Specialized Plastic Surgery Billing
Reconstructive plastic surgery is a complex medical field that aims to improve body function, create a normal appearance, and boost self-esteem. It involves correcting facial defects and body abnormalities caused by injury, disease, ageing, or congenital disabilities. These abnormalities can be a result of several factors, including infections, birth defects, tumours, and abnormalities in development.
However, medical coding for plastic surgery can be challenging due to the varying levels of wound repair codes, multiple procedure payment reduction rules, co-surgeries, and the need to use the correct surgical and E/M modifier codes. Inaccurate coding can result in delayed or denied reimbursements, leading to revenue loss and less time for patient care.
At OneMed Billing, we understand the complexity of plastic surgery coding and provide comprehensive coding services to reduce claim denials and ensure maximum reimbursement for all services. Our certified coders are well-versed in plastic surgery coding guidelines and ensure accurate coding of each procedure. By partnering with us, you can focus on providing high-quality patient care while we take care of your billing and coding needs.
Expert Plastic Surgery Billing & Coding Services for Maximum Revenue
At OneMed Billing, we have a decade of experience in providing excellent billing and coding services to hospitals, physician practices, and medical billing companies across all 50 states. We understand the complexities of plastic surgery billing and coding and have a team of certified coders who specialize in plastic and reconstructive surgery coding.
Our coders are well-versed in CMS and AMA coding guidelines, including ICD-9/10, CPT, HCPCS, and CPRC, and have obtained certification from the American Academy of Professional Coders (AAPC). Our specialists possess a wealth of knowledge and experience, including the following:
• Expertise in interpreting physician and procedure notes to assign appropriate ICD-10-CM, CPT®, HCPCS Level II, and modifier codes.
• Familiarity with both the 1995 and 1997 Documentation Guidelines for management and evaluation coding.
• Thorough understanding of Medicare billing guidelines, including incident, teaching scenarios, shared visits, consultations, and global surgery.
• Ability to accurately code surgical procedures performed by plastic and reconstructive surgeons, such as scar revisions, facial repairs, and aesthetic surgeries.
• Extensive training in human anatomy and physiology, as well as medical terminology.
By partnering with OneMed Billing, you can trust that your plastic surgery coding is in the hands of experienced professionals who are dedicated to maximizing your revenue and accelerating your practice's growth.
Expert Plastic Surgery Billing and Coding Services by OneMed Billing
As a plastic or reconstructive surgery provider, you know how complex billing and coding can be. At OneMed Billing, we understand your challenges and have a decade of experience working with plastic surgeons. Our certified billers and coders are well-versed in CMS and AMA coding guidelines, including ICD-9/10, CPT, HCPCS, and CPRC, enabling us to maximize your revenue and accelerate growth.
Our billing specialists possess extensive knowledge of plastic and reconstructive surgery coding standards and reimbursement policies, making us capable of handling both cosmetic and medical procedures. We meticulously handle your claims, ensuring higher clean claim rates, quicker cash flow, and lower denial rates.
Our approach to plastic surgery coding services includes the implementation of cutting-edge technologies combined with our best practices and coding rules. We are committed to providing data-driven solutions that increase your revenue while reducing your compliance risk.
Our best procedures in plastic surgery include:
● Selecting the proper ICD codes for various forms of burns, neoplasms, breast-related problems, diseases of the facial nerve, and other conditions
● Applying the appropriate CPT codes to the following procedures, without limitation:
o Breast reconstruction—extensive discussion including DIEP flaps
o Skin lesion procedures including injection, biopsy, shave, and excision
o Nasal procedures including rhinoplasty, nasal valve stenosis repair, and turbinates
o Hand surgery
● Using the proper codes, modifiers, and consultation codes when reporting Level 4 or Level 5 E/M services
● In order to maximise your revenue, you should add the proper modifiers for several procedures performed over a global time (51 and 59), co-surgeon (62) or assistant surgeon (80, 82) services.
Benefits of Our Plastic Surgery Billing and Coding Services
We create a faultless reimbursement procedure for your practice while bringing delicacy and accuracy to our billing and coding services. Insurance verification, insurance authorizations, coding, billing, and payments reconciliation are all processes that can benefit your organisation with careful patient demographics entry. To prevent claim denials, we consistently follow up on accounts receivable and obtain prior authorization. Your focus changing from denial management to denial prevention is our denial team's top priority. We work to make the billing, coding, claim submission, and payment posting processes as frictionless as possible. We provide you with a team of experts who are:
● AAPC Certified coders
● Programmers skilled in using coding tools like EncoderPro, FLashcode, and CodeLink
● Ability to use CMS-recommended standard CPT, HCPCS procedure and supply codes, and ICD-CM diagnosis coding
● With reputable commercial carriers like United Health, WellPoint, Aetna, Humana, HCSC, Blue Cross Group, etc., we continue to have success processing medical bills.
● We offer the ability to successfully negotiate with Medicare and Medicaid policies that are distinct to each state.
Our clients frequently experience a 32% increase in income and a minimum 14% reduction in denials. We accomplish this by putting our knowledge, rigorous processes, New technology, and a highly skilled team to work for us.