Why does surgical billing carry more financial risk than routine outpatient billing? A single coding error or lack of prior authorization can cost a practice thousands, instead of hundreds, due to the size of the dollar amounts per claim. The operative note to the billable component is the bottom line of general surgery billing and it must be accurate, every billable component identified, every modifier correctly applied, every pre-cert followed, not after the procedure has taken place. That kind of care is important for each surgical claim because practices can’t sustain the denial rate that smaller claims can.
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