General Surgery EHR and AI Medical Billing Software

General surgeons consult in clinic, operate elsewhere and follow up inside a global period. XEHR ties the consult, the operation and the follow-up to the right claim.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Painful bulge in the right groin.

K40.90 Inguinal hernia, unilateral

ReviewSign note

Diagnosis carried to the claimK40.90

THE HARD PARTS

What makes general surgery billing hard

Global periods that hide billable work

Follow-up inside a global period is not billed, but unrelated problems and complications often are. Without tracking, both mistakes happen.

The decision for surgery

The visit where surgery is decided is billable, but only when it is documented and flagged correctly.

Operating somewhere else

Cases at a hospital or surgery center need the right location and facility details on the professional claim.

WHERE THE WORK HAPPENS

How general surgery care is delivered and billed

General surgeons divide their week between clinic, the operating room and hospital call. Consultations and post-operative visits happen in the office; operations happen in a hospital or an ambulatory surgery center, where the surgeon bills the professional service with the facility place of service and the facility bills its own claim. Emergency cases from the emergency department add unscheduled work that still has to be documented and billed correctly.

What payers check on general surgery claims

Major operations carry a 90-day global period that includes routine post-operative care; minor procedures carry 0 or 10 days.
The visit where the decision to operate is made can be billed when documented, with the modifier payers require for it.
An unrelated problem treated during the global period is billed separately only when the note shows it is unrelated.
An assistant surgeon is paid only for procedures where payers allow one, and the assistant must be documented.
Bilateral and multiple procedures in one session are billed with the modifiers that tell the payer how to reduce them.

Common general surgery diagnoses ICD-10-CM

K40.90	Unilateral inguinal hernia, without obstruction or gangrene, not specified as recurrent
K80.20	Calculus of gallbladder without cholecystitis without obstruction
K35.80	Unspecified acute appendicitis
K42.9	Umbilical hernia without obstruction or gangrene
L72.3	Sebaceous cyst
C50.912	Malignant neoplasm of unspecified site of left female breast

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A general surgery visit, start to payment

1
Consult and decide

The consultation documents findings and the decision to operate, which matters because that decision visit can be billed when it is documented.
2
Book the case

The operation is booked at the facility, coverage is checked and any prior authorization is prepared from the note.
3
Operate and document

The operative note records the procedure, findings and any assistant; the AI drafts from dictation for the surgeon to sign.
4
Bill and follow up

The professional claim carries the facility place of service, and post-operative visits inside the global period are tracked, not billed.

How XEHR helps

From the general surgery visit to the payment

Global periods tracked per patientThe record shows when a patient is inside a global period, so related and unrelated visits are billed correctly.
Operative notes that support the claimThe note captures what was done, including assistants and multiple procedures.
Location chosen per caseEach claim carries the facility where the operation took place.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for general surgery

AI medical billing for general surgery practices

XEHR is an agentic EHR: AI agents do the administrative work around every general surgery visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Major operations carry a 90-day global period that includes routine post-operative care; minor procedures carry 0 or 10 days.
The visit where the decision to operate is made can be billed when documented, with the modifier payers require for it.
An unrelated problem treated during the global period is billed separately only when the note shows it is unrelated.
An assistant surgeon is paid only for procedures where payers allow one, and the assistant must be documented.

Around the visit

Agents run on their own

Coverage checked before each general surgery visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a general surgery EHR

Ask every vendor, including us. The answers show whether a system was built for general surgery work or only adapted to it.

Ask us on a demo

Does the system start the right global period from each operation and flag visits inside it?
Can the decision-to-operate visit be documented and billed correctly?
Can cases at several hospitals and surgery centers carry the right place of service?
Are assistant surgeons and multiple procedures billed with the right modifiers?
Can emergency cases be documented after hours and completed the next day?

QUESTIONS

General Surgery practices ask us

Does XEHR track surgical global periods?

Yes. The patient record shows open global periods so follow-up visits are billed correctly.

Can XEHR bill for an assistant surgeon?

Yes. Assistant work documented in the operative note is billed on the claim.

Does XEHR track surgical global periods?

Yes. Each operation starts its global period, and visits inside it are flagged as included unless they are documented as unrelated.

Can XEHR bill cases done at a surgery center?

Yes. The professional claim carries the surgery center’s place of service; the center bills its own claim.

Does XEHR support surgeons who take call?

Yes. Emergency consults and operations are documented and billed from the same record as the clinic.

Can XEHR show which patients are inside a global period?

Yes. The global period is shown on each patient’s chart.

How much does XEHR cost for a general surgery practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a general surgery practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

SUBSPECIALTIES

General Surgery subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for general surgery

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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