Surgical Billing Services

Every Case Billed With Operating-Room Precision

Surgical billing turns on the global package. Nearly every procedure carries a 0-, 10-, or 90-day global period, and the revenue questions all live at its edges: which services in the window are separately payable, which returns to the operating room justify a new claim, and which modifier — staged 58, return-to-OR 78, or unrelated 79 — the operative record actually supports. CCL Billing manages that boundary for surgeons and surgical groups across the United States, coding from the operative report itself rather than a superbill summary, so earned reimbursement gets claimed and bundled care never triggers a recoupment.

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Surgical team working in a hospital operating room

What We Handle for Surgical Practices

Global Package Management

Every case's 0-, 10-, or 90-day window tracked, so separately payable services inside it get claimed and bundled care never draws a recoupment.

Surgical Modifier Accuracy

Modifiers 58, 78, and 79 assigned from the operative documentation, with assistant claims filed under 80 or 82 alongside the medical necessity support carriers demand.

Prior Authorization Management

Authorizations secured before the case, matched against the CPT codes actually performed, and pursued retroactively when intraoperative findings change the plan.

NCCI Edit Resolution

Bundling edits screened before submission, with bypass modifiers applied only where the record genuinely supports separate payment.

Implant & Supply Billing

High-cost hardware and supplies billed with the invoice documentation payers require, because an undocumented implant line is a written-off implant line.

Operative Report Coding

Charges built from the full operative note, so laterality, approach, and add-on codes are captured rather than guessed.

20%Increase in Revenue

35%Reduced A/R

7 DaysMinimal Turn Around

90%Remittance Ratios

15%Collected Aging A/R

High-Dollar Claims, Contested Underpayments, Full Reimbursement

Before any claim goes out, the case has to be authorized. We manage prior authorization for scheduled procedures, confirm the authorized CPT codes match what was actually performed, and chase the retro-authorizations that intraoperative changes sometimes require — the failure mode behind a large share of avoidable surgical denials. For cases involving implants and high-cost supplies, we bill the hardware with the invoice documentation carriers demand, because an undocumented implant line is a written-off implant line.

Multiple-procedure claims add their own arithmetic. When several procedures share a session, payers rank them by relative value and reduce payment on the secondary lines; bilateral procedures billed under modifier 50 typically pay at 150 percent of the fee schedule; and co-surgeon cases under modifier 62 split the allowable between surgeons. We sequence every multi-procedure claim so the highest-valued code is paid in full, verify that the reductions applied match the payer's published methodology, and appeal when they do not.

Surgical claims are high-dollar, which means every denial is expensive and every underpayment is worth contesting. We compare remittances against contracted rates, appeal short-pays with operative documentation attached, and keep surgeons informed through reporting that ties each case to its final reimbursement. CCL Billing was built by a founder trained in biomedical informatics at Columbia University, and that systems fluency shows in how cleanly we connect to the scheduling, EHR, and practice management platforms a surgical group already has in place — no workflow disruption, just a billing operation that treats each case with the precision the operating room did.

Our Path to Full Surgical Reimbursement

1. Case-Level Audit

We review a sample of your recent cases against their remittances, surfacing missed modifiers, unbilled assists, short-paid implant lines, and denials sorted by cause.

2. Controlled Transition

We link into your scheduling, EHR, and practice management platforms, then assume open A/R and in-flight authorizations without a coverage gap between billers.

3. Reimbursement Accountability

Each case is followed to its final payment and checked against contracted rates, with reporting that shows surgeons exactly what every procedure ultimately paid.

Related services

Surgical Billing FAQ

What is a global surgical package and why does it matter for billing?

Most procedures carry a 0-, 10-, or 90-day global period during which routine post-operative care is included in the surgical fee. Billing correctly means knowing which services inside that window are separately payable and which are bundled, so you neither forfeit earned revenue nor trigger recoupments.

How do you handle modifiers 58, 78, 79, 80, and 82?

We apply staged-procedure modifier 58, return-to-OR modifier 78, and unrelated-procedure modifier 79 based on the operative documentation, and we bill assistant surgeon claims with modifier 80 or 82 along with the medical necessity support payers require for an assist.

Do you manage prior authorizations for surgery?

Yes. We obtain authorization before scheduled cases, verify that the authorized codes match the procedure actually performed, and pursue retro-authorization when intraoperative findings change the plan, which removes one of the most common causes of surgical denials.

Do you work with surgical practices outside New York?

Yes. We support surgeons and surgical groups across the United States from our Albany, New York headquarters, with payer contracts and state-specific rules maintained for each client.

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Tell us about your surgical practice — case volume, specialties, and where reimbursement is falling short. One of our experts will reach out to review your surgical revenue cycle in detail.