Thoracic Surgery Billing Services
Get rid of complexity in thoracic surgery billing so your staff may focus on patient care. Among other clinical spectra, thoracic surgery covers lung resections, VATS/robotic procedures, esophageal surgery, chest wall reconstruction, pleural interventions, lung transplant, trauma treatment, and intensive care unit-level management. Every event has the chance to violate inpatient, outpatient, and facility billing rules; even a little error in paperwork could result in denials, delays, or lost income. Adhering to perfect compliance, Sirius Solutions Global enables thoracic surgery practices, hospital divisions, and specialized clinics to get rapidly and accurately compensated.
Our Thoracic Surgery Billing Services
We build the billing workflows surgeons would design if they had the time. Services include:
Specialty coding & chart review
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Surgical coding and operative report review to make sure every billable element is captured and supported by the chart.
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Correct use of E/M, procedural, and supply/device codes plus procedural modifiers that reflect real clinical work.
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Post-op and critical-care coding oversight.
Pre-authorization & benefits verification
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Prior auths for high-cost implants, transplants, and certain oncologic procedures handled start-to-finish.
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Patient eligibility checks, benefit breakdowns and transparent estimates to reduce cancellations.
Charge capture & surgical documentation optimization
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Templates for OR notes, device logs, and anesthesia documentation that make capture fast and defensible.
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Standardized device and supply catalogs mapped to billing codes so nothing is missed.
Claims submission & payer-specific scrubbing
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Payer rule engine to apply regional LCDs, bundling rules and hospital edits before claims go out.
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Clean claims first-pass to speed payments and reduce rework.
Denial management & appeals
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Root-cause analysis and targeted appeals with clinical attachments (operative photos, pathology reports, ICU notes).
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Escalation path for large-dollar denials with a dedicated appeals team.
Facility vs. professional split billing
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Accurate separation of facility charges, surgeon professional fees, pathology, radiology and anesthesia to avoid mixed claims and recoupments.
Critical care & ventilator billing
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Workflows for time-based critical care documentation and billing, including clear standards for ICU time, ventilator management, and concurrent procedures.
Transitional care & remote follow-ups
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Billing for post-discharge telehealth visits, remote monitoring, and transitional care codes when appropriate with documentation templates that protect reimbursement.
Reporting & revenue intelligence
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Actionable dashboards: top deniers, OR charge capture gaps, net collection rate, denial reasons by CPT, and expected vs. realized implant reimbursements.
Compliance & audit readiness
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Chart audit support and pre-audit checks to reduce risk from RAC, MAC or private payer audits.
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HIPAA-compliant processes and secure document management.
Measurable outcomes we typically deliver
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Higher first-pass claim acceptance and faster time-to-cash.
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Reduced denials for device- and implant-related claims.
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Fewer recoupments from global period or facility/professional split errors.
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Reduced days in A/R through proactive follow-up and targeted appeals.
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More predictable revenue on high-cost cases.
Why thoracic surgery billing is different
Billing for thoracic surgery is not “general surgery billing plus a few codes.” It’s a specialty that combines:
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High-cost, high-risk procedures — reimbursement and audit risk increase with procedure complexity and implanted devices.
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Procedure bundles & global periods — perioperative visits, global surgical rules and post-op care must be split correctly between surgeon and facility.
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Multicomponent claims — professional services, facility/ASC charges, anesthesia, pathology, and radiology often need separate billing and coordination.
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Time-based critical care — ventilator management and ICU critical care require precise time documentation and justification.
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Complex payer policies — regional LCDs, hospital-based rules, workers’ comp and auto-injury carve-outs change reimbursement logic.
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High prior-authorization needs — for advanced devices, transplantation-related treatments, and some oncology-driven operations
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Interdisciplinary billing — thoracic surgery sometimes includes pulmonology, oncology, radiology, and critical care; charge capture has to show who did what.
This implies your billing partner has to be fluent in hospital charge masters, device naming, operating room paperwork, and clinical workflows in addition to codes.
Procedures we regularly support
We code and manage billing for the whole thoracic spectrum, such as:
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Minimally invasive lung resections (VATS / robotic lobectomy)
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Open thoracotomy and complex resections
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Segmentectomy and wedge resections
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Esophagectomy and esophageal reconstruction
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Mediastinal surgery (thymectomy, mediastinoscopy)
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Pleural procedures (thoracentesis, chest tube, pleurodesis, pleurectomy)
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Lung volume reduction surgery (LVRS) and BPF repairs
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Thoracic trauma procedures and chest wall reconstruction
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Tracheal surgery and airway reconstruction
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Lung transplant and transplant-related billing coordination
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Surgical oncology pathways that intersect with chemo/radiation billing
Each has nuances: which supplies are billable, which postoperative visits are included, and how to support medical necessity for imaging and ICU time.
Documentation best practices we teach your team
We give your clinicians short, practical templates you’ll actually use not long checklists that nobody fills out. Key items:
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Clear operative note with timeline, devices (serials if required), and who performed each step.
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Explicit medical necessity statements for high-cost procedures and devices.
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ICU/critical care notes with start/stop times and objective organ-support measures.
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Separate notes for distinct E/M services on the same day as surgery (document why the E/M is unrelated to routine pre/post-op care).
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Post-op telehealth note templates that capture distance, time, and clinical reasoning for billing.
Solid documentation both improves revenue and makes audits simpler.
How we work with hospital systems & ASCs
Thoracic programs are often embedded in hospitals; the billing environment is hybrid. We:
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Map the hospital charge master and align facility codes with professional charge capture.
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Coordinate device cost accounting vs. billing so providers don’t absorb device costs unintentionally.
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Work with supply chain and OR staff to ensure device serials and POD (proof of delivery) are captured when payers require it.
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Help ASCs create surgeon-facility split rules that match payer expectations.
This reduces recoupments and aligns incentives across departments.
Technology & automation
You asked for a humanized page - so this is practical, not flashy: we use secure, modern systems to reduce repetitive work so knowledgeable coders can focus on judgment calls.
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EHR/OR integration for automated charge capture.
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Rule-based claim scrubbing that reflects your payer mix.
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Secure portals for faster document exchange during appeals.
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Reporting tools that highlight the one or two things costing you the most money so leadership can act.
Technology is the tool; experienced people do the thinking.
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Let’s get your thoracic billing working as hard as your surgeons do
Thoracic surgery demands excellence in the OR and clarity with payers. Sirius Solutions Global makes billing reliable, defensible, and predictable so your team gets paid for the work they do.
Contact Sirius Solutions Global to schedule a free thoracic billing assessment and baseline audit. We’ll show where revenue is being left on the table and outline concrete next steps.