For a surgeon or medical practitioner, group practice, or clinic, insights into how specialty medical billing works can be a scary task. A billing agent that does not bill the sittings correctly misses deadlines, or does inadequate follow-up can have an abysmal effect on your facilities’ bottom line. However, a well-organized billing service cannot only simplify and improve your practice but also greatly improve both your income cycle and cash flow. At Medical Billers and Coders our specialist team is well-trained in general and specialty surgery charging. For a general surgery practice to be financially successful, special attention must be paid to a number of factors, right from patient information and coding the full scope of services to following the Current Procedural Terminology codes and the Healthcare Common Procedure Coding System guidelines. We make it convenient for your team to stay informed, compliant, and profitable with MBC’s General Surgery Billing Alerts.
Keep in mind that insurance provider payments are largely determined by these categories, and it is imperative that all information and codes are entered correctly by the billing team.
Avoid Denials and Reckless Audit Risks
Our general surgery coding personnel will strengthen your practice with timely guidance to overcome the challenges of general surgery coding updates that threaten your claims and compliance success.
Here are the updated General Surgery Billing alerts that determine your RCM:
- Capture the severity of rectal abscess with the K61 code set
- Use specific codes for cholangitis (K83.0)—including changed combination codes
- Forget the old post-procedure infection codes and use the new T81.4 series instead
- K35: Apply the newly expanded code set for appendicitis
- K82: Grab the right gall bladder code every time
- N35: Unblock your confusion over urethral stricture codes
- Avoid common errors in diagnosis documentation and surgery coding
- Change your ICD-10 ways to maximize CDI efforts and satisfy MIPS
- CPT 28820 – Amputation toe; metatarsophalangeal joint
- CPT 60240 – Thyroidectomy total or complete
- CPT 15271-15278 – Skin replacement surgery subsection
- CPT 15777 – Bilateral breast procedures
- CPT 37619 – ligation of inferior vena cava
Ready To Speed Up Your Collections?
Get Started With Our General Surgery Medical Billing Services.
It’s vital that you improve your understanding of what the documentation must say to support each ICD-10 surgery code. Spend some time gaining knowledge. This will pay off all year long by maximizing reimbursement and clinical documentation improvement efforts. Initially in 2019 ICD-10-CM code list introduces approximately 500 diagnosis code changes, with well over 100 in the general surgery category.
To prevent miscoding, a parenthetical was added to the CPT code set that instructs not to report 29581 in conjunction with codes for treatment of incompetent veins (36465, 36466, 36468, 36470, 36471, 36473, 36474, 36475, 36476, 36478, 36479, 36482, and 36483) for the same extremity. Also, note that code 29581 should not be reported for simply wrapping the lower extremity with elastic bandages.
With more than 135 ICD-10-CM changes and 69+ CPT updates, general surgery coders are among the most impacted in 2019. You need to traverse changes for eyelid neoplasm, post-procedural infection, appendicitis, FNA, allograft or replacement or removal of the permanent leadless pacemaker, and more.
Your practice stands to lose significant pay if you don’t have a solid grasp of the requirements for coding each, as well as a keen understanding of the many code options from which to choose. In fact, among practices that frequently perform these procedures, it’s not uncommon to accrue significant annual loss, sacrificing $20 to $100 per lesson.
Are you looking for a leading general surgery Billing Services Company? If, yes then your search ends here. Our billers and coders are updated with current industry updates to increase your general surgery practice revenue.
Outsource your medical billing practice today to the MBC a medical billing company. Connect with us at info@medicalbillersandcoders.com or call us at 888-357-3226.
FAQs
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What are the key challenges in general surgery medical billing?
General surgery medical billing faces challenges such as incorrect coding, missed deadlines, inadequate follow-ups, and lack of compliance with updated ICD-10 and CPT codes. These issues can result in claim denials, audit risks, and reduced revenue.
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How can MBC’s General Surgery Billing Services improve my practice’s revenue cycle?
MBC ensures accurate coding, timely claims submission, and proper documentation to maximize reimbursements. Our team stays updated with the latest ICD-10 and CPT changes, reducing denials and improving cash flow.
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What are some updated CPT codes for general surgery procedures?
Examples of updated CPT codes include:
- CPT 28820: Amputation toe; metatarsophalangeal joint
- CPT 60240: Thyroidectomy, total or complete
- CPT 15271-15278: Skin replacement surgery
- CPT 37619: Ligation of the inferior vena cava
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How does accurate documentation impact reimbursement in general surgery billing?
Accurate documentation supports the selected ICD-10 and CPT codes, ensuring compliance and justifying the medical necessity of procedures. This reduces denial rates and maximizes reimbursement while improving clinical documentation improvement (CDI) efforts.
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Why should I outsource general surgery billing to MBC?
Outsourcing to MBC offers expertise in handling complex billing and coding requirements for general surgery practices. Our services streamline operations, enhance compliance, and ensure maximum reimbursements, allowing surgeons to focus on patient care.
For more details or to get started, email us at info@medicalbillersandcoders.com or call us at 888-357-3226.
