Visit-ready
Keep authorization and coverage aligned before the appointment is booked.
Separate cosmetic from reconstructive billing, manage multi-procedure modifiers, and secure prior authorizations. See why plastic surgery practices choose Unlimited Systems for practice management and RCM software.
Plastic and reconstructive surgery practices must navigate a fundamental billing divide between cosmetic procedures paid entirely by the patient and reconstructive procedures that require extensive medical necessity documentation for insurance reimbursement. Multiple-procedure payment reductions, split self-pay/insurance billing for combined cases, and prior authorization for reconstructive work demand a level of coordination that generic surgical billing software lacks.
It is common for a patient to undergo a combined surgical session that includes both a medically necessary reconstructive component, such as breast reconstruction following mastectomy, and an elective cosmetic component, such as contralateral symmetry revision, within the same operative session. Each component must be separately documented, coded, and billed to the appropriate party, while multiple-procedure modifier reductions must be applied correctly across the insurance-billed codes without inadvertently reducing the cosmetic self-pay charges.


Trusted Payer & EHR Integration Partners
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Our connected workflows are built to make you and your work easier to do and increase your revenue.
Keep authorization and coverage aligned before the appointment is booked.
Validate plastic surgery codes, modifiers, and documentation before submission.
Give teams one view of denials, margin, and A/R priorities.
Routine plastic surgery work clears itself. Your team sees only what needs their judgment.
Specialty practices describe, in their own words, what changed after moving to Unlimited Systems.

“As I look back at the transition, the support and the collaboration with the folks at Unlimited really helped make us feel at ease. We had a partner that really wanted us to be successful.”
- CEO
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Adjust both inputs to match your practice.
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Every plastic surgery capability, grouped around the way your practice works.
Register, schedule and clear patients before the visit.
Turn documented care into clean claims and work denials.
Post payments, collect patient balances and work open AR.
Measure performance, report it and manage quality programs.
Automation, workflow, integration and the platform underneath.
Each module is configured for the codes, modifiers, and payer rules plastic surgery teams work with, not adapted from generic billing software.
These are the places plastic surgery practices most often lose revenue when their billing platform wasn’t built for the work. Unlimited Systems closes each one with rules configured for your specialty.
Review your workflowCommon plastic surgery revenue leaks
The work that generic platforms leave to your staff is the work plastic surgery margin actually turns on.

