The foundation of a successful plastic surgery practice depends on the knowledge and experience of your medical billing service. Plastic surgery is one of the most challenging medical specialties for which to obtain maximum coverage and reimbursement from insurance companies, as well as the most complicated when it comes to your patients' personalized authorization and billing needs. As a plastic surgeon, partnering with an experienced and informed professional billing service may be one of the most important decisions you will make relative to the profitability of your practice.

Plastic surgery billing is an art, a complex process that requires a range of expertise from knowledge of anatomical and clinical pathology to patient advocacy. At PC Advantage, our 12 years of experience in plastic surgery billing have helped us perfect that complex process, from obtaining insurance company authorizations to maximizing insurance reimbursements to working personally with your patients on their medical finance matters. Our medical billing experts use state of the art computer software and billing strategies to maximize your insurance reimbursements while working to meet the unique billing needs of your patients, freeing up your time to grow and improve your plastic surgery practice.

A Quick Look at Our Plastic Surgery Billing Services:

Medical Billing
Patient demographic entry and filing.
Database management custom for each physician
Procedure Coding and Fee Schedule Management
Charge entry, claim submission and follow-up
Denied claim reviews and follow-up handling
Payment posting and EOB analysis
A/R follow-up: weekly, monthly, yearly analysis review
Patient statements printed and mailed
Handling of all patient calls and questions
Insurance company calls (Claims, benefits, appeals, authorizations, etc…)
Payment negotiations with patients and insurance companies
Initiate pre-collection action for past due accounts: Calls and certified letters
Collection Agency submission and judgment filing
Detailed reporting: monthly or as desired
Cosmetic surgery financial advising (CareCredit and CosmetAssure)
Pre-certifications and Pre-authorizations
Pre-authorization/Pre-certification follow-up and handling

General Practice Administration
Practice analysis and individual tailored care
General bookkeeping and record keeping
Fee schedule setup, review, and updates
Insurance contract negotiations and credentialing
Physician credentialing (NPI, UPIN, Tax ID, etc.)
Electronic communication (filing, imaging, etc…)
HIPAA Compliance (Privacy, Security, NPI)

CPT and ICD-9 Coding
Up-to-date, accurate, and comprehensive coding resources
Staff training in all aspects of plastic surgery procedure coding
Operative report review and coding
Denied claim review and corrections