General Surgery Medical Billing & Credentialing Services

Efficient RCM for Surgeons, Surgical Centers & Multi-Specialty Clinics

General surgery billing is a high-stakes, high-complexity domain of medical billing. From multi-step operative procedures and pre/post-op global periods to hospital-based claims, surgical modifiers, and assistant-at-surgery billing—accuracy is not just important, it’s critical.

At Oakview Medical Billing Solutions, we help general surgeons, group practices, surgical centers, and hospital-employed physicians take control of their revenue cycle. We specialize in CPT code compliance, modifier usage, and payer-specific rules—ensuring claims get processed accurately and fast, minimizing denials and optimizing collections.

Key Challenges in General Surgery Billing

Surgeons face unique billing challenges that demand niche expertise:

• Global Period Mismanagement: Incorrect billing during pre-op or post-op periods can lead to full claim denials.

• Surgical Modifiers Confusion: Modifiers 51 (multiple procedures), 59 (distinct service), 78/79 (related vs. unrelated procedures) are often misused.

• Inpatient vs Outpatient Coding: Surgeons work in both settings—incorrect place of service codes cause payment delays.

• Assistant-at-Surgery Billing: Surgeons often bill for assistants (modifier 80 or AS), which requires payer-specific knowledge.

• Bundled Procedures: Not recognizing bundled codes can result in underbilling or unnecessary denials.

• Operative Report Complexity: Coders must read through long, intricate reports to code accurately—this is where most billing teams fall short.

CPT Codes for Common General Surgery Procedures

Credentialing Services for General Surgeons

We help general surgeons with payer enrollment, hospital privileging, and insurance credentialing across commercial and government plans. Whether you're a solo practitioner, part of a multi-specialty group, or a hospital-based provider, Oakview manages your credentialing from end to end:

NPI setup & taxonomy accuracy
CAQH registration and attestation
Medicare & Medicaid enrollment
Commercial insurance contracts (Aetna, BCBS, UHC, Cigna, etc.)
EDI, EFT & ERA enrollments
Follow-up and appeals for closed panels
Facility credentialing and re-credentialing

We also assist with hospital privileging paperwork and delegated credentialing options for large groups.

Why General Surgeons Choose Oakview

✔ Experienced surgical billing coders
✔ In-depth operative report review
✔ Modifier management & compliance audits
✔ Global period tracking & alerts
✔ Real-time eligibility checks
✔ Denial resolution and appeal writing
✔ Transparent monthly reporting
✔ HIPAA-secure platform and US-based team

Whether you're billing for an ambulatory surgery center (ASC), hospital inpatient surgery, or office-based excisions, Oakview adapts to your workflow and improves your net collections.

Results You Can Expect

• 20–30% increase in monthly collections

• 80%+ reduction in claim denials

• 100% accurate coding and modifier usage

• Faster credentialing turnarounds (avg. 20–45 days)

• Streamlined patient eligibility + authorization workflows

Ready to Optimize Your Surgical Billing?

Let Oakview’s surgical billing experts take care of the complex coding, payer compliance, and credentialing stress, so you can focus on what you do best—saving lives in the OR.