See why plastic surgery practices move off general-purpose billing platforms.
You don't have to be actively replacing your current system to have a useful conversation with Unlimited Systems. Many specialty practices talk with us months before a contract renewal, system evaluation, or operational change so they can understand where revenue leakage, denial risk, prior authorization delays, and reporting gaps may already be showing up.
You don't have to wait until your contract is up to start evaluating your options. The best time to assess your revenue cycle technology is before renewal pressure begins. Unlimited Systems can help you understand where your current workflows may be creating avoidable denials, manual work, charge capture gaps, or reporting limitations, so you're better prepared for renewal, replacement, or future planning.
That concern is valid, specialty practice operations are too important to disrupt. A conversation with Unlimited Systems doesn't mean an immediate rip-and-replace. We help teams evaluate workflows, identify gaps, and build a realistic path forward based on specialty, volume, payer mix, locations, integrations, and internal readiness.
Most specialty teams are already stretched thin. That's why the evaluation should focus on where the largest operational burden exists today, prior authorization, denials, charge capture, reporting, manual reconciliation, or payer-specific follow-up. The goal isn't to add work. It's to understand where better systems can remove it.
“Good enough” can still hide revenue leakage. Many practices aren't losing revenue because claims aren't being submitted, they're losing it through preventable denials, underpayments, missed modifiers, incomplete documentation, delayed authorizations, manual workarounds, and limited visibility into payer performance.
Unlimited Systems isn't designed to replace the expertise of your billing team. It's designed to give them better tools, cleaner workflows, better visibility, and fewer manual workarounds. Strong teams still need technology that helps them prioritize the right work, catch issues earlier, and reduce preventable rework.
Cash flow continuity is one of the biggest reasons to evaluate carefully and early. Unlimited Systems can help practices understand potential risk areas before a transition plan is ever built, including claim flow, authorizations, charge capture, payer rules, reporting, and operational dependencies.
Change management matters. The right platform should simplify daily work, not create unnecessary complexity. Unlimited Systems focuses on specialty workflows that align with how teams already manage authorizations, charges, denials, documentation, and financial follow-up.
Reporting is often the first visible symptom of a deeper workflow issue. If leadership can't clearly see denial trends, underpayments, authorization delays, payer behavior, or staff workload, it's harder to know what to fix. Unlimited Systems combines workflow tools with Power BI analytics to help leaders see where performance is improving and where revenue is still at risk.
That's a smart approach. A conversation with Unlimited Systems can help identify the financial case before a buying decision. Common areas to evaluate include denial reduction, staff efficiency, underpayment detection, charge capture improvement, prior authorization turnaround, and reduced manual reconciliation.
Specialty practices often depend on EHRs, clearinghouses, payment tools, drug workflows, and reporting systems. Unlimited Systems is designed to act as a connected financial workflow layer that helps reduce fragmentation, not add more disconnected work.
That caution is healthy. Automation should make decisions easier to see, not harder. Unlimited Systems is designed to surface why a claim is flagged, which payer rule applies, and where a human should step in, so your team stays in control while routine work is handled for them.
You don't need to be ready to buy to have a useful conversation. Many practices start by comparing their current workflows against what specialty-specific revenue cycle technology can support. That gives leadership a clearer view of what to fix now, what to plan for, and what questions to ask before the next renewal.
Specialty rules and connected data keep your team focused on the exceptions that need judgment.
Coverage and authorization stay tied to the order.
Code, unit, and modifier checks happen before filing.
Denials and A/R are ranked by value and filing risk.
The same connected system handles the operational work that sits either side of billing.
Digital intake, eligibility, and demographic capture before the visit.
Explore Patient IntakeSmart calendars and resource scheduling across providers and locations.
Explore Patient SchedulingAutomated eligibility checks and prior authorization management.
Explore Financial ClearancePre-claim scrubbing for coding, modifiers, and compliance accuracy.
Explore Charge ValidationEight stages, one record. Nothing is rekeyed between systems, so a detail captured at the front desk is still there when the claim goes out, and when the remittance comes back.
Walk the workflow with usPart of Dermatology
At intake, each planned procedure is classified based on documented medical necessity criteria - such as post-mastectomy reconstruction, congenital deformity correction, or post-traumatic repair for reconstructive procedures versus purely aesthetic enhancement for cosmetic procedures - and this classification determines whether the charge is routed to insurance or the patient self-pay ledger.
Our system splits the operative charges by procedure, generating an insurance claim for the reconstructive components with appropriate medical necessity documentation while simultaneously generating a separate self-pay invoice for the cosmetic components, ensuring neither billing stream affects the other's pricing or modifier logic.
Our charge scrubber applies modifier -51 (or payer-specific equivalents) and the associated payment reductions only across the insurance-billed reconstructive procedure codes, ranking them by relative value and applying standard reduction percentages to secondary and tertiary procedures, while cosmetic self-pay codes remain unaffected by these reductions.
We compile documentation including the mastectomy operative report, oncology treatment timeline, reconstruction technique selected (implant-based, autologous flap, etc.), and any prior authorization criteria specific to the payer, ensuring the request demonstrates the reconstruction is a covered post-mastectomy benefit under the Women's Health and Cancer Rights Act.
Panniculectomy (CPT 15830) performed for documented medical reasons such as chronic intertrigo, rashes, or functional impairment is billed to insurance with supporting photographic and clinical documentation, while any concurrent abdominoplasty muscle repair performed for cosmetic enhancement is billed separately to the patient as a non-covered cosmetic addition.
Yes. Scar revisions performed to correct functional impairment (such as contracture limiting range of motion) following trauma or prior surgery are billed to insurance with functional limitation documentation, while purely cosmetic scar improvement is billed as a self-pay procedure, and our system maintains separate documentation trails for each.
Multi-stage reconstructive procedures (such as tissue expander placement followed by implant exchange) are tracked across the global period, with our system applying the correct staged procedure modifier (-58) for planned subsequent procedures performed during the global period of the initial surgery.
Yes. When a complication from a cosmetic procedure (such as infection requiring surgical drainage or capsular contracture requiring revision) becomes medically necessary to treat, our system documents the complication separately and bills the corrective treatment to insurance under the appropriate complication diagnosis codes, distinct from the original cosmetic procedure.
New to revenue cycle terminology? Browse our healthcare RCM & billing glossary.
Practices like yours, on what changed after moving to Unlimited Financials.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
The system continues to grow with features as it should, with how healthcare changes. So, if you are looking for a company that is innovative and truly cares, I would recommend Unlimited Financials.
Unlimited Financials has been the easiest and best practice management system I have used. It is easy to navigate and do what I need to do.
We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.
Unlimited Financials has allowed us to extend our workforce in some areas due to the workflow efficiencies and given a better patient experience.
Knowledge of the patient's coverage has been a game changer. The ability to verify benefits before the patient comes in has saved us on time and denials, so there is no delay in treatment.
Using Unlimited Systems has allowed us to get a much better handle on our AR and claim management.
That's putting it nicely based on what we hear every day.
A support line that never picks up. An overseas call center that's never heard of your account. Errors nobody catches until the denial shows up. We're Midwest-based, not offshore, and the team that answers already knows your account. Practices that switch tend to wish they'd done it sooner.

“I would recommend Unlimited Financials to other specialty practices.”
Michelle LeandriCEO, NEPA
“We transitioned to Unlimited Financials in 2024... the team and platform are absolutely amazing.”
GinaAdministrator, FOUR
“We have been on Unlimited Financials for over three years and love it. Our claims are being processed faster and more efficiently, which means we are receiving payment more quickly.”
Renee BernacchiAccounts Receivable Coordinator, COAS
Connect with a specialized Plastic Surgery RCM expert for a personal workflow walkthrough, and see where your current setup is creating avoidable revenue risk.