Surgical Precision in the OR,
Financial Precision in Billing
General surgery billing is fraught with 90-day global period complexities, multiple procedure rules, and intricate operative reports. We capture every billable detail so you get paid for the life-saving work you do.
Global Period Experts
We expertly apply Modifiers 24, 25, 57, 58, 78, and 79 to ensure you are legally paid for services rendered within a strict 10-day or 90-day global surgical period.
Why General Surgery Demands Specialized Billers
General surgeons perform a vast array of procedures—from appendectomies and hernia repairs to complex oncological resections. Generic billers often miss distinct, billable services hidden deep within operative reports, or incorrectly apply NCCI edits, leading to massive revenue leaks. We ensure every incision counts.
Global Period Compliance
Major surgeries trigger 90-day global periods. We expertly apply Modifier 24 for unrelated E&M visits and Modifier 79 for unrelated procedures to ensure you get paid during this window.
NCCI Edits & Unbundling
When multiple distinct procedures are performed, we utilize X-modifiers (XE, XS, XP, XU) or Modifier 59 to legitimately bypass NCCI edits and prevent bundled denials.
Co-Surgeon & Assistant Billing
Complex cases often require multiple surgeons. We properly apply Modifiers 62 (Two Surgeons), 80/82 (Assistant Surgeon), or AS (Non-physician assistant) for compliant reimbursement.
Securing Revenue from
Pre-Op to Post-Op
We meticulously translate your operative narratives into clean claims, defending your revenue against aggressive payer bundling tactics and global period restrictions.
Decision for Surgery (Mod 57)
We capture the critical initial E&M visit where the decision for major surgery is made, applying Modifier 57 to ensure the consult is paid separately from the surgical package.
Op-Note Deep Extraction
Our certified surgical coders read beyond the header of your operative report, extracting every distinct, billable procedure (like hernia repairs combined with bowel resections).
Multiple Procedure Scrubbing
Claims run through our system to automatically sequence the highest-RVU procedure first, applying Modifier 51 correctly to manage standard payer discount rules (100%-50%-50%).
Unplanned Return (Mod 78)
If complications require an unplanned return to the OR during the global period, we secure payment using Modifier 78 while managing the complexities of the intraoperative percentage.
Stop Leaving Surgical
Revenue on the Table
Partner with certified surgical coders who understand the nuances of global periods, NCCI edits, and complex operative reports. Contact Valeria Healthcare Solutions today.