Plastic Surgery Billing Services
Reconstructive vs. cosmetic billing, documentation of medical necessity and patient-pay tracking. Agile Nexus Solutions provides plastic surgery medical billing, coding and revenue cycle management for practices across all 50 states, so your team can focus on patients instead of paperwork.
Common Plastic Surgery billing challenges
- Reconstructive vs. cosmetic procedures
- Medical necessity documentation and photos
- Patient-pay estimates and deposits
How we help plastic surgery practices
- Bill reconstructive procedures with supporting documentation
- Keep cosmetic services as clear patient-pay
- Request prior authorizations for reconstructive cases
Every claim is checked before submission, sent within 24–48 hours, and followed until it is paid. You get monthly reports on collections, A/R and denials, and a dedicated account manager who knows your specialty.
What is included
- Eligibility and benefits verification
- Certified medical coding (ICD-10, CPT and HCPCS)
- Claim submission and rejection fixes
- Payment posting and reconciliation
- Denial management, appeals and A/R follow-up
- Credentialing and payer enrollment
Frequently asked questions
Will insurance pay for breast reconstruction?
Reconstruction after mastectomy is generally covered under federal law, and we bill it with the required documentation.
How do you handle cosmetic procedures?
Cosmetic procedures are patient-pay; we track deposits and balances so nothing is billed to insurance in error.
Request a practice audit or book a call to see how much more your plastic surgery practice could collect.