Nexus io provides specialized general surgery billing and coding services to eliminate errors, reduce denials, and maximize reimbursements. Our AAPC-certified coders apply accurate CPT, ICD-10, and HCPCS codes with payer-specific modifiers for full compliance.
With denial management, NCCI checks, and audit-ready documentation, we ensure HIPAA compliance, stronger RCM, and faster claim approvals. Contact us today to optimize billing and protect revenue.
As a skilled general surgeon, your focus is on performing complex surgery procedures like appendectomies, hernia repairs, gallbladder surgeries, and other general surgeries, not on managing complex medical billing tasks.
With long hours, emotionally and physically demanding surgeries, and continuous skill updates, billing errors, claim denials, and payor-specific rules can become difficult to manage.
General surgery billing specialists manage the entire billing process, from patient registration and insurance verification to coding surgical services with CPT, ICD-10, and HCPCS codes, submitting claims, and ensuring timely reimbursement.
This ensures Medicare, Medicaid, and commercial payer compliance, reduces rejections and delays, and improves accuracy and reimbursement, allowing you to focus entirely on patient care.
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Revenue Growth
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First Pass Claim Ratio
Are you overwhelmed by general surgery medical billing and frustrated by frequent claim denials and payment delays? According to the American College of Surgeons (ACS), 25% of surgical claims are initially denied, and 40% of these are due to incorrect documentation or surgery-specific coding issues.
Key challenges in general surgery billing include:
Complex coding requirements: Accurate CPT codes for procedures, ICD-10 codes for diagnoses, HCPCS codes for supplies, and payer-specific modifiers are mandatory for each claim.
Varying payer rules: Different insurance providers have unique billing guidelines, causing unpredictable monthly revenue.
Pre- and post-operative care coverage: Billing for diagnostic tests, operative procedures, and post-operative follow-ups requires precise documentation.
Regulatory compliance: Practices must follow HIPAA regulations and maintain audit-ready records, which can overwhelm small or understaffed offices.
Poor cost communication: Miscommunication with patients and payers can lead to preventable revenue loss.
Clean Claims Rate
Reduction in A/R
Coding Accuracy Rate
Struggling with general surgery billing errors, outdated CPT/ICD-10 codes, or denied claims? Nexus io’s AAPC-certified general surgery billing experts ensure every claim is complete, accurate, and HIPAA-compliant.
We combine thorough operative documentation with up-to-date coding knowledge to reduce denials, meet payer-specific guidelines, and speed up reimbursements. Our proactive denial management solutions address challenges before they disrupt your revenue cycle.
General surgery billing demands precision at every step. Claims can be denied when CPT procedure codes are misused, operative notes lack required details, or modifiers are missing.
Examples include CPT 47563 billed without intraoperative cholangiography, missing the exact anatomical site in a herniorrhaphy, or failing to add modifier 62 for dual-surgeon procedures. Separately billing bundled services against NCCI bundling rules, ignoring HCPCS supply codes, or overlooking payer requirements like prior authorizations and filing deadlines are also common revenue-cycle killers.
At Nexus io, we collaborate with general surgeons to ensure operative and clinical documentation is complete, detailed, and audit-ready. Our billing platform incorporates advanced rule-based edits to apply correct bundling practices in line with NCCI edits and payer-specific rules.
We also maintain a thorough understanding of each insurance provider’s reimbursement policies, filing claims within required timelines and EHR formats to maximize first-pass acceptance rates and accelerate payment cycles.
Our AAPC-certified coding team at Nexus io is trained extensively in general surgery coding guidelines, ICD-10 diagnosis mapping, and payer-specific reimbursement rules. We verify that every code reflects the documented procedure, such as using CPT 44140 for a partial colectomy with anastomosis when indicated.
We also apply appropriate surgical modifiers to capture complexity, such as modifier 22 for increased procedural services or modifier 59 for distinct procedures, ensuring full compliance with payer audits. This process supports clean claims, faster payments, reduced audit risk, and stronger revenue cycle management (RCM) outcomes.
We provide 24/7 support for all general surgery billing and revenue cycle services. Whether your practice performs hernia repairs, laparoscopic procedures, biopsies, or excisions, our team ensures precise CPT and ICD-10 coding with timely and compliant claim submission.
We help reduce denials, manage global periods, and handle surgical modifiers to ensure correct reimbursements. Each service aligns with payer-specific rules and billing guidelines for general surgical care.
Our general surgery billing professionals handle the backend complexities so you can focus on delivering safe and effective surgical outcomes.
Whether your practice offers a single subspecialty of general surgery or multiple services, our tailored solution ensures that each subspecialty’s billing is compliant, accurate, and optimized to maximize reimbursement. General surgery subspecialties that we support:
Our team understands the unique documentation, compliance requirements, and reimbursement rules that apply to each subspecialty.
We protect your general surgery practice’s financial and patient data with industry-leading security measures. From the first entry of patient details to the final posting of payments, we keep your data secure.
Our HITRUST® and SOC 2®-certified systems, along with complete HIPAA, GDPR, and CCPA compliance, protect sensitive surgical and patient information throughout the general surgery billing process. Operative reports, pre-authorization approvals, insurance data, and payment records are shielded from unauthorized access at every step.
With Nexus io, confidentiality, compliance, and accuracy are built into every claim we process, ensuring your patients’ trust and your practice’s financial integrity remain intact.
Struggling with surgical modifiers, global periods, or delayed reimbursements? Our general surgery billing experts manage everything from hernia repairs and laparoscopic procedures to biopsies and wound care ensuring accurate coding, clean claims, and full compliance with payer guidelines.
Click “Get Demo” to explore how we simplify your billing process, then fill out the form and our team will contact you within 12 hours.
Can Nexus io manage complete general surgery billing?
Nexus io is a full-service general surgery billing company managing the entire billing cycle for surgical practices. Our general surgery billing services cover documentation review, eligibility checks, claim submission, denial resolution, payment posting, and financial reporting to keep your revenue cycle performing at its best.
Can Nexus io help with general surgery credentialing?
Yes. We provide credentialing support as part of our healthcare RCM for general surgery practices. This includes enrolling surgeons with payers, handling re-credentialing, and ensuring compliance with all network participation requirements.
How does Nexus io help interpret the Explanation of Benefits?
Our general surgery billing services include detailed EOB analysis to identify payment variances, contractual adjustments, coinsurance amounts, and denial reasons. This enables practices to take corrective action and recover underpaid claims efficiently.
How does Nexus io handle coinsurance in patient billing?
We calculate patient coinsurance using payer contracts and EOB details. Our general surgery medical billing services ensure accurate patient statements, transparent communication, and timely follow-ups to improve collections.
How does Nexus io manage write-offs in general surgery billing?
We evaluate all potential write-offs through our revenue cycle consulting process. This ensures contractual adjustments are applied accurately and non-contractual write-offs are minimized to protect your bottom line.
How does Nexus io ensure HIPAA compliance in billing?
As a trusted general surgery billing company, we use HIPAA-compliant platforms, encrypted data transmission, role-based access controls, and secure storage. Our team follows strict privacy protocols across all claim submission services and RCM workflows.
Need expert billing and coding guidance? The Nexus io team is always here to help you with all your questions and queries. Just contact us today for prompt, professional medical billing and coding assistance.
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