Get the HIPAA-complaint general surgery medical billing services designed to offer tailored surgical coding and revenue cycle management to surgeons & ASCs. Our dedicated AAPC/HBMA certified surgical coders deliver 95%+ first-pass clean claim rates for CT practices.  Â
Global surgical period billing & postoperative claims are subject to strict payer compliance checks and automated NCCI edits. Clearing houses rely on automated scrubbing, resulting in downcoding, denial of the payment on performed services and clawbacks on non-compliance. We offer medical billing audit for surgical practices CT that resolves the key issues of the healthcare industry and reduces the billing friction:
Our general surgery medical coding services CT help you capture the full charges on billable components. We extract all the details from the intricate procedure notes where generic billers fail.
Precise multi-procedure surgical claim billing and error-free operative report coding & modifier 51/59 application ensures proper reimbursement for secondary procedures. We ensure zero NCCI violations and unbundling rejections.
We meticulously follow Connecticut medical billing compliance & HIPAA guidelines related to pre & post-operative global period (10-90 days) and add modifier 24 or 25 for distinct services.
Proper use of assistant surgeon & co-surgeon billing (Modifiers 80/82/AS) ensures supporting surgical staff receive timely reimbursement. Outsource general surgery billing Connecticut increases cash flow from commercial and government plans.
We are the most trusted Surgical billing company in Connecticut offering tailored solutions that fit your needs and boost your revenue. From navigating complex HUSKY Health CT Medicaid surgical billing to precise coding for procedures, we keep your practice’s workflow seamless.Â
Our certified surgical billing specialists ensure meticulous front-desk verification and insurance eligibility. Prior authorization is obtained 24-hour in advance for complex procedures and post-operative care requiring inpatient admission to reduce denials.
Every surgical chart and provider notes are thoroughly checked by our AAPC/HBMA certified coding expert to assign accurate ICD-10/11, CPT and HCPCS level 2 codes.
We take proactive steps to minimize billing frictions by leveraging the cutting-edge claim scrubbing tools to ensure claim meets Connecticut-specific payer requirements. We increase the clean claim rate to above 98%.
Dedicated denial management staff of our ambulatory surgical center (ASC) billing Connecticut audit every denied claim. We file appeals within 48 hours with peer-to-peer review support and follow-up to AR days below 25.
Maintaining general surgery revenue cycle management CT requires precision and thorough knowledge of Laparoscopic vs. open procedure coding compliance. Our staff is trained and expert in dealing with all regional insurance payers and plans likeÂ
| Connecticut Payer / System | Speciality Focus & Billing Strategy |
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| HUSKY Health Connecticut (Medicaid) |
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| Anthem Blue Cross Blue Shield CT |
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| ConnectiCare & Yale New Haven Health Plan |
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| Aetna, Cigna, & UnitedHealthcare CT |
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| Regional Coverage |
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Outsourcing our surgical RCM services in Connecticut help you achieve financial goals in the strict regulatory landscape by turning administrative burden into efficiency:
Surgery medical billing shouldn’t slow down your revenue and financial performance. It’s time to outsource a reliable surgical billing partner that works with the same precision as your skills.
When the laparoscopic procedure converts into open surgery, we bill only for open surgery. Billing both is prohibited under payer reimbursement rule. We add relevant modifiers and HCPCS level 2 codes for in-patient admissions and post-operative care.
Yes, we manage the billing workflow for both by using CMS-1500 for professional fee and UB-04 for facility fee of ASC centers across Connecticut.
The onboarding process usually takes around 2-4 weeks during which our staff set-up EDI, clearinghouse connection and system mapping to enhance the work flow.
