From laparoscopic procedures to hernia repairs and appendectomies, general surgery billing involves modifier stacking, global surgical package rules, and payer-specific coding requirements that most billing teams get wrong. We get them right.
Med Claims is a specialized medical billing company with over 10 years of experience supporting general surgery practices. We handle claim preparation, coding accuracy, denial management, and payer follow-up, so your team stays focused on surgical outcomes, not insurance paperwork.
A single miscoded procedure, a global period billing violation, an unbundled CPT pair flagged by an insurer, or a missing modifier 22 on a complex case can mean thousands of dollars in rejected or underpaid claims. Multiply that across a busy surgical calendar the revenue loss becomes significant.
Surgeons already spend close to a quarter of their working day on administrative tasks. That time is not spent in the OR, not spent with patients, and not spent growing the practice. It is spent chasing payers, correcting submissions, and managing denials that should have never happened.
Outsourcing your billing to a team that understands general surgery, not just billing in general, eliminates that drain.
Med Claims has worked with general surgeons and surgical group practices for over a decade. We are not a general billing company that works in general surgery billing on the side. We know the payer rules that specifically affect general surgery reimbursements, including global surgical package timelines, assistant surgeon billing, and facility versus non-facility fee schedule distinctions.
Our clients see an average revenue improvement of 25 to 35% within the first six months. That result comes from a combination of cleaner initial submissions, faster denial turnaround, and meticulous follow-up on every outstanding claim.
Accurate claims submitted on time mean consistent reimbursements. No gaps, no month-end surprises at all. Your practice runs on a predictable revenue cycle.
Every hour your team spends correcting billing errors is an hour away from patient care. Outsourcing reclaims that time for surgeons and for administrative staff.
Our surgical billing specialists catch coding errors before submission, not after. Lower denial rates mean fewer correction cycles and faster payment timelines.
General surgery payer rules change frequently. We monitor those changes continuously, so your claims stay compliant, and your practice stays protected.
Monthly performance reports break down your claims by status, procedure, and payer to give you a clear, accurate picture of practice performance at any time.
When billing is handled externally, your front office team spends less time on payer calls and more time supporting patients. That is a better experience for everyone.
We apply surgical coding standards to every claim, including global package rules, modifier application (25, 51, 59, 22), assistant surgeon billing, and bundling edits. Claims are reviewed for accuracy before they even reach the payer.
Every denied claim is reviewed, corrected, and resubmitted with documented clinical support where required. Our denial resolution rate reflects what systematic follow-up actually looks like in practice.
Our workflow is designed to eliminate unnecessary payer friction with clean first submissions, proactive AR follow-up, and escalation protocols that move stalled claims forward without delay.
We start by reviewing your patient demographics, insurance information, and surgical procedure documentation. Every case is verified before coding begins to eliminate the most common source of front-end denials.
Your procedures are coded using current CPT guidelines specific to general surgery, with modifiers applied accurately and bundling edits reviewed. Claims are built to be clean before submission.
Claims are submitted promptly and tracked through the payer adjudication cycle. Our team follows up on outstanding claims proactively. You are never waiting on a payment with no visibility into its status.
Denied claims are escalated immediately, reviewed for root cause, corrected, and resubmitted. You receive a monthly performance report covering claim volume, payment status, denial breakdown, and revenue trends.
Our billing specialists are trained in CPT codes commonly used in general surgery, including laparoscopic and open procedures, diagnostic and therapeutic endoscopies, hernia repairs, and soft tissue cases. We apply modifier rules, global package guidelines, and facility versus non-facility reimbursement distinctions on every claim. This is surgical billing applied accurately.
Our general surgery clients have seen an average revenue improvement of 25 to 35% within the first six months. This comes primarily from three sources, including:
We track this at the claim level and report it back to you monthly.
You receive a monthly report that covers claim volume submitted, payment status by payer, denial breakdown by reason code, and overall revenue performance. Your dedicated billing specialist is also available for quarterly review calls to walk through findings and flag any payer behavior changes that affect your reimbursements.
Most practices complete their transition within two to three weeks. We work directly with your front office staff to gather the documentation we need, connect to your existing EHR or practice management system, and establish a communication workflow that fits how your team already operates. There is no disruption to patient scheduling or care delivery during transition.
Most general surgery practices are losing 10 to 20% of collectible revenue to coding errors, missed follow-up, or denied claims that never get resubmitted. A conversation with our billing team will show you exactly where the revenue is going and what it takes to recover.
No obligation. No pressure at all. Just a clear look at what better billing would mean for your practice.