General Surgery Medical Billing and Coding Services
Surgical billing is detailed and complex. Long operative notes. multiple procedures in one session. strict global period rules. and missing an assistant claims all cause revenue loss.
Preferred MB makes sure every step is billed correctly. We code procedures in the right order. track global days. Attach implant supply codes. and prevent duplicate conflicts with hospital claims.
- 18% average reduction in surgical denials
- 96%+ first-pass approval on multi-procedure claims
- AR cycle shortened to 19 days
The Implant and Device Charges That Often Go Unpaid
Many surgical practices lose money because implants and devices are not billed correctly. Mesh. grafts. and biologics often appear in the operative note but never make it to the claim.
Preferred MB closes this gap. We link every supply to the right CPT. validate payer coverage. and confirm that device codes are included before the claim is sent.
- Attach supply codes for every implant and device
- Match operative note details to billing lines
- Validate payer lists for mesh and biologics
- Prevent denials from missing documentation
- Track revenue from professional vs technical components
- Route device-related claims with priority follow-up
- Appeal device denials with payer and coding references
Complete Oversight of Surgical Billing
From pre-op to follow-up. every encounter matters. Preferred MB manages the entire process with surgical focus.
Capture Operative Notes Correctly
- Translate long op notes into CPT and ICD-10 with proof
- Flag staged or repeat procedures with correct modifiers
- Record assistant and co-surgeon roles
Submit Multi-Procedure Claims Without Error
- Apply modifier 51 to multiple surgeries in one session
- Sequence CPTs based on payer hierarchy
- Clear NCCI edits before submission
Track Global Periods Carefully
- Map 0, 10, and 90-day global periods by payer
- Validate re-ops with modifier 78 and staged care with 58
- Detect missing IUD or implant codes before submission
Reconcile Professional and Facility Claims
- Prevent overlaps with hospital billing
- Attribute supervising providers correctly
- Confirm place-of-service codes are accurateg rules before transmission
Resolve Denials by Category
- Appeals with CPT Assistant and payer language
- Route device vs assistant vs global denials separately
- Monitor overturn rates for improvement validation
Manage AR With Priority
- Segment by surgery type: trauma, hernia, oncology, vascular
- Automate rework for denied multi-procedure claims
- Close AR in under 21 days
Common Surgery Billing Myths That Cost Practices Money
Some of the biggest losses come from wrong assumptions about billing. Preferred MB makes sure you get what is payable.
- Assistants don’t get reimbursed” → They do with modifier 80/82/AS
- Implants are always bundled.” → Device supply codes are separately billable
- Post-op visits are never payable.” → Modifier 24 supports unrelated visits
- Re-operations are included” → Modifier 78 reimburses return-to-OR
- Multi-procedure claims always pay less.” → Correct sequencing preserves value
- Pre-op visits are include.d” → Medically necessary visits can be billed separately
Are Workflow Gaps Silently Costing You ED Revenue?
Run this 5-point check — if you say yes to 2 or more. leakage is happening.
Every Surgical Clinical Scenario Needs Specialized Billing Accuracy
Clinical Scenario
A patient presents with acute cholecystitis requiring laparoscopic cholecystectomy.
- Acute cholecystitis documented in the chart
- Laparoscopic cholecystectomy performed with intraoperative cholangiogram
- Findings and complications clearly recorded in the operative note
Billing Scenario
Correct coding ensures the procedure and interpretation are reimbursed.
- CPT 47562 validated against operative details
- Modifier 26 applied for interpretation of cholangiogram
- LCD proof attached for medical necessity
Clinical Scenario
A patient undergoes bilateral inguinal hernia repair with mesh placement.
- Operative note specifies bilateral repair
- Mesh type and placement documented
- Laterality confirmed in chart
Billing Scenario
Accurate coding captures both surgical and device revenue.
- CPT 49505 coded with mesh supply HCPCS
- Modifier 50 applied for bilateral procedure
- Payer edits scrubbed before submission
Clinical Scenario
A colectomy patient requires a return-to-OR for post-op bleeding.
- Initial colectomy procedure recorded
- Re-operation during global period documented
- Complication details included in operative note
Billing Scenari
Modifiers and compliance rules ensure re-op reimbursement.
- CPT 44120 applied with modifier 78
- Return-to-OR documented and validated
- Claim reconciled with payer global rules
Clinical Scenario
A patient undergoes an appendectomy, followed weeks later by cholecystectomy for a new condition.
- Appendectomy performed and documented
- Separate cholecystectomy procedure completed later
- Distinct diagnoses supported in the chart
Billing Scenario
Modifiers differentiate unrelated procedures across timelines.
- Modifier 79 applied for unrelated procedure
- Global period tracked for compliance
- Scrubbing prevents overlap with initial claim
The Difference Preferred MB Makes in Surgery Billing
Before
- Assistant-at-surgery claims often denied
- Device and implant charges left off claims
- Post-op visits bundled and unpaid
- Multi-procedure claims dragged AR beyond 35+ days
- Revenue leakage of $1,100+ per surgeon per month
After Preferred MB
- Assistant services reimbursed with correct modifier logic
- 97% of device and implant supply codes paid on first submission
- Post-op visits approved when unrelated to the global procedure
- AR cycles cut down to an average of 18 days
- Documented $0 monthly leakage across surgical providers
Secure Every Dollar Your Surgery Practice Earns
Assistant claims. device charges. global visits. Nothing should slip through unpaid. Preferred MB gives you a surgical billing process built to capture it all.
Stop denials before they start. shorten AR cycles. and recover the revenue your practice is owed.