Components & challenges of plastic surgery billing
Although plastic surgery is generally indentified as a looks-enhancement medical procedure, in many cases it’s done to address genuine health concerns. And often a singular treatment episode may include both: measures to address health concerns (reconstruction) and improve looks (cosmetic). This tangled nature of plastic surgeries often presents a considerable challenge to patients and surgeons as surgeries done purely for cosmetic purposes are not covered under insurance while the ones performed to address genuine health issues are.
This leads to incorrect verification of insurance entitlement often leading to time spent on preparing claims for surgeries that don’t enjoy insurance eligibility or oversight of components of a surgical treatment that come under insurance coverage. Both instances affect the revenues of the plastic surgeon or the clinic of which he/she is a part.
Our professional medical billers and coders in North Carolina can guarantee you of fast and efficient billing, accuracy in coding and compliance to all HIPAA requirement as well as other billing regulations.
With a pool of experts who are present in all the major cities such as Charlotte, Raleigh, Greensboro, Winston-Salem and Durham, Medical Billers and Coders is the ultimate destination for your billing needs. These Billers stay up-to-date on industry changes, new software and technology and the same time maintain industry best practices for your clinic. Some of the services that they provide are:
CPT and ICD9 review
Accounts receivable management
Fee schedule analysis
Making appeals on denied documents whenever necessary
Re-submission of all coding issues and analysis of the cause of denial