Monday, 18 May 2015

Medical Coding

Medical Coding is the process of assigning standardized codes and it is the uniform language that describes medical, surgical and diagnostic services. This is a communication between the Physicians / hospitals, patients and the third parties.
Medical Coding is one of the most sensitive processes of the Revenue Cycle Management preceding a claim submission. Accurate coding increases higher revenues and decreases the denials from the insurance companies. To prevent these types of errors we have our coders who are expertise in Physician coding and are certified by AAPC.
Our experienced coding teams are specialized in specialties including Radiology, Surgery, Family Practice and HHA OASIS documentation and Coding.

The Coding Process includes the following steps:

  • Access Patient Medical Records through secured network using VPN Connections.
  • Coders review and scrutiny the documents for accuracy and split them into batches for processing.
  • Diagnosis, Procedure codes and modifiers are assigned as per the coding guidelines and per client requirements.
  • Coding is done in accordance with NCCI (National Correct Coding Initiatives) and LCD (Local Coverage Determination).
  • Quality checks are in place prior to the charge Entry Process

Following industry coding standards are used:

  • ICD-9 CM (International Classification of Diseases) for Diagnosis codes
  • CPT-4 (Current Procedural Terminology) for Procedure codes
  • HCPCS (Healthcare Common Procedure Coding System) to code Level II and Level III codes

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