PPBS · Specialty Billing

General & Plastic Surgery Billing Services

PPBS bills general surgeons and plastic surgeons across office, ASC, outpatient and inpatient settings. Surgical reimbursement depends on correct global period handling, modifier use and, for plastic surgery, the reconstructive versus cosmetic distinction.

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What PPBS Handles

  • Surgical coding with global periods, modifiers 22, 24, 25, 58, 59, 78 and 79
  • Assistant surgeon, co-surgeon and multiple-procedure rules
  • Reconstructive versus cosmetic determinations and prior authorization
  • Facility coordination for ASC and hospital cases
  • Underpayment recovery, appeals and accounts receivable management

Where Revenue Is Lost

  • Bundling edits and modifier denials on multi-procedure cases
  • Prior authorization for reconstructive procedures
  • Underpayments against contracted surgical fee schedules

Experience

Physicians Professional Billing Services, Inc. has billed this specialty since 1998, with 35+ years of medical billing experience across every Medicare Part B MAC jurisdiction, Medicaid and commercial carriers. Clients receive read-only access to their accounts receivable in CollaborativeMD.

Frequently Asked Questions

Do you bill both general and plastic surgery?
Yes. PPBS has billed general surgery and plastic surgery practices since 1998, including reconstructive cases that require prior authorization and medical necessity documentation.
Do you review surgical underpayments?
Yes. PPBS compares payments against contracted fee schedules and pursues underpayments and denials with the payer.

Other Specialties

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Tell us about your practice and we will set up a conversation with the people who would handle your account.

(619) 258-6200
estemmler@ppbs.us

Please do not include patient names, dates of birth, insurance ID numbers or other protected health information. Patient data is exchanged only after a business associate agreement is in place.