Surgeons dedicate years of hard work and expertise to master their specialization, and the last thing they want is to spend hours dealing with general surgery billing issues. The increasing trend of paperwork has surgeons spending up to 25 percent of their time on administrative tasks. That's why outsourcing medical billing and coding to professionals has become a significant relief for many surgical practices.
In addition to alleviating the daily headaches associated with general surgery medical billing, outsourcing to professional coders and billers can significantly increase revenue. Resolving rejected and denied claims is a time-consuming process, especially when handled by medical staff without specialized billing experience. Apart from the time and effort invested, unresolved claims result in further revenue loss.
Medical billing and coding tasks are known to be intricate and often cause major headaches for medical offices. Here are a few factors that contribute to the complexity of general surgery billing:
Determining whether a physician visit and diagnosis are separate from the surgery or part of it for billing purposes can be confusing. It requires training and experience for medical billers to accurately determine the applicable coding in each specific scenario.
Global surgery packages aim to simplify medical billing by bundling all aspects of surgery and related care under a single code. However, understanding the different packages and their associated coding can be challenging. Denied claims for global surgery packages result in substantial unpaid amounts unless successfully appealed.
Due to the complexity of surgeries and the involvement of multiple participants, it is common for items or services to be unintentionally left out of the billing process. Underbilling, which refers to failing to bill for all services delivered, not only leads to revenue loss but also violates legal requirements.
Jar Solutions' dedicated staff specializes in revenue cycle management (RCM) and stays up-to-date with the latest coding changes and billing requirements. Our certified and experienced billers and coders possess expertise in general surgery billing and coding, as well as other specializations.
Maximizing income requires swift claims filing, prompt resolution of rejections and denials, and comprehensive RCM services. At Jar Solutions, we offer a full range of RCM solutions, including payer credentialing, managing the entire patient cycle, bill collection, annual payback, and compliance reviews.