Spine and Neurosurgery Billing and Out-of-Network Recovery
Happy Billing handles billing and out-of-network recovery for independent spine and neurosurgery practices: surgical coding review, claim submission, denial management, and negotiation or federal IDR when payers pay too little.
One spine case can carry 10 to 15 CPT codes, and payers know most practices can’t audit every line.
A single discectomy can carry 10 to 15 CPT codes, plus modifiers, implants, assistant-surgeon claims and facility rules. Errors and low payments hide inside those claims. Payers also stall, hoping a resubmission window closes.
We review the claim line by line, push back on the underpayments, and escalate when payers delay.
Surgical Coding Review
Multi-code spine claims checked line by line for bundling, modifiers and missed codes.
Authorizations and Eligibility
Benefits checks and pre-authorization before surgery so cases don’t deny after the fact.
Assistant-Surgeon and Co-Surgeon Claims
We check the base rate and reductions on assistant and co-surgeon claims that payers often shortchange.
Denials and Appeals
Denials worked to resolution, with patterns escalated to payer contacts so future claims aren’t affected.
Who We Help
Neurosurgery and Spine Groups
Groups doing complex cervical, lumbar and multi-level cases, where the gap between what was paid and a fair rate is widest.
Orthopedic Spine Surgeons
Spine surgeons who bill commercial insurance and see payment drop on larger cases.
Surgeons Who Operate at In-Network Facilities
Many of these claims fall under the No Surprises Act. We check eligibility, run open negotiation and file federal IDR on contingency.
No Surprises Act Eligible Claims
We screen claims for No Surprises Act eligibility and review underpaid claims back to 2022. We also handle motor vehicle accident and workers’ compensation cases, which have tight deadlines.
How Spine Billing Works
Free Claims Review
Send us recent cases and EOBs. We show where payment fell short.
Open Negotiation
For eligible claims, we start the 30-business-day open negotiation period with the payer.
Federal IDR
If negotiation fails, we file and batch IDR disputes and present evidence for a fair rate.
Collection
We follow each award or settlement through to payment.
Paid When You’re Paid
We only get paid when you get paid. Nothing is due upfront. We can run your billing, or take only the underpaid and denied claims and leave the rest with your team.
Book a discovery call
Start with a free 30-minute call. Book a free 30-minute call. For facility-based groups, see our No Surprises Act IDR recovery service.
Frequently Asked Questions
Do you replace our billing team?
Only if you want us to. We can run billing end to end, or take the underpaid and denied claims and leave the rest with your team.
Which claims qualify for the No Surprises Act?
Do you handle motor vehicle accident and workers’ comp cases?
What does it cost?
How far back can you review claims?
Are your spine cases paying what they should?
See what your spine cases should have paid. Book a free call.