Medical Coding Services

Stop Revenue Leakage with the Best Medical Coding Solutions.

Healthcare providers in the USA require medical coding services. Our expert clinical coders assign diagnosis and procedure codes to facilitate claim creation for submission to the Payers.

Providers receive swift payment, while patients are billed accurately for services rendered and payers accept claims without rejection.

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What do our Coders do?

Our certified medical coders are highly trained in advanced coding techniques to ensure accurate coding. Medical coders then

⦁ Clinical Statement Analysis.

⦁ Notes of Medical Coding.

⦁ Bill Submissions.

⦁ Claim Approval.

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Types of Medical Coding Services We Offer

Facility Coding Service

Facility coding assigns codes to services provided by healthcare facilities to inpatients. Our coders use HCPCS coding knowledge to ensure accuracy and proper reimbursement

Professional Fee

ProFee coding assigns codes to medical services provided by a physician. Our coders ensure accurate billing and fair compensation.

Payer Specific coding Service

Our coders are experts in the coding guidelines of major payers such as UnitedHealth Group, Cigna, and Humana, and have developed payer-specific LCD guidelines for accurate physician coding.

Offshore Coding Service

Offshore coding involves hiring coding professionals from other countries to perform medical coding tasks at a lower cost. We offer offshore coders to healthcare organizations while guaranteeing HIPAA compliance.

General Practitioner Visits Coding Service

We offer expert physician coders to handle the process of coding for General Practitioner Visits. This ensures accurate reimbursements and claim approvals for practitioners, benefiting their practice.

Outpatient Coding Service

Outpatient coding is the medical coding process for non-hospitalized patients. Our coders follow guidelines for E/M visit codes, accurately using ICD-10-CM and HCPCS codes for better cash flow.

HCC Coding Service

HCC coding is a specialized field with over 10,000 diagnosis codes linked to a risk-adjustment model. Our experts ensure RAF scores for commercial and Medicare Advantage risk adjustment.

Inpatient Coding Service

We provide inpatient coding services with certified coders, experienced in ICD-10-CM and ICD-10-PCS coding. They also have experience with MS-DRGs and IPPS to optimize providers’ revenue cycle.

Our Coding Audit & Education Service

Finding and fixing coding mistakes is essential to guaranteeing correct payment, reducing the number of claims rejected, and optimising reimbursement. Our staff is skilled in identifying flaws and fixing them quickly to ensure maximum revenue generation. By utilising our expertise and taking advice from our professionals, your company may enhance its coding procedures. Better financial outcomes and higher income are the benefits of this advancement.

To guarantee correct payment, minimise claim denials, and optimise reimbursement, find and fix coding errors—trends inefficiencies found and reported.

Determine compliance gaps, address problems, evaluate risks at the provider and facility levels, and adhere to rules and norms regarding coding. We have team members that are committed to alerting us about developments in industry compliance.

Examine provider documentation, code compliance, and coding methods in detail to produce insights and suggestions that may be put into practice for increased accuracy and efficiency.

Get ongoing assistance and establish a connection with other programmers to foster development and cooperation.

Our Coding Education Service and Audit Service can be combined. Your teams will be able to grow and learn from this. Additionally, this will forge a solid future revenue growth path. (The Coding Education Service is offered separately as well.)

Mitigate potential risks by addressing inaccuracies, ensuring compliance, and safeguarding your organization’s reputation and financial well-being.

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Build a Data-Driven Healthcare Organization

Data Analysis

  • Establish a connection with healthcare data sources, such as claims data or electronic health record (EHR) systems, and get pertinent data for auditing needs.
  • Users are able to examine the data and spot trends, patterns, and unusualities pertaining to medical coding.

Visual Presentation

  • Interactive tools and visual displays to efficiently view the audit findings.
  • Make dashboards and reports that show important metrics, compliance status, coding accuracy rates, and