Insurance coding for medical facilities requires knowledge of proper evaluation and management coding, CPT and ICD diagnosis coding for ambulatory surgery center coding, anesthesia coding, surgical coding, emergency medicine coding, radiology coding, pathology coding, and hospital facility coding and so on. Medical Insurance Coding is time consuming but is extremely important to achieve maximum efficiency in medical insurance coding and maximize reimbursement.
In insurance coding you need coders with a thorough understanding of the content of the medical record as well as extensive training in anatomy, physiology, disease processes, and medical terminology. This program will provide the student with the knowledge and understanding to analyze medical records and assign codes to classify diagnoses and procedures while applying the principles of professional and ethical conduct.
Our team of outsourced medical coders is AAPC certified, with background in physical therapy, occupational therapy, nursing and even physicians. Our coders have learned the basic concepts and procedures to perform the tasks involved in health insurance as well as insurance claim forms. They have also gain knowledge of basic coding definitions and how to apply those codes to medical documentation.
In coding there are several functions
Pre-Coding (Done on a required basis)
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The outsourced pre-coders then enter the key-in codes for insurance companies, doctors and modifiers. Pre-coders also add insurance companies, referring doctors, modifiers, diagnosis codes and procedure codes that are not already in the system.
Coding
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The outsourced coding team assigns the Numerical codes for CPT (Current Procedural Terminology) and the Diagnosis Code (ICD) based on the description given by the provider. This is done from charge sheets, super bills, patient notes, transcribed documents and so on.
QA process
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The insurance coders or medical coders after their coding will have the document send for audit and review before they are sent to the billing department. Only after these processes are done the work is handed over to the billing department for processing.
Turnaround time
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Turnaround time can be adjusted according to needs. We can have a turnaround time typically of 24 hours or less. Want it faster? We can get it to you faster.
Pricing for medical or insurance coding
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We generally want to save you at around 30 to 40% of your cost if not more. Our volume-driven per-service pricing model is inexpensive and our team of coders stabilizes cash flow performance. Do you want coding to be part of you medical billing and collections we have pricing models that will be of interest to you. We can customize our work to your requirement. Our pricing is what works for you and for us. We believe in long term relationships and want to earn your business. Contact us for more information.