GENERAL SURGERY BILLING

AFKRCM General Surgery Billing and Coding Services

Surgeons work long and hard to master their specialization, and not one made that effort so they could spend hours every day sorting out general surgery billing issues. Doctors spend up to 25 percent of their time on paperwork, and unfortunately, that is an increasing trend. Outsourcing medical billing and coding has proven to be a huge relief for many surgical practices.

Confusion Over E/M Coding

Sometimes visiting a physician and getting a diagnosis is separate from the surgery, but other times it is considered part of it for billing purposes. It takes training and experience for medical billers to become proficient at correctly denoting which applies in any given instance.

Global Surgery Packages

In general, global surgery packages simplify medical billing because they eliminate the need to include a detailed code for each part of a surgery and its related care; however, understanding the various packages and their associated coding can be a challenge in itself; and since the package covers everything involved in a surgery, denied claims represent huge amounts of money that will not be paid to the provider unless the denial is successfully appealed.

Under billing

Because a surgery has so many parts and involves so many participants, it is common for something to be left out of the bill, resulting in cumulative losses of revenue that add up to a very large amount over the course of a year. When a practitioner fails to bill for all services delivered, it is called under billing, and is a violation of the law, in addition to causing a loss of revenue.

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