Medical Coding
Keeping up with constant changes in coding regulations and reimbursement policies. The healthcare industry is constantly evolving and new codes and regulations are introduced frequently. This can make it difficult for providers to stay current and ensure they are billing correctly
Properly identifying and coding medical procedures and diagnoses. Medical billing codes are specific and must be used correctly to ensure proper reimbursement. Failure to use the correct codes can lead to denied claims or reduced reimbursement
Managing insurance denials and appeals. Insurance companies may deny claims for a variety of reasons, such as lack of documentation or incorrect coding. The appeals process can be time-consuming and requires specialized knowledge to navigate successfully
Ensuring compliance with HIPAA regulations. Health Insurance Portability and Accountability Act (HIPAA) regulations are in place to protect patient privacy and ensure the secure handling of personal health information. Compliance with these regulations is essential to avoid costly penalties
- CPT Codes
- ICD-10 Codes
- Code review and analysis
- Code assignment and documentation improvement
- Customized reporting and analytics