Medical Coding

What We Offer

Medical Coding Services

Our coding specialists will make sure that all supporting materials, coding, and claim submissions adhere to insurance regulations.

 

We guarantee quality, compliance, accuracy, fewer claim denials, and maximum reimbursement with our medical coding services. To make sure that information about the patient’s evaluation, treatment, or monitoring is recorded during examinations, charts are reviewed. For both providers and facilities, we have experience managing both inpatient and outpatient coding.

 

We will streamline all of your submissions, reduce TAT, and lower the cost of administrative tasks once you outsource medical coding services to us. Payer and federal insurance guidelines are followed by our medical coding consultants.

ELIGIBILITY AND BENEFITS VERIFICATION

Checking on the patient’s benefits

Find out what the patient needs to do for the upcoming visit.

Setting Expectations Correctly With Admissible Reimbursements

One of the most crucial steps is determining the benefits and coverage to which a patient is entitled for specific medical procedures.

You gain a better understanding of the permitted reimbursements that must be obtained from the patient or the insurance companies. Setting realistic expectations for your patient is crucial in a situation where many patients have high deductibles.

You can determine whether the services you offer are covered by your patient’s insurance plan by checking the benefits. As a result, your patient’s insurance is probably going to cover fewer medical services if they have a low premium plan.

  • Supplying eligibility and benefits information long before the practice even meets the patients.
  • Helping practices on the scheduled day and quickly adding patients.
  • Enabling practices to conduct real-time eligibility checks directly from the PM/EMR system.
  • Providing accurate benefits to ensure that claims are paid out right away.

PRE-AUTHORIZATION

Credentialing Services

To prevent last-minute bumps in the road, gain insurance company approval in advance.

Pre-authorization enables the practice to prevent insurance denials for expensive procedures. The absence of pre-authorization almost certainly prevents the claims from being paid. By providing the required documentation and securing the pre-authorization two days beforehand, we assist you in taking on the burden of pre-authorizations. Our reliable and open system enables the practice to monitor the progress of all pre-authorizations that we have started on a daily basis.

Your back office is coordinated and handled by us.

By calling and uploading the necessary documentation to the insurance portals, our experts can start the authorization process in a variety of ways. As a result, the practice’s cash flow is improved through timely preauthorization of all procedures. We notify the practices well in advance of the patient’s scheduled procedure if the authorization needs peer review. This assists in preventing authorization denials.

Our team has all the necessary tools and obtains the information needed to submit authorization requests by using online insurance portals. Our knowledge of working with insurance providers allows us to complete the task more quickly and effectively.

CREDENTIALING

Credentialing Services

To prevent last-minute bumps in the road, gain insurance company approval in advance.

Pre-authorization enables the practice to prevent insurance denials for expensive procedures. The absence of pre-authorization almost certainly prevents the claims from being paid. By providing the required documentation and securing the pre-authorization two days beforehand, we assist you in taking on the burden of pre-authorizations. Our reliable and open system enables the practice to monitor the progress of all pre-authorizations that we have started on a daily basis.

We Assist You in Simplifying the Credentialing Process

When it comes to healthcare credentialing services, there are many factors to consider. Everything will be taken care of by us. You do not need to visit several vendors to get this.

The requirements for the services that we can without a doubt provide for you are listed below.

⦁ Changing a provider’s status.
⦁ Research into the status of contracts.
⦁ Payer applications for insurance.
⦁ Medicaid re-enrollments and Medicare revalidations.
⦁ Re-appointments and hospital privileges.
⦁ Updates to the bank’s address.
⦁ Maintenance of credentials in healthcare.

COMPLIANCE AUDITS

Comprehensive Audit Services for Compliance

We intend to provide you with services that enable you to devote more time to patient care. We will reduce denials, ensure regulatory compliance, and increase revenue while you focus on that. All of this would be completed in accordance with payer and government regulations.
Our chart audits include a comprehensive analysis of historical charts, relevant documentation, and reimbursement trends. We identify patterns and tendencies via coding techniques. Following this is a comprehensive report of the findings. We also provide recommendations and cross-references for the best industry and specialty practices.

Process for Code Compliance

We offer workable solutions for auditing medical claims by combining verified audit procedures, knowledgeable personnel, and the most reliable analytics technology.

  • Analyze historical and present-day claims in great detail.
  • Ensures that claims are submitted in accordance with payer-specific requirements as well as local and national coverage determinations (LCD).
  • Determine whether modifier usage follows proper coding practices.
  • Verify the relational coding’s accuracy.
  • Deliver a practice’s coding compliance report card and any necessary training.

Medical Coding Training & Education

Favorable Job Prospects

The demand for medical coders is at a historic high. Fueled by the healthcare needs of an aging population, the U.S. Bureau of Labor Statistics projects job opportunities for professional coders to grow 7% in the next decade.

Medical Coding Training & Education

AAPC medical coding training courses will teach you the fundamentals of medical coding, prepare you for certification, and help you establish yourself in the industry. AAPC certification programs include many coding subspecialties — all of which are rated #1 among medical coding schools. And the best part is, you can launch your career as a certified professional coder in just 6 months!

Why Choose a Career as a Medical Coding Specialist?

ABesides a competitive salary that towers over the investment to become a coding specialist, the profession ranks high for employment and career advancement opportunities, as well as work-life balance and the potential to work from home.

Medical Coding Salary

AAThe average annual salary for a medical coder is $58,055— above the median salary of all U.S. occupations. Your earning potential rises to $64,712 when you add another certification demonstrating broader coding expertise.

Work from Home

A growing number of healthcare organizations outsource their coding and billing, giving certified professionals the opportunity to work remotely. According to AAPC’s 2022 Medical Coding Salary Survey, 51% of respondents work from the convenience and comfort of home.

Which Medical Coding Training Course Is Right for You?

AAAPC offers the full spectrum of certification training courses, all of which boast pass rates unmatched by other medical coding schools.

Certified Professional Coder (CPC) - Save up to 55% through Sep 30th

For good reason the CPC Preparation Course is AAPC’s most popular medical coding training program. This course provides an education in physician-based coding, which is used in the majority of healthcare environments—medical offices, walk-in clinics, telehealth groups, labs. Students of the CPC Preparation Course will learn the proper use of CPT®, HCPCS Level II, and ICD-10-CM codes as they apply to these healthcare settings. Additionally, CPC training lays the foundation for advanced types of medical coding.