Background

Experts in Plastic Surgery Billing

Our specialized plastic surgery billing services empower surgeons and aesthetic practices to maximize revenue while staying compliant. As a trusted plastic surgery billing company, we understand the unique challenges of cosmetic and reconstructive procedures. From handling non-covered services to navigating complex plastic surgery CPT codes, our team ensures accurate charge capture, reduced denials, and faster reimbursements. With our comprehensive plastic surgery revenue cycle management, you focus on delivering exceptional outcomes while we manage every financial detail behind the scenes.

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97%

Clean Claim Rate with plastic surgery billing solutions

40%

Faster Payments Compared to In-House Billing

85%

Reduction in Claim Denials with specialty coding

150+

Plastic surgery practices supported nationwide

Why Plastic Surgery Billing Requires Specialized Knowledge

Plastic surgery billing is uniquely complex because procedures can be reconstructive, cosmetic, or a mix of both. Insurance companies often cover medically necessary surgeries but deny purely aesthetic treatments. Understanding payer rules and documenting medical necessity is critical. Misuse of plastic surgery CPT codes can lead to denials, underpayments, or compliance risks.

Our tailored plastic surgery billing services ensure accurate coding, payer-specific compliance, and denial prevention. By outsourcing to our experienced plastic surgery billing company, practices reduce administrative burden and improve cash flow significantly.

Specialty Trained Billers

Our experts understand reconstructive vs. cosmetic documentation requirements.

CPT & Modifier Expertise

We apply correct modifiers for multiple procedures to maximize reimbursements.

Plastic Surgery Billing Visualization

Key Plastic Surgery Billing Challenges We Solve

Addressing common hurdles surgeons face in billing and compliance

Complex CPT Codes

Plastic surgery CPT codes like 19325, 15830, or 13101 require precise selection and documentation.

Cosmetic vs. Reconstructive

We ensure proper documentation to distinguish covered from non-covered procedures.

Frequent Denials

Our plastic surgery billing services reduce payer denials with strong appeals and accurate coding.

Pre-Authorization Delays

We handle pre-authorizations for surgeries requiring payer approval to avoid last-minute rejections.

Bundling Issues

We apply correct modifiers and address NCCI bundling edits to ensure full payment.

Compliance Risks

Our plastic surgery RCM outsourcing keeps your practice HIPAA and payer compliant.

Our Step-by-Step Plastic Surgery Billing Process

A workflow designed for accuracy, speed, and compliance

Verification of Benefits

We confirm insurance eligibility, coverage, and requirements before claim submission.

Accurate Coding & Modifiers

Our team applies correct plastic surgery CPT codes and modifiers for optimal reimbursement.

Denial Management

We resolve rejections quickly and maintain a high success rate in appeals for surgical claims.

Benefits of Our Plastic Surgery Billing Services

Here’s how your surgical practice grows with our expertise

Higher Collections

Our plastic surgery billing company increases collections by 25% with streamlined processes.

Reduced Denials

We minimize claim denials through coding accuracy and compliance checks.

Physician Focus

Free your surgeons from billing tasks so they can focus on patient care.

Compliance Ready

We keep your practice HIPAA and payer compliant at all times.

Time Efficiency

Our plastic surgery billing services save your staff hours of admin work weekly.

Transparent Reporting

We provide detailed reports on collections, denials, and revenue performance.

Plastic Surgery Billing FAQs

Answers to questions surgeons ask most often

Cosmetic procedures are generally not covered, while reconstructive surgeries are. Our plastic surgery billing company ensures accurate documentation of medical necessity to avoid denials.

Common codes include 19325 (breast augmentation), 15830 (abdominoplasty), and 14040 (tissue transfer). We ensure all coding follows payer guidelines.

Yes, we handle pre-authorization requests, ensuring approval before procedures to prevent claim rejections.

By outsourcing, staff save time on eligibility checks, coding, and denial management, while surgeons focus on patient care.

Yes, we deliver transparent reports covering claim status, reimbursements, and denials, giving full visibility into financial performance.

Simplify Your Plastic Surgery Billing Today

Partner with our experts in plastic surgery billing services to reduce denials, accelerate payments, and keep your practice profitable.

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Medical Billing Assistant

Hello! I'm your medical billing assistant. How can I help you today?
I can answer questions about:
• Medical coding CPT, ICD-10
• Claim submission
• Denial management
• Revenue cycle optimization
• AccuMed BPO services