Abstract
Background: Reimbursement for general surgery has been steadily falling over the past decade. At the same time the business of billing and collecting for the care a general surgeon provides has become very complex, especially in an academic practice where many of the newest procedures are offered in advance of the existence of standard billing codes and reimbursement amounts. To maintain profit margins, academic surgeons must simultaneously increase the volume and decrease operating expenses, all in the face of the requirement of establishing efficient business practices.
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