Reconstructive plastic surgery can correct facial defects and body abnormalities caused by congenital disabilities, injury, disease, or aging. Usually, reconstructive plastic surgery aims to improve body function, create a more normal appearance, and improve self-esteem (this may also be called cosmetic surgery). Abnormal structures of the body may result from:
Due to multiple procedure payment reduction rules, co-surgeries, varying levels of wound repair codes (simple/intermediate/complex), and the need to use the right surgical and E/M modifier codes, plastic surgery medical coding can be confusing. Medical Coding errors cause delayed or denied reimbursements, leading to revenue loss and loss of time available for patient care. Plastic and reconstructive procedures are costly, and hence, the practices need to work hard and adhere to billing and coding guidelines.
RM Healthcare offers comprehensive plastic surgery coding Services to reduce claim denials and bring you maximum reimbursement for all Services.
At RM Healthcare, we have a client base that extends across all 50 states, covers a wide range of hospitals, physician practices, and medical billing companies. Our team of billers & coders employ their experience and knowledge acquired through a decade of working with plastic surgeons in improving your revenue & accelerating growth. Our coders are proficient in CPRC, ICD-9/10, CPT, HCPCS coding guidelines provided by CMS and AMA, and certified by the American Academy of Professional Coders (AAPC).
At RM Healthcare, we understand the challenges faced by Plastic and Reconstructive surgery providers. Rapidly changing policy rules, ICD updates, and your specialty's sensitive nature can make the billing and coding Services complex. Our certified billers and coders are well-versed in the nuances of billing for plastic and reconstructive surgery procedures. We understand the differences between cosmetic and medically necessary plastic surgeries and the respective coding and reimbursement guidelines. We process your claims accurately, improve clean claims rate, and accelerate your cash flow.
We have built our approach by adhering stringently to coding guidelines & bests practices and applying modern technology. The RM Healthcareteam focuses on providing data-driven solutions that help reduce denials and increase revenue.
We bring finesse and accuracy to our billing and coding Services while building a flawless reimbursement process for your practice. With diligent patient demographics entry, insurance verification, insurance authorizations, coding, billing, and payments reconciliation can add value to your organization. We ensure consistent accounts receivable follow-up and prior authorization to avoid claim denials. Our denial team's #1 priority is shifting your focus from denial management to denial prevention. Our team strives to introduce a friction-free billing, coding, claim submission, and payment posting process. We bring you a group of specialists who are:
Our clients typically see an improvement in revenue by 30% and a reduction in denials by a minimum of 10%. We achieve this by applying our expertise, process rigor, latest technology and by employing an excellently trained team.