What is medical coding?
Medical coding is the process of transforming the descriptions of diseases, injuries, and health care procedures taken from health care providers into universal medical alphanumeric codes. The codes accurately describe the diagnosis and the procedures performed on the patient. The coding is done from the transcription of physician's notes, laboratory and radiologic results, or other medical record documentation.
Our medical billing and coding services ensure correct coding, clean claims submission and quick reimbursement of claims.
Why is coding important?
Medical coding is a significant component of revenue cycle management. When carried out efficiently and accurately, it helps ensure healthcare professionals are correctly reimbursed for their services. Accurate medical coding creates an accurate record of patient care history.
The team at Medical Coding Outsourcing understands how critical it is to code correctly. Our medical coding outsourcing services ensure error-free coding.
What are the different categories of medical codes?
There are three sets of codes used regularly. They are
- International Classification of Diseases or ICD. The current version is ICD-10. When CM is added, it means "Clinical Modification." CM is a set of revisions put in place by the National Center for Health Statistics. ICD represents a doctor's diagnosis and the patient's condition.
- Current Procedure Terminology, or CPT, codes, are used to document the major¬ity of the medical procedures performed in a physician's office. CPT Modifiers present more details of the procedures.
- Healthcare Common Procedure Coding System (HCPCS) is a set of codes based on CPT codes. HCPCS codes primarily correspond to services, procedures, and equipment not covered by CPT codes. This includes durable medical equipment, prosthetics, ambulance rides, and certain drugs and medicines. HCPCS is also the official code set for outpatient hospital care, chemotherapy drugs, Medicaid, and Medicare, among other services.
Apart from the above, there is HCC Coding. Hierarchical condition category (HCC) coding is a risk-adjustment model developed to assess patients' future health care costs. The HCC model is becoming prevalent as the environment shifts to value-based payment models.
The importance of Hierarchical condition category coding is that it helps convey patient complexity and give a holistic picture of the patient. Besides helping predict health care resource utilization, risk adjustment factor (RAF) scores are used to risk adjust quality and cost metrics.
Our certified coders' team is experts in ICD, CPT and HCPCS coding services and HCC coding services.
In the medical insurance billing and coding environment, Medical Coders shoulder the following responsibilities
- Review the medical reports
- Be up to date on any changes to the code sets used to report services and diagnosis
- Note the services rendered to the patient and select the proper CPT code
- Note the associated diagnoses for which services were rendered and select the proper ICD-10-CM diagnosis code
- Indicate these codes on the superbill or in the billing software directly
- Be up to date on any new advances in medical procedures or newly discovered diagnosis in the industry
What are the coding services offered by Medical Coding Outsourcing company?
Medical Coding Outsourcing, a medical coding services company in the U.S., offers dependable medical coding services for clinics, physician groups, surgical centers, general practitioners and hospitals. Do you want us to check your current coding? We will do that and ensure that missed charges are coded and billed for, thereby increasing your revenues.
We are aware that one of the chief reasons for claims denial is errors in coding. We are, therefore, cautious while carrying out coding and ensure that coding is accurate. Our team takes care to see that there is no upcoding, which can result in compliance issues. We have regular internal audits to check on this process, which is part of our clinical coding services.
Our experienced coders are well versed in various EHR and coding software. They are continuously trained to be aware of the changes in the industry and payor coding requirements, whether Federal, State, or commercial. Our team knows the way around specialties being specialty-specific coders and they ensure you get the full reimbursement for your services through correct coding. Rest assured that our insurance billing and coding services will always be there for you.
Our certified team of coders is proficient in providing the following medical coding services :
- CPT-4 and HCPCS coding and ICD-10-CM medical coding
- Chart Audits and Code Reviews
- HCC medical coding
- Hospital Coding
- Onshore and Offshore medical coding audits
- Payer specific coding requirements
Our medical coding workflow involves:
- Accessing of all related medical records through a secure File Transfer Protocol
- Analyzing and assigning diagnosis and procedure codes to each report
- Systematic auditing of coded files
- Delivering back to clients in customized reports or details are sent to the billing system as part of the revenue cycle
Medical Coding Outsourcing company specializes in providing high-quality remote physician coding services and coding audit services. As a leading medical coding company, we provide our services to various healthcare facilities, which are cost-effective, thus drastically reducing your operating and administrative expenses.
We provide short term and long term medical coding services based on your requirements. We can handle a high volume of work efficiently as we have the resources to scale up.
Are you ready to partner with us? Allow us to solve your issues and do the outsourced coding for you.
