General medical billing companies treat every practice the same. We don't. Evident RCM was built specifically for the coding complexity, denial patterns, and OON dynamics of high-acuity surgical and procedural specialties.
Talk to Us About Your PracticeComplex operative cases, modifier 22 billing, implant cost recovery, and ASC-to-hospital billing nuances. We know the difference between a 27447 and a 27448 â and the payers that routinely downcode them.
Prior authorization on virtually every procedure, high initial denial rates, and OON exposure on SCS and implant cases. We specialize in the prior auth management, peer-to-peer coordination, and IDR filing this specialty demands.
High-value procedures with complex authorization requirements and payer-specific documentation demands. We manage the full revenue cycle including OON negotiation on implant-heavy cases.
Facility fee billing, implant cost passthrough, and the unique payer dynamics of ambulatory settings. We handle both professional and facility billing for practices with ASC ownership or partnerships.
High-complexity cases with significant prior authorization burden and payer scrutiny. We manage the documentation requirements and appeal processes specific to cranial and spinal neurosurgery.
Procedural practices with high claim volume and complex bundling rules. We identify unbundling opportunities, manage modifier application, and ensure global period billing is handled correctly.
The denial patterns, prior authorization requirements, OON exposure, and coding complexity of a pain management practice are fundamentally different from a primary care clinic. A billing company that handles both typically optimizes for volume, not complexity.
Modifier 22, fluoroscopy guidance, multi-level billing, implant cost coding â we know the CPT codes your practice actually uses.
We track denial patterns by payer and CPT code. When UHC starts underpaying 63685 across multiple claims, we catch it and respond.
We manage authorization workflows specific to your specialty â including peer-to-peer review coordination for high-denial procedures.
Request a free Revenue Architecture Review â we audit 90 days of claims, identify denial patterns and recovery opportunities specific to your specialty, and give you a concrete dollar figure before you commit to anything.
Request Your Free Audit