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General Surgery Billing

General Surgery Billing That Captures Every Dollar You've Earned

Multiple procedure discount optimization, global period tracking, and a dedicated OON negotiation layer built for general surgery — so every case is reimbursed at the level it deserves.

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Up to 6×
OON Recovery
Medicare Rate
100%
Global Periods
Tracked
98%+
Clean Claims
First Pass
🔪 The Challenge

The General Surgery
Billing Challenge

General surgery billing requires precise management of multiple procedure discounting rules that reduce reimbursement by 50% on secondary procedures when billed on the same day. Global surgical periods bundle 10 or 90 days of post-operative care, requiring careful tracking of which follow-up visits are separately billable. Modifier 51, 59, and XE/XS application determines whether related procedures are paid or denied.

Our Approach

What REL1EF Does Differently

Multiple procedure discount optimization across payers
Global surgical period tracking for every procedure
Modifier 51/59/XE/XS application to prevent bundling denials
OON Upside

The OON Opportunity
in General Surgery

General surgery practices with OON cases often accept initial payer offers without negotiation, especially on high-value procedures. REL1EF's dedicated negotiation layer recovers up to 6× Medicare rates on surgical OON claims — the same procedures that payer vendors routinely reprice to a fraction of billed charges.

General Surgery OON Reimbursement — Same Procedure
Medicare Baseline1×
Unmanaged OON0.8–1.2×
REL1EF Negotiated OONUp to 6×
Based on UCR benchmarking & Fair Health data. Results vary by payer and geography.
Scope

Services Included

Multiple Procedure Discounting Global Period Management Modifier 51/59 Application Laparoscopic Coding Open Surgery Billing Wound Care Billing OON Negotiation Assistant Surgeon Billing Denial Management A/R Recovery
Get Started

No-Win, No-Fee
General Surgery Billing

Start with the free A/R recovery trial to see our work firsthand — or contact us directly about general surgery billing services.

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✓No-win, no-fee A/R recovery trial
✓HIPAA compliant · BAA signed before access
✓Global period tracking included
✓Works with 50+ EHR systems
Request Your Free Surgery Billing Assessment
🔒 HIPAA compliant · BAA signed before any data access
General Surgery FAQ

General Surgery
Billing Questions

Common questions about surgical billing, global periods, and modifier application.

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When multiple procedures are performed on the same day, payers reduce reimbursement by 50% on the second and subsequent procedures. The order in which procedures are listed on the claim directly affects total payment — the highest-value procedure must be listed first. REL1EF optimizes procedure sequencing and applies correct modifiers to maximize reimbursement under multiple procedure discounting rules.
Global surgical periods bundle 10 or 90 days of post-operative care into the surgical procedure's reimbursement. Any follow-up visit within the global period is considered included unless it's for an unrelated condition or a return to the operating room. REL1EF tracks global periods for every procedure and applies modifier 24, 78, or 79 when follow-up visits are separately billable.
Modifier 59 indicates a distinct procedural service to prevent bundling denials, but CMS now requires the more specific XE (separate encounter), XP (separate practitioner), XS (separate structure), or XU (unusual non-overlapping service) modifiers when applicable. Incorrect modifier selection is a leading cause of surgical claim denials. REL1EF applies the correct modifier hierarchy to ensure related procedures are paid rather than bundled.
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