End-to-end Billing for High-Risk, High-Value Procedures
Vascular surgery billing is technical, audit-prone, and unforgiving. Procedures involve complex anatomy, bundled services, imaging rules, and modifiers that—if misused—trigger denials or underpayments.
Swiftcare Billing specializes in vascular surgery billing and coding, helping practices capture full reimbursement while staying compliant with Medicare, Medicaid, and commercial payer rules.
Vascular procedures demand absolute coding accuracy. Even experienced practices lose revenue due to:
Bundled CPT confusion
Incorrect modifier usage (59, XS, XU, 26, TC)
Medicare NCCI edits
Device and supply underbilling
Global period misunderstandings
Inconsistent operative documentation
These errors don’t always deny claims—they often result in silent underpayments.
We go beyond claim submission. We audit, analyze, and optimize every stage of vascular reimbursement.
Angiography & angioplasty
Stent placements
AV fistula creation and revisions
Thrombectomy & embolectomy
Endovascular repairs
Dialysis access procedures
NCCI edits
Modifier 59 vs X-modifiers
Bilateral procedures
Professional vs technical components
Since Medicare dominates vascular reimbursement, we strictly follow CMS policies, LCDs, and MLN guidance.
Coverage, medical necessity, and authorization requirements are verified before procedures are performed. This reduces eligibility-related denials and prevents payment delays.
Certified vascular coders review operative reports line by line to ensure correct CPT selection, sequencing, and modifier usage. Accurate coding supports compliance and maximizes allowable reimbursement.
Each claim is scrubbed against Medicare and commercial payer edits before submission. This process reduces rejections and improves first-pass claim acceptance.
Denied and underpaid claims are analyzed to identify bundling issues or payer errors. Appeals are submitted with supporting documentation to recover lost revenue.
Payments are posted accurately to maintain clear visibility into payer behavior and outstanding balances. Consistent AR follow-up keeps cash flow steady.
Detailed reports highlight collections, procedure profitability, denial drivers, and payer trends. These insights help practices make informed financial decisions.
Vascular practices face higher audit exposure due to procedure cost and complexity.
Common risk areas include:
Imaging billed incorrectly with interventions
Modifier misuse triggering audits
Incomplete operative notes
Improper component billing
Overlapping global periods
We conduct internal audits, documentation reviews, and payer-specific checks to minimize audit risk and revenue loss.
Billing That Works as Cleanly as Your Procedures
Swiftcare Billing integrates directly with your existing EHR and practice management systems, so your team can keep working without disruption. There are no system changes, no retraining, and no workflow slowdowns—just accurate billing running in the background.
Seamless integration with leading platforms:
By working inside your current systems, we ensure accurate charge capture, real-time claim visibility, and consistent financial reporting across surgeons, locations, and facilities.
Swiftcare Billing supports vascular providers across multiple care settings, each with unique billing demands and payer rules:
Vascular surgery private practices
Hospital-based vascular surgery groups
Dialysis access and endovascular centers
Multi-specialty surgical clinics
Ambulatory surgery centers (ASC)
From high-volume Medicare procedures to complex commercial and bundled claims, our team manages the whole revenue cycle with precision and compliance.
Predictable Cash Flow. Fewer Denials. Zero Guesswork.
Vascular surgery billing requires accuracy at every step—from coding and modifiers to bundling and reimbursement rules. Swiftcare Billing delivers clean claims, proactive denial prevention, and consistent AR follow-up to protect your revenue and reduce administrative strain on your staff.
Denial prevention starts before claims are submitted, with payer-specific scrubbing and compliance checks. Common denial triggers are addressed early, including authorization gaps, modifier errors, and bundling conflicts.
Key focus areas include:
Payments are reviewed against contracted rates to detect short payments and silent reductions. Discrepancies are flagged and escalated through payer follow-up and appeals.
Recovery efforts focus on:
Have questions or need support? Our team is here to guide you with credentialing, billing, coding, and A/R solutions tailored to your practice. Reach out now to get started.
