Medical Billing · Nationwide
Complex radical pelvic resections, retroperitoneal and para-aortic lymphadenectomies, HIPEC intraperitoneal hyperthermic chemotherapy, and co-surgeon Modifier 62 compliance.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to gynecologic oncologists and pelvic surgical centers across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical gynecologic oncology & pelvic surgery CPT range we work: 58210, 58548, 38571–38572, 49220, 58953–58956, 96560, 96413.
Radical hysterectomy vs simple hysterectomy downcoding: Commercial payers downcoding CPT 58210/58548 when operative reports lack detailed parametrial and uterosacral ligament dissection
Pelvic & para-aortic lymphadenectomy unbundling denials: Inguinal and pelvic node dissections (38571/38572) erroneously bundled into cytoreductive debulking
HIPEC intraoperative chemotherapy: Hospital vs professional fee disputes on prolonged hyperthermic perfusion administration (CPT 96560)
Co-surgeon Modifier 62 disputes: Reimbursement rejections when gynecologic oncologists co-operate with colorectal or urologic surgical teams
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Use these any time — no login required.
How do you ensure full payment for complex cytoreductive tumor debulking?
Our surgical coders substantiate ovarian tumor debulking codes (58953–58956) by documenting all concurrent resections—including omentectomy, peritoneal stripping, and bowel resections—with appropriate NCCI modifier exemptions.
How do you bill co-surgery with surgical oncologists or colorectal teams?
Both surgeons bill the identical primary CPT code appended with Modifier 62, backed by distinct, individualized operative dictations detailing the distinct operative components performed by each specialist.
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