Plastic & Reconstructive Surgery Billing & Coding Services

Plastic & Reconstructive Surgery Billing & Coding Services

Plastic & reconstructive surgery aims to correct facial defects, body abnormalities, or aging-related changes. This field addresses issues stemming from various causes such as injury, infection, developmental abnormalities, congenital disabilities, diseases, or tumors. Whether reconstructive or cosmetic, these procedures play a crucial role in enhancing appearance, function, and self-esteem.

Complexities in Plastic Surgery Billing

Plastic surgery coding involves numerous challenges due to multiple procedure payment reduction rules, co-surgeries, varying wound repair codes (simple/intermediate/complex), and the necessity of accurate surgical and E/M modifier codes. Errors in medical coding can delay or deny reimbursements, leading to revenue loss and a compromised focus on patient care. Given the high costs associated with plastic and reconstructive procedures, adhering to billing and coding guidelines is critical.

Expertise in Plastic & Reconstructive Billing & Coding

At NTMD RCM, our extensive experience working with plastic surgeons across all 50 states, hospitals, physician practices, and medical billing companies underscores our proficiency in Plastic & Reconstructive Billing & Coding. Certified by the American Academy of Professional Coders (AAPC), our team ensures accurate ICD-10-CM, CPT®, HCPCS Level II coding assignments. We are adept in evaluating physician office notes, adhering to Medicare billing regulations, and accurately coding procedures specific to plastic and reconstructive specialists.

Best Practices for Plastic & Reconstructive Surgery Billing and Coding

Understanding the complexity of Plastic & Reconstructive surgery billing, we adeptly navigate rapidly changing policy rules and ICD updates while addressing nuances specific to your specialty. Our certified billers and coders distinguish between cosmetic and medically necessary procedures, ensuring compliance with respective coding and reimbursement guidelines. Our aim is to process claims accurately, boost clean claims rates, and expedite cash flow.

Our best practices in plastic & reconstructive surgery coding include:

– Precisely applying ICD codes for various conditions (neoplasms, breast-related issues, facial nerve disorders, burns, etc.)

– Accurate application of CPT codes for specific procedures like breast reconstruction, skin lesion procedures, nasal surgeries, hand surgery, etc.

– Proper utilization of modifiers for multiple procedures, co-surgeon services, and consultation codes to optimize revenue

Benefits of Our Services

We specialize in delivering precise billing and coding services, fortifying a seamless reimbursement process for your practice. From meticulous patient demographics entry to payment reconciliation, our process adds tangible value to your organization. Ensuring consistent accounts receivable follow-up and prior authorization minimizes claim denials. Our focus is on preventing denials rather than managing them, streamlining billing, coding, and payment processes seamlessly. Our specialists hold AAPC certification, possess extensive knowledge of various medical billing and coding software, and successfully negotiate with major payers.