Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...
General Surgery Billing Services
Surgical billing depends on operative notes, global periods and modifiers. Specialist billers turn every case into a clean, fully paid claim.
- Operative note coding by certified surgical coders
- Global periods and modifiers 22, 24, 25, 51, 57, 58, 78, 79 managed
- Assistant surgeon and co-surgeon billing rules applied
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Why surgical billing needs experienced coders
General surgeons perform a wide range of open and laparoscopic procedures, gallbladder, appendix, hernia, bowel, breast and bariatric surgery. Each procedure carries a global surgical package that includes pre-operative care the day before, the surgery itself and routine post-operative follow-up for 10 or 90 days.
Getting paid correctly means reading the operative note carefully: identifying every billable procedure, applying multiple-procedure rules, documenting unusual complexity for modifier 22, and using the right modifiers for decisions for surgery, staged procedures, returns to the operating room and unrelated care during the global.
Surgeons also bill hospital consults and ED call coverage, assistant-at-surgery services and procedures at ASCs. A surgical billing partner reconciles surgery schedules with billed cases, follows up on authorization and medical-necessity denials, and keeps the practice compliant with NCCI edits.
Common general surgery billing challenges
Operative note interpretation
Every billable component must be identified from the op note, or revenue is lost.
Global surgical packages
Visits and procedures during globals are denied without the right modifiers.
Multiple procedure rules
Payment reductions and bundling apply when several procedures are done together.
Modifier 22 documentation
Unusual complexity must be clearly documented to receive additional payment.
Assistant and co-surgeon rules
Payers restrict which procedures allow assistants or co-surgeons.
Unbilled cases
Cases at multiple hospitals and ASCs are missed without schedule reconciliation.
What a general surgery billing partner should handle
- Pre-surgical benefits and authorization checks
- Operative note coding and audits
- Global period tracking and modifier review
- Assistant surgeon and co-surgeon billing
- Hospital consult and call coverage billing
- Surgery schedule reconciliation
- Bariatric program billing support
- Denial management and appeals
- Patient estimates for elective surgery
- Surgeon productivity reports
Key codes in general surgery billing
| Code(s) | What it covers |
|---|---|
| 47562 | Laparoscopic cholecystectomy. |
| 44970 | Laparoscopic appendectomy. |
| 49650 | Laparoscopic repair of initial inguinal hernia. |
| 19301 | Partial mastectomy (lumpectomy). |
| 43644 | Laparoscopic gastric bypass with Roux-en-Y gastroenterostomy. |
| 10060 / 10061 | Incision and drainage of abscess, simple / complicated or multiple. |
| 57 / 58 / 78 / 79 | Decision for surgery, staged procedure, unplanned return to OR, unrelated procedure in global. |
Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.
NCCI and global compliance
Follow NCCI procedure-to-procedure edits and use modifiers 59 or X{EPSU} only when documentation supports a separate site or session. Payers audit surgical modifiers closely.
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Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.
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We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.
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Top-rated medical billing companies
Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their general surgery experience.
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Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...
How much does general surgery billing cost?
Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.
Most common. You pay only on money collected.
Predictable for high-volume, low-complexity claims.
Dedicated billers working inside your systems.
Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.
General Surgery billing FAQs
Pre-operative visits the day before or day of surgery, the procedure, routine post-operative care and treatment of minor complications that do not require a return to the OR.
When the procedure required substantially greater work than usual, such as extensive adhesions, documented with time and reason.
No. Payers limit assistant-at-surgery billing to procedures where assistants are typically medically necessary.
By reconciling surgery schedules at every facility with billed claims daily or weekly.
Many surgical billing companies handle both professional and ASC facility billing.
Typically 4% to 7% of collections.
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