Medical Billing Company Supporting Arizona Plastic Surgeons with Year-End Revenue Cycle Management

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  Plastic surgeons in Arizona are facing a demanding year-end period filled with growing patient volume, increased cosmetic procedure interest, and strict payer compliance regulations. From Scottsdale to Phoenix and Tucson, providers often struggle to balance high-quality surgical care with complicated claim requirements—leading to delayed payments, excessive denials, and revenue leakage. Partnering with a dedicated medical billing company can help Arizona plastic surgery practices secure faster reimbursements while staying fully compliant. Why Year-End is Critical for Plastic Surgeons in Arizona High demand for elective and cosmetic procedures before the holidays Last-minute insurance submissions as patients meet deductibles Increased documentation requirements for reconstructive procedures Need to close out old AR before payer cutoff deadlines New 2025 insurance policy revisions impacting approvals State-Specific Challenges: Arizona Plastic Surgery Practices...
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Ambulatory Surgical Center Terminated Procedures

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Ambulatory Surgical Center Terminated Procedures

The following guidance determines the appropriate ambulatory surgical center (ASC) facility payment for a scheduled surgical procedure that is terminated due to medical complications, which increase the surgical risk to the patient.

  • Payment is denied when an ASC submits a claim for a procedure that is terminated before the patient is taken into the treatment or operating room
  • If the surgery is canceled or postponed because the patient on intake complains of a cold or flu
  • Payment is made at the rate of 50 percent if a surgical procedure is terminated due to the onset of medical complications after the patient has been prepared for surgery and taken to the operating room but before anesthesia has been induced or the procedure initiated For example If the patient develops an allergic reaction to a drug administered by the ASC prior to surgery. Modifier 73 should be utilized to indicate that the procedure was terminated prior to the induction of anesthesia or the initiation of a procedure.
  • Full payment for the surgical procedure is made if a medical complication arises that causes the procedure to be terminated after anesthesia has been induced or the procedure initiated. Modifier 74 should be used to indicate that the procedure was terminated after the administration of anesthesia or initiation of the procedure.

To know more about the Ambulatory Surgical Center Terminated Procedures, click here: https://bit.ly/3nQJ03J Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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