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River City Surgical, PLLC

Independent Surgical Assistant — Orthopedic and Spine Specialist

Billing & Compliance

Billing Structure

River City Surgical, PLLC operates as an independent provider. Claims for covered assistant-at-surgery services are billed directly to commercial insurance, liability, and workers’ compensation carriers.

Government Payer Guidance

Assistant‑at‑surgery services have federal billing rules. Medicare/Medicaid/TRICARE may impose statutory limits on which provider types may be reimbursed or billed. Patients are not billed for government‑restricted assistant‑at‑surgery services.

Self-Pay Considerations

Self-pay arrangements may be available for services that are not covered by insurance and are not restricted under federal or state payer regulations. Self-pay services are considered on a case-by-case basis and must be arranged in advance of services being rendered and approved by the facility when applicable.

Documentation & Compliance

HIPAA‑compliant; operative documentation aligned with facility and payer standards; correct coding/modifiers applied as applicable.