Surgical Specialties

Surgical Specialty Revenue Cycle Experts

INTELLIGENT REVENUE OPERATIONS FOR HEALTHCARE

Surgical specialty billing for the outcomes that matter

Specialty-trained surgical billing experts, custom RCM workflows, and technology designed to address the unique challenges of surgical reimbursement, including: global packages, implant carve-outs, prior authorization and payer bundling rules.

Surgical specialties are different

Surgical billing spans high-complexity procedure coding, the global surgical package, implant and device reimbursement, prior authorization, and AR recovery across a volume-intensive, documentation-heavy practice. These are the points where surgical practices lose revenue — to authorization denials, bundling edits, modifier errors, and implant underpayment. Coronis Health connects the workflows, expertise, and technology needed to maximize reimbursement across the surgical revenue cycle.

Expertise you can rely on

Built for surgical practices across specialties and sites of service

Every surgical specialty has unique procedural, documentation, and reimbursement requirements. Our specialty teams support practices across the surgical landscape, including:

Orthopedics & spine
General & colorectal surgery
ENT/otolaryngology
Plastic & reconstructive surgery
Ophthalmology
Vascular surgery
Urology
Ambulatory surgery centers (ASCs)
Hospital-based surgical groups

why surgical specialty groups choose coronis health

We speak surgical.

Surgical specialty revenue cycle management requires more than billing experience. Coronis Health pairs specialty-trained experts with the systems to operate at scale, and holds itself accountable to the results that matter to your practice.

Specialty focused, partnership-driven

Our team specializes in surgical billing: procedure coding, the global surgical package, implant and device billing, and prior authorization workflows, not a generic playbook stretched across a dozen specialties. You're treated like a partner, not a ticket number.

Built for surgical specialties, at scale

We combine deep surgical billing expertise with the technology and infrastructure to operate at scale: analytics and automation that surface payer patterns, authorization denial trends, and reimbursement dynamics specific to surgical billing, without losing the specialty focus.

Proven, not promised

We hold ourselves accountable to outcomes for every surgical practice we work with: cleaner claims, stronger collections, and performance you can measure.

Coronis Health has drastically changed the way we handle medical billing. It’s like having a billing department in-house.

Orthopedic Surgeon

resource hub

Case studies, insights and resources

Explore expert perspectives, industry developments, and client success stories shaping the future of surgical specialties revenue cycle management.

Case Study

77%

increase in revenue

How an orthopedic facility transitioning from in-network to out-of-network reimbursement increased revenue, reduced AR backlogs, and improved operations.

Read Case Study

Article

Cracking the Code: Conquering the Challenges of Orthopedic Billing and Coding

The intricate world of orthopedics, encompassing the complex conditions affecting our musculoskeletal system, presents a unique set of challenges behind the scenes. Ensuring proper…

Webinar

AI Hype vs. Reality in Healthcare Billing Webinar

Watch this prerecorded ai healthcare billing webinar that dives into the evolving role of AI in medical billing. We’ll cut through the noise to…

what we offer

Intelligent revenue operations for surgical specialties

Our Intelligent Revenue Operations model combines specialty expertise, operational execution, and technology to improve financial performance across every stage of the surgical specialty revenue cycle.

Front-End Revenue Readiness

Manage Provider & Payer Services

We help ensure surgical providers are enrolled, credentialed, and billing-ready across your full payer, facility and ASC mix.

Provider enrollment
Credentialing & recredentialing
Facility and ASC enrollment support
Payer maintenance
Contract support & fee schedule benchmarking for high-value procedures

Strengthen Patient Access

We resolve eligibility and authorization gaps before the case is performed, so surgical claims start clean and downstream collections aren't compromised by front-end failures.

Scheduling & surgical case coordination support
Contact center services
Insurance discovery
Eligibility & benefits verification
Prior authorization for scheduled and add-on cases
Financial clearance, patient estimates & good-faith estimate compliance
Out-of-network benefit verification
Registration support

Mid-Cycle Revenue Integrity

Sharpen Coding Accuracy

We help protect reimbursement with surgery-certified coders who understand the mechanics payers use to reduce surgical reimbursement.

CPT procedure coding across surgical specialties
Global surgical package management (modifiers 24, 25, 57, 58, 78, 79)
Multi-procedure and bilateral coding (modifiers 51, 59, 50, RT/LT)
Co-surgeon, assistant surgeon, and team surgery billing (modifiers 62, 80, 82, AS)
Implant and device coding, including invoice-based carve-outs
Unlisted procedure and complexity (modifier 22) documentation support
Clinical documentation improvement (CDI) for operative notes
Coding audits & coding education

Optimize Revenue Integrity

Through charge capture oversight, operative note review, and clinical validation, we close the gaps between what's performed in the OR and what gets billed.

Charge capture & OR-schedule-to-billing reconciliation
Implant and supply charge validation
Charge reconciliation
Revenue integrity audits
Documentation review & clinical validation

Back-End Revenue Recovery

Reduce Denials

We prevent the denials surgical practices see most — prior authorization, bundling edits, and global period disputes — and recover more of those that occur.

Prior authorization denial prevention & management
NCCI bundling edit resolution
Global period denial disputes
Payer-specific claim edits
Registration quality assurance (QA)
Clinical appeals & root cause analysis

Improve Cash Flow

We keep surgical revenue moving with disciplined AR management, underpayment recovery, and specialty-trained collections expertise.

AR follow-up & denial management
Underpayment recovery, including implant reimbursement disputes
Appeals
Payment posting
Patient collections for high-balance surgical episodes
Legacy AR cleanup & backlog projects

our technology

Purpose-built technology at the core of our intelligent operating model

From AI agents and workflow automation to analytics and revenue intelligence, our technology connects every stage of the revenue cycle - helping healthcare organizations operate more efficiently, make better decisions, and improve financial performance.

Learn More

Let's discuss your transformation

Wherever you want revenue cycle operations to go, we can help!

step 1

Connect

Tell us about your organization, specialty and revenue transformation goals.
step 2

Evaluate

We'll evaluate your current state and identify strategic opportunities for improvement.
step 3

Transform

Together we'll implement solutions that improve performance from day one.

Talk to a Specialist