General Surgery Revenue Experts

Billing Clarity for Complex Surgical Procedures

From pre-op authorizations to global period tracking, we help general surgeons eliminate claim denials, reduce delays, and capture full reimbursement. Our billing workflows are built for precision and surgical speed—because every margin matters in the OR.

Trusted by Surgical Practices Nationwide
Surgery Partner 1 Surgery Partner 2 Surgery Partner 3
Surgical Coding and Documentation Surgical Team Billing Support
About Us

End-to-End Billing for General Surgical Practices

We manage the full billing lifecycle for general surgeons—from outpatient procedures to inpatient cases and ASC services. Our coders specialize in surgical bundling rules, modifier use, and documentation compliance to help your claims pass through cleanly the first time.

Whether you perform laparoscopic appendectomies, hernia repairs, or wound revisions, we align our workflows to your EHR, surgical logs, and prior auth tools—ensuring every procedure is accurately reported and every code justified.

Why General Surgeons Trust Us

  • Pre-Op Authorization Management & Documentation Review
  • CPT Coding for Excision, Biopsy, Laparoscopic & Open Procedures
  • Post-Op Modifier Use & Global Period Billing Accuracy
  • Claim Edits for Bundled Services, Bilateral Procedures, and More
  • Custom Reporting: Revenue by CPT, Provider, and Payer
General Surgery Billing Audit

Our Mission

To support general surgeons with billing that matches the precision of their work—minimizing denials, ensuring compliance, and giving them back time to focus on the patient, not the paperwork.

Precision Billing for Surgical Accuracy

General surgery billing isn’t about volume—it’s about detail. From the operating room to recovery coding, we eliminate guesswork with clear modifiers, accurate bundling, and proactive denial prevention designed for the surgical workflow.

Modifier & Global Period Expertise

We apply modifiers like 24, 25, and 59 correctly to avoid claim bundling errors and protect reimbursement during post-op care.

Operative Report Review

Our team audits operative notes to validate CPT code selection, ensuring every incision, excision, or scope is accounted for.

Denial Pattern Intelligence

We track payer denial trends specific to surgical claims and proactively adjust coding strategies to minimize repeat issues.

Surgical Workflow Alignment

From pre-auth to post-op billing, our process mirrors your surgical calendar—ensuring accurate sequencing and timely submissions.

Pricing

Flexible Rates Based on Surgical Volume

Whether you're performing 5 procedures a day or managing full OR blocks weekly, our pricing adjusts to your surgical case volume and support needs. No long-term contracts. No hidden percentages.

Solo Surgeons

For providers handling < 20 surgical cases/week

6% of collected revenue
How It Works

Surgical Billing With Seamless Coordination

Our billing integrates with your surgical calendar, EMR, and staff routines—delivering end-to-end support that doesn’t interrupt the clinical flow. Here’s what working with us looks like:

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Initial Discovery

We evaluate your practice type, surgery volume, and EMR to develop a coding and billing protocol customized to your caseload.

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System Setup

We configure CPT templates, link your op note workflows, and ensure coding fields match the surgical documentation process.

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Daily Coding & Submission

We extract surgical notes, apply correct modifiers, check global day logic, and send claims within 24–36 hours.

4

Performance Monitoring

We flag denied claims, resubmit with notes or appeals, and share monthly reports on claim turnaround and surgical code trends.

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Op Report Coding Accuracy on Initial Claim

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Avg. Time from Claim to Payment

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Average Revenue Increase After 90 Days

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Op Report Coding Accuracy on Initial Claim

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Average Revenue Increase After 90 Days

Our Services

Surgical Billing That Matches the Complexity of the OR

General surgery billing demands detail, discipline, and deep familiarity with modifiers, global periods, and multi-stage procedures. We manage your entire RCM—from pre-op to appeals—so your team stays focused on surgical outcomes, not revenue headaches.

Operative CPT Coding

We extract detailed CPT codes from operative reports, including multi-site procedures, scope conversions, and intraoperative complications.

Pre-Op Authorizations

We confirm eligibility and secure authorizations ahead of scheduled surgeries—avoiding delays and retro denials from commercial and Medicare Advantage plans.

Timely Claim Submission

We submit surgical claims within 24–36 hours of op note finalization, including necessary modifiers and multiple procedure logic.

Patient Statements & Support

We provide accurate out-of-pocket estimates, send post-op bills with clear descriptions, and assist patients with billing-related questions.

Performance & Compliance Reporting

Track RVUs, payer mix, denial reasons, and revenue by procedure type—empowering your surgical team with clarity.

Appeals & Claim Reprocessing

We investigate surgical claim denials, draft appeal letters, and refile corrected claims to recapture lost revenue efficiently.

FAQ

Surgical Billing—Answers to Your Most Pressing Questions

From bundled procedures to modifier usage, surgical billing is complex. We’ve answered the top questions we receive from general surgery groups below.

Yes. We assign accurate CPT codes, apply necessary modifiers (like -59, -78, -79), and track global periods to prevent payment conflicts and denials.

Absolutely. We bill across all surgical settings—hospital ORs, outpatient departments, and ambulatory surgical centers—with correct place-of-service and facility split billing logic.

Our coders are trained to interpret diverse op note styles. We extract procedural details consistently to ensure uniform claim accuracy across your surgical team.

Yes, we include appropriate modifiers (like -80, -81, or -62) and documentation support to ensure compliant and payable billing for assistant roles.

We submit claims within 24–48 hours after receiving finalized operative notes—ensuring no delay in reimbursement cycles.

We categorize denial reasons, appeal when appropriate, and monitor resolution timelines—keeping your collections on track and your denial rate low.

Yes. Our monthly reports detail revenue by surgeon, CPT category, payer mix, and denial trends—giving you the data you need to improve performance.
Contact

Let’s Simplify Your Surgical Billing Process

From coding complex surgeries to navigating payer policies, we help general surgeons reclaim time and revenue. Reach out today for a free audit and discover how we can optimize your billing operations.

Email Usinfo@rcmfirms.com
Headquarters
1200 Surgical Ave, Suite 330
Houston, TX 77002
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