial reasons, payer contracts, and implant reimbursement gaps.
Surgery billing is high-stakes and complex—missed modifiers, bundling errors, or late submissions can erase 20–40% of procedure revenue.
Failure to apply -59, -22, or assistant-at-surgery modifiers triggers automatic denials or underpayment—especially with Medicare.
High-cost implants (e.g., spinal hardware, joint replacements) are often omitted from claims due to poor charge capture workflows.
Commercial payers require pre-approval for many elective surgeries—missing auths lead to 100% denials with no appeal path.
Manual or fragmented workflows cause 5–7 day lag—increasing risk of missed revenue and compliance exposure under timely filing rules.
Built for surgeons, ASCs, and hospital surgery departments that demand precision and speed.
Verify benefits, medical necessity, and prior authorization 72h before surgery to prevent claim denials upfront.
Track surgeon, assistant, anesthesiologist, implants, and supplies during procedure via mobile or EHR integration.
Apply correct primary, add-on, and unlisted CPT codes with modifiers based on payer-specific surgical billing rules.
Submit scrubbed claims daily; monitor for NCCI edits, payer bundling, and medical necessity flags.
Monthly dashboard: collections per case, denial root causes, payer performance, and implant reimbursement gaps.
Clean Claim Rate
Fewer Denials
Higher Net Collections
Based on 85+ surgical clients served in 2024. Results may vary.
Learn how to avoid common billing pitfalls and maximize reimbursement for complex procedures.
Read Our Surgical Billing GuideThe average surgery center loses $90K–$220K/year to missed implants, incorrect modifiers, and delayed charge capture.