Precision-Driven Billing for Aesthetic & Reconstructive Surgeons
We help plastic surgery practices eliminate underpayments and denials by coding every claim with surgical accuracy. Whether it’s elective cosmetic work, trauma-related reconstruction, or insurance-covered procedures, we handle it all with unmatched compliance and speed.
Billing That Matches the Precision of Your Craft
At RCM firms, we specialize in the complex world of plastic and reconstructive surgery billing. Whether you're operating in a private practice, surgery center, or hospital setting, we manage your billing cycle with surgical-level accuracy.
From CPT bundling rules and payer-specific cosmetic exclusions to pre-op authorization and trauma coding—our team handles it all. We ensure that every modifier, documentation line, and ICD-10 justification is aligned with payer policies to help you get paid in full, the first time.
Why Plastic Surgeons Choose Us
- Expertise in 19325, 30465, 15877, 14060 & flap reconstruction codes
- Accurate cosmetic vs. medical necessity documentation support
- Preauthorization for rhinoplasty, breast reductions, and reconstructions
- Appeals & denial resolution for high-value surgical claims
- Integration with EMA, Nextech, Modernizing Medicine & more
Mission Statement
Our mission is to empower plastic surgeons to grow profitably and compliantly by managing the nuances of surgical billing—so you can focus on outcomes, not reimbursements.
Why Plastic Surgeons Trust RCM firms
Surgical billing isn’t just about submitting CPT codes—it’s about understanding bundling edits, documenting medical necessity, and navigating cosmetic exclusions. Our billing experts specialize in plastic surgery claims, helping practices avoid delays and maximize collections with precision.
Cosmetic vs. Medical Billing
We identify which procedures qualify for insurance coverage vs. self-pay, ensuring clean segregation of claims.
Surgical Coding Expertise
We accurately apply complex CPT codes for reconstruction, grafts, revisions, and staged surgeries.
Preauthorization Support
We handle pre-approvals for medically necessary procedures such as breast reduction and post-trauma repairs.
Payer Policy Compliance
We align your claims with Medicare LCDs and private payer rules to avoid audits and ensure timely payment.
Simple Pricing for Complex Surgical Billing
Whether you're running a boutique cosmetic practice or a high-volume reconstructive clinic, our transparent pricing adapts to your needs. No lock-ins. No hidden fees. Just billing that supports your revenue goals.
Independent Surgeons
Designed for solo aesthetic providers and specialty-focused reconstructive surgeons.
Plastic Surgery Clinics & ASCs
Ideal for multi-provider plastic surgery practices or outpatient surgery centers.
What’s Included
- Preauth & benefit verification support
- Claim segmentation: self-pay vs insurance
- Post-op follow-up billing & appeals
- Detailed monthly revenue & denial reports
Need a custom quote for a large practice, hospital department, or hybrid billing model? Let’s talk.
Plastic Surgery Billing, Made Simple
Our workflow is tailored to the needs of plastic surgeons—balancing high-dollar reimbursements with strict documentation standards. From pre-auth to post-op, we manage every step of your revenue cycle.
1
Case Intake Review
We evaluate surgical plans, check insurance benefits, and start preauthorization where required.
2
Coding & Submission
We code surgical procedures with proper CPT, modifiers, and supporting ICD-10 to prevent delays or denials.
3
Tracking & Follow-Up
We monitor all claims, submit corrections if needed, and appeal denied or underpaid procedures.
Reporting & Support
Receive monthly performance reports, patient payment updates, and ongoing compliance insights.
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Accuracy in Surgical Coding & Modifier Usage
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Average Reimbursement Time for Clean Claims
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Average Revenue Growth with Our Billing Support
End-to-End Billing for Plastic & Reconstructive Surgeons
From pre-authorization for medically necessary procedures to accurate billing for cosmetic and reconstructive services, our plastic surgery billing solutions are tailored to protect your practice’s revenue and compliance.
Surgical Coding Accuracy
We code procedures like grafts, reductions, and flaps with CPT accuracy and modifier precision to avoid bundling errors.
Cosmetic & Medical Billing Separation
We help distinguish between insurance-covered procedures and out-of-pocket services to ensure proper claim routing and payment collection.
Preauthorization & Medical Necessity
We handle pre-auths and gather supporting documentation for procedures like panniculectomies, breast reconstructions, and trauma repairs.
Modifier Logic & NCCI Edits
We apply modifiers like 59, 51, 62, and 78 accurately to navigate bundling rules and avoid denied claims.
Payer Enrollment & Credentialing
We assist with insurance panel enrollments, CAQH updates, and Medicare revalidations to keep your contracts active and current.
Revenue Reporting & Insights
We provide detailed reports on collections, denials, AR days, and payer trends—so you can manage growth with clarity.
Frequently Asked Questions
Get clear answers to common questions about cosmetic vs reconstructive billing, surgical coding, modifier usage, and insurance reimbursements for plastic surgery practices.
Speak With a Plastic Surgery Billing Expert
From elective cosmetic procedures to complex reconstructive cases, we specialize in end-to-end billing for plastic surgeons across the U.S. Schedule a free consultation to streamline your reimbursements and reduce denials.
Chicago, IL 60601, USA