Medical Billing for Surgeons

Surgical billing is where item-number complexity peaks — multiple procedures in one operation, multiple-operation rules, assistant items and after-care. DEVZ Solutions bills all of it accurately for surgeons across Australia, so theatre work translates cleanly into paid claims from both Medicare and the health fund.

Why surgical billing needs a specialist

A single operation rarely maps to a single item number. Multiple procedures performed in the same episode trigger multiple-operation rules that adjust the benefit for each additional procedure. Assistant surgeons attract their own items. After-care and follow-up attendances have to be captured. Applying these rules correctly — and to the right payer — is precisely where generalist billing loses surgeons money. As dedicated inpatient billing specialists, this is core work for us.

What we handle for surgeons

• Multi-item surgical coding with correct MBS item numbers for each procedure.
• Multiple-operation rule application so benefits are calculated correctly.
• Assistant surgeon items billed alongside the primary procedure.
• Simultaneous Medicare and health fund lodgement — see private hospital billing.
• Rejection recovery for previously declined surgical claims — see recovery.

Getting paid the full amount

The gap between what a surgeon earns and what a surgeon is paid usually comes down to coding precision and follow-up. Correctly applied item numbers, timely lodgement, and active pursuit of rejections close that gap. Our revenue leakage guide shows how much high-volume proceduralists typically leave on the table without it.

New to private practice?

If you are moving into private surgical work, you will need to be registered with the relevant health funds before their portion of your claims can be paid. Our health fund registration service handles that, so your first private theatre list is billed cleanly.