Surgical billing that captures every procedure, correctly.
Surgical claims are high value and highly scrutinized. One wrong modifier or a visit billed inside the global period can mean a denial, or money left on the table.
MediFier's surgical coders work from your operative reports to code every procedure accurately and protect the revenue each case deserves.
- General Surgery
- Orthopedic Surgery
- ENT & Head and Neck
- Urology
- Ambulatory Surgery Centers
- Assistant Surgeons
Surgery
Global periods and modifiers decide what you get paid.
Most surgical procedures include a global period of 0, 10 or 90 days, during which related visits aren't separately payable. Unrelated care, staged procedures and complications each need the right modifier to be paid.
Multiple procedures, bilateral cases and assistant surgeons add more rules. We read every operative note and apply them correctly, every time.
- Global surgical periods
- Multiple and bilateral procedures
- Pre-operative authorizations
- Op notes that don't match the code
How MediFier supports surgical practices
Op-note based coding
Procedures coded directly from operative reports, never from schedules alone.
Global period tracking
Post-op visits tracked so unrelated care is billed with the right modifier.
Modifier accuracy
Modifiers -50, -51, -58, -59, -78, -79 and assistant surgeon modifiers applied correctly.
Surgical authorizations
Pre-certification obtained and documented before the procedure date.
High-value appeals
Denied and underpaid surgical claims appealed with operative documentation.
Facility privileges
Hospital and ASC privileges and payer enrollment for every surgeon.
Codes, rules and payers we work with every day
Our billers and coders are trained in surgery documentation and payer requirements, so claims go out right the first time.
See How We WorkSurgery questions, answered
How do you handle visits during the global period?
We track each patient's global period. Related post-op visits aren't billed, while unrelated visits and procedures are billed with modifiers 24, 79 or others as appropriate.
Do you code from the operative report?
Always. We code from the signed operative note, and we query the surgeon when the documentation doesn't fully support the procedure performed.
Can you bill for assistant surgeons?
Yes. We bill assistant surgeon services with the correct modifiers and check payer rules on which procedures allow an assistant.
Do you handle surgical pre-authorizations?
Yes. We obtain and document pre-certifications before the surgery date to prevent avoidable denials.
The services surgery practices rely on most
Medical Billing
Clean claims, relentless follow-up and transparent reporting that turn your charges into cash faster.
Learn MoreMedical Transcription
Specialty-accurate, EHR-ready documentation from your dictations with dependable turnaround.
Learn MoreEnrollment & Credentialing
Get in-network faster with end-to-end payer enrollment, CAQH management and re-credentialing.
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