Your practice CEO
Born and built in plastic surgery, not adapted to it.
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AI Built for Specialty Surgical RCM↓
“Plastic surgery billing” listed on your website next to 10 other specialties doesn’t mean you know plastics.
“A few billers on the team who have done it before” doesn’t either.
There’s a big difference between filing a claim and understanding the medicine behind it… it starts with the coding, ends in your aged receivables… and shows up in your revenue if you make the wrong decision on your RCM partner.
National reach. Boutique plastics depth. Technology we built ourselves. Plastics isn’t one of forty service lines here; it’s the whole business.
We own being different.
The covered-vs-noncovered line lives in the documentation, not the CPT. We build it into the coding workflow — not the appeal workflow.
Separately reportable or bundled depending on how the surgeon wrote the op note. We read the report and capture what's billable.
Supply revenue and cost pass-through that generalist billers miss. Payers push back on supply billing. We push back on payers.
Facility claim and professional fee billed together — separate claim types, separate rules, one team that knows both.
ProRevenue AI works your aging buckets by root cause — not a queue someone gets to eventually.
Plastics denial patterns each have a defined appeal path: medical necessity on reconstruction, modifier disputes, bundling.
The denials most billing companies batch and abandon, we actually work.
Powered by ProRevenue AI.
Built in-house and run on every client account — no extra cost.
Imagine your patients receiving a text or email with a one-click payment option that automatically posts the payment to your billing system. No humans. No human error.
What if your patients could chat billing questions right from their phone to your billing team?
What if you only had to press send once and your patients got automated reminders for 90 days instead of one piece of snail mail per click?
With Raxia, they can.
Our named patient-billing partner — statements, text/chat, click-to-pay, offered to clients at no cost.
We cover your reconstructive cases and GAP-exception documentation, and help you pre-collect from patients to avoid back-end bills.
New practice? Expanding your payer grid? Sick of the headache? We handle plastic surgery credentialing and payer contracting end-to-end.
Practice financials, bookkeeping, and reporting tied to your revenue cycle — collections, costs, and provider compensation reconciled in one place.
Evaluate your out-of-network cases before they hit the OR — IDR, NSA, and what each case is potentially worth.
Are your numbers a black hole? Unsure what your biller is doing? Sick of waiting for reports?
We’ve got a solution for you.
The Auctus ProVider App illuminates your billing.
Real-time AR, denial trends, payer behavior, and IDR outcomes — built by Auctus.
Now live.
Sick of coding? Op notes piling up? Done with printing paperwork from the OR?
We’ve built a better mousetrap.
ProCode AI codes your op note — clean CPT, ICD-10, modifiers, units. NCCI-passed.
90% faster and 5× more accurate than the average coder — built by Auctus.
Now live.
The CPT your surgeon produces in the OR isn't always the CPT that should appear on the claim. Our CPRC-certified coders read every operative report — reconstructive vs cosmetic, flaps and grafts that are separately reportable, multi-procedure modifier sequencing, and implant/supply revenue codes. ProCode AI does the first pass 90% faster and 5× more accurate; our coders close the gap. We capture what's billable and defensible — not guessed.
If your surgeons operate at an ASC, we bill the facility fee and the professional fee together — separate claim types, separate rules, one team that knows both. And for out-of-network volume, clean coding is the foundation of every IDR offer: we make the CPT, ICD-10, modifiers, and NCCI pass on the claim before it ever reaches an arbitration portal — coding before the offer, not after the denial.
Medical billing services for plastic surgery practices involve accurately documenting, coding, and submitting insurance claims for every surgical and office procedure. Accurate coding using CPT and ICD-10 is critical because plastic surgery spans both reconstructive (covered) and cosmetic (non-covered) work — and the distinction lives in the operative documentation.
Outsourcing plastic surgery medical billing services can benefit your practice in various ways. It will help improve cash flow and revenue, reduce operational costs, and increase the overall efficiency of your business. It enables your staff to focus more on offering exceptional services, while handling medical billing is outsourced to a team of experts.
Automated appeals utilize specialized billing software to quickly identify, categorize, and resubmit denied insurance claims. When a claim gets rejected, the system automatically reviews the reason for the denial, attaches the necessary documentation, and generates a compliant appeal letter in accordance with payer-specific rules. This approach reduces manual efforts, speeds up reimbursement, and ensures you do not overlook denied claims.
RCM, or Revenue Cycle Management, is a comprehensive process that medical practices use to manage the administrative and financial aspects of a patient’s journey. From the first appointment to the final payment, the RCM takes care of everything. It connects the clinical care that the patient has received with the plastic surgery billing services.
Medical coding accuracy directly impacts the accuracy of claims submitted to insurance companies. Accurate coding ensures the accuracy of reimbursements for healthcare providers, thereby ensuring that medical practices are paid correctly for the services they render. On the other hand, inaccuracy in medical coding can lead to claim denials and underpayments, thus resulting in critical revenue losses.
To track your medical practice’s billing performance, you can monitor Key Performance Indicators (KPIs) such as Accounts Receivable (AR) aging, Net Collection Rate (NCR), First Pass Rate, and Days in AR. Moreover, your Revenue Cycle Management Report will also provide you with an understanding of your billing process and help identify areas for improvement, including potential bottlenecks.
Month-to-month · No burn-down clauses · No write-offs without your approval · Direct-employed team — not a BPO
