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MEDICAL CODING AUDIT SERVICES

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Medical Coding

MEDICAL CODING AUDIT SERVICES

In healthcare back-office operations, coding errors and claim denials while auditing are very commonplace. These issues not only disrupt the smooth functioning of operations but also significantly impact revenue generation. Standalone medical practitioners, hospitals, clinics, and nursing homes, among others, can attest to the importance of accurate coding in their billing processes.

Our medical coding audit services are a comprehensive solution designed to minimize coding errors and reduce claim denials. We have a team of trained professionals and advanced tools where we meticulously review your coding practices, identify inaccuracies, and offer corrective measures. This not only ensures compliance with regulations but also optimizes the claims process.

The benefits of this customization are numerous. By reducing coding errors and claim denials, healthcare providers can see a marked increase in their revenue. Health insurance companies, medical laboratories, and legal professionals also benefit from our services. Partner with us and transform coding errors into opportunities for revenue growth.

Services

How Do Our Medical Coding Audit Services Transform Healthcare?

Medical Coding Compliance

  • Ensures adherence to regulations and guidelines
  • Reduces risk of penalties and denials
  • Supports accurate and efficient billing
  • Enhances quality of patient care
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Claims Management

  • Minimizes errors in the claims process
  • Maximizes successful reimbursements
  • Streamlines operations and improves productivity
  • Reduces overhead costs
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HCC Coding and Auditing

  • Ensures accurate risk adjustment factor scores
  • Optimizes revenue
  • Supports compliance with healthcare regulations
  • Reduces risk of financial loss
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Clinical Documentation

  • Enhances the quality of patient care
  • Supports accurate billing
  • Reduces risk of denials
  • Ensures compliance with healthcare regulations
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Risk Adjustment

  • Ensures accurate reimbursements
  • Minimizes financial risks
  • Supports compliance with healthcare regulations
  • Enhances revenue cycle management
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Coding Process Efficiency

  • Reduces errors in the coding process
  • Improves productivity and efficiency
  • Enhances revenue generation
  • Supports compliance with healthcare regulations
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Unbiased Reporting

  • Provides a comprehensive view of coding practices
  • Identifies areas for improvement
  • Supports compliance with healthcare regulations
  • Enhances decision making
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Coding Due Diligence

  • Identifies potential issues in coding practices
  • Ensures compliance and efficiency
  • Reduces risk of penalties and denials
  • Supports accurate and efficient billing
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Coding Accuracy & Review

  • Coding Accuracy & Review
  • Ensures correct reimbursement
  • Supports compliance with healthcare regulations
  • Enhances revenue cycle management
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Coding Resolution Services

  • Provides swift solutions to coding issues
  • Keeps operations running smoothly
  • Reduces downtime and delays
  • Enhances productivity and efficiency.
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Denials Management

  • Identifies the root causes of claim denials
  • Implements solutions to reduce future denials
  • Improves revenue collection
  • Enhances the efficiency of the claims process.
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Process Flow for Medical Coding Audit Services

Our streamlined process is designed to empower healthcare institutes and practitioners, enhancing accuracy and efficiency in medical coding while ensuring compliance with regulations.

  • Patient Charts Access: Secured access to patient data is obtained, maintaining the utmost confidentiality and ensuring the accuracy of information for coding. The below-mentioned process flow ensures high-quality output through a consolidated well-maintained structure.
  • Pre-coding Implementation: At this stage, relevant codes associated with insurance companies, doctors, diagnoses, and procedures are entered, setting a strong foundation for the coding process.
  • Application of ICD and CPT Coding : Expert coders apply appropriate ICD and CPT codes, rectifying discrepancies and preventing errors, ensuring greater accuracy.
  • Accuracy Assurance through Quality Check :Multiple checks are conducted to ensure accuracy and prevent up-coding/down-coding, ensuring the coded charts meet the highest quality standards.
  • Coded Charts Submission :Once reviewed for accuracy, the coded charts are prepared and submitted electronically, ready for the claims processing phase
  • Feedback and Improvement : Feedback is collected from clients upon project completion and implemented for continuous improvement, ensuring client satisfaction and better service delivery.
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Comprehensive Services We Provide

In addition to our core offerings, we pride ourselves on delivering a wide range of supplementary services designed to meet your every need. Whether you require personalized consulting, ongoing maintenance, or specialized support, our team is equipped to provide tailored solutions that enhance your experience. We go above and beyond to ensure that all aspects of your requirements are met with the highest level of professionalism and care.

Additional Services We Offer

Revenue Cycle Management

Revenue Cycle Management

We provide comprehensive revenue cycle management services, aimed at optimizing your healthcare organization's financial performance and ensuring a seamless flow from patient registration to final payment.

CPT Coding Service

CPT Coding Service

CPT(Current Procedural Teminology) coding services ensure accurate representation of medical procedures, facilitating appropriate reimbursement and reducing the risk of coding errors.

Denial Management

Denial Management

We offer effective denial management solutions, geared towards analyzing and resolving denied claims, thereby reducing loss and improving your revenue.

Eligibility Verification

Eligibility Verification

The eligibility verification service ensures that patient insurance coverage is verified before services are rendered, minimizing the risk of claim rejections and delays in payment.

Why Choose Us

The benefits of partnering with us