SURGERY CODING SPECIALIST

Surgery accounts for nearly 60% of a hospital's revenue, yet it suffers from the highest error rates in medical coding. Why? Because translating a 4-page dictated Operative Report into specific CPT codes requires more than just a coder—it requires an anatomist.

THE SURGICAL REVENUE CHALLENGE

The Difference Between "Done" and "Paid"

At Neelam Enterprises & Infotech Solutions, our Surgery Coding Specialists read every line of the report—from incision to closure. We capture every billable component, ensuring you aren't underpaid for the complexity of the work performed.

OUR SURGICAL CODING EXPERTISE

The Difference Between "Done" and "Paid"

We Speak "Surgeon" Fluently

We don't just look at the header; we analyze the technique, approach, and instrumentation.

1. The "Black Box" of Op Reports

We identify billable procedures that often get missed in the summary:

Lysis of Adhesions: When extensive work is done to clear scar tissue.
Excision vs. Resection: Distinguishing between removing part of an organ vs. the whole.
Implant Supplies: Capturing revenue for screws, plates, and meshes used.

2. Mastery of Modifiers

Surgery coding lives and dies by modifiers. We are experts in:

Modifier 22 (Increased Procedural Services): Getting you paid more for difficult surgeries that took extra time or risk.
Modifier 59 / X-Subsets (XE, XS, XP, XU): Correctly unbundling distinct procedures so they don't get denied.
Modifier 50 (Bilateral): Ensuring payment for both sides of the body.

3. NCCI Edit Management

We run every code set through National Correct Coding Initiative (NCCI) scrubbers to ensure we aren't "unbundling" procedures that shouldn't be billed together, protecting you from audits.

SPECIALTIES WE COVER

Multi-Specialty Surgical Proficiency

Our team is divided into specialty-specific pods. An Orthopedic coder does not code Cardiac cases.

Orthopedics & Spine: Joint replacements, arthroscopy, spinal fusions, and fracture care.
General Surgery: Hernia repairs, appendectomies, cholecystectomies, and bowel resections.
Cardiothoracic (CVTS): CABG, valve replacements, and pacemaker insertions.
Gastroenterology (GI): Endoscopies, colonoscopies, and ERCPs.
Neurosurgery: Craniotomies and complex nervous system repairs.
OB/GYN: Hysterectomies, C-sections, and complex deliveries.

NAVIGATING THE "GLOBAL SURGICAL PACKAGE

Maximizing the Global Period

Many surgeons lose money by failing to bill for services outside the global package.

We identify unrelated E&M services during the post-op period (Modifier 24).
We capture returns to the Operating Room for complications (Modifier 78).
We bill for staged procedures planned in advance (Modifier 58).

WHY NEELAM ENTERPRISES?

Certified Surgical Coders (CASCC & CCS)

We employ an elite team of Certified Ambulatory Surgery Center Coders (CASCC) and Certified Coding Specialists (CCS).

98% Accuracy on Procedural Coding.
Denial Management: If a payer denies a distinct procedure, we write the appeal letter citing the specific anatomy and CPT guidelines.
Future-Ready: We use AI-assisted coding tools to flag potential missed codes, which are then verified by human experts.

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