General Surgery
Healthcare IT and billing built for a general surgery practice
Surgical scheduling, global period management and multi-facility coordination for surgical practices.
Why general surgery is different
Surgical revenue depends on a handful of technical rules (global periods, multiple procedure reductions, assistant surgeon eligibility and modifier selection) where a single mistake changes payment on a five-figure claim.
Healthcare SBC assigns surgical coders and configures the platform for pre-authorization tracking, facility coordination, global period management and the modifier logic that keeps surgical claims clean.
Common challenges
Where general surgery practices lose revenue
The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.
Multiple procedure reductions
Payer-specific reduction rules and code sequencing determine how much of a multi-procedure case is actually paid.
Assistant surgeon billing
Eligibility varies by procedure and payer, and incorrect modifier use causes routine denials.
Facility coordination
Surgeons operating across hospitals and ASCs must synchronize scheduling, authorization and documentation across systems.
Pre-authorization requirements
Elective surgery authorization delays push cases and create denials when documentation is incomplete.
How we address it
Built for general surgery workflows
- Surgical case scheduling coordinated across hospitals and ASCs
- Global period tracking with automatic modifier prompts
- Multiple procedure sequencing and payer reduction logic in claim scrubbing
- Assistant surgeon eligibility validation by procedure and payer
- Pre-authorization submission and tracking with clinical documentation
Commonly billed codes in general surgery
A sample of the codes our general surgery coders work with daily.
- 47562Laparoscopic cholecystectomy
- 49505Repair initial inguinal hernia, age 5 or over
- 44970Laparoscopic appendectomy
- 19120Excision of breast lesion
- 10060Incision and drainage of abscess
Codes shown for reference only. Verify against current code sets and payer policy.
Other surgical specialties
Orthopedics
Surgical global periods, DME, imaging and therapy billing unified for orthopedic groups.
Podiatry
Routine foot care coverage rules, DME dispensing and wound care documentation for podiatric practices.
Ophthalmology
Eye code versus E/M selection, diagnostic imaging and surgical billing for eye care practices.
FAQ
General Surgery, frequently asked questions questions
- How do you handle multiple procedure billing?
- Procedures are sequenced by relative value and payer-specific multiple procedure reduction rules are applied automatically, ensuring the highest-valued procedure is billed primary and reductions are anticipated rather than discovered on the remittance.
- Can you coordinate scheduling across facilities?
- Yes. Surgical scheduling spans multiple hospitals and ASCs in one view, with authorization status, clearance requirements and documentation tracked per case regardless of facility.
- Do you manage surgical pre-authorizations?
- Yes. Our team submits authorization requests with supporting clinical documentation, follows up until determination, and flags cases at risk of proceeding without approval.
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