Documentation discipline
Op notes and CPT coding are completed on every case to a consistent, defensible standard. Nothing informal, nothing left to memory. The record reflects exactly what happened in the room.
Compliance & Transparency
A published, documented compliance and transparency standard — the discipline behind every claim. This is what “every claim holds up under scrutiny” actually means at PSR.
Independent surgical assistants keep their surgeon relationships, keep 80% of every case, and get paid every Friday. PSR runs the entire back office behind them: credentialing, contracting, op notes, coding, billing, collections, compliance, and group malpractice.
The PSR Standard is how that back office runs — the same way, on every case, for every provider. It is written down on purpose. When a surgeon, a facility, or a payer looks at a PSR claim, the documentation, the coding, and the billing are all built to the same defensible standard.
What the Standard Covers
Op notes and CPT coding are completed on every case to a consistent, defensible standard. Nothing informal, nothing left to memory. The record reflects exactly what happened in the room.
We bill commercial payers under a documented, transparent standard. Where a set rate applies, it is fair-market-value-anchored and formula-driven — never arbitrary, never a black box.
A facility pays PSR for a defined service. We never pay for referrals. And profit-sharing flows only to performing providers — tied to the cases the team performs.
Every provider is credentialed and carried on PSR's group malpractice policy at real limits. Coverage that actually responds — for the provider and the facility alike.
The model is built and reviewed with healthcare regulatory counsel. The contracting and payer relationships are structured so the classification and compliance risk sits with PSR.
The standard exists so that every claim, every case, and every payment holds up under anyone's review. That is the point of publishing it.
Whether you're an independent assistant, a team builder, or a hospital partner — the PSR Standard is the same. Let's walk through what it means for your practice or facility.
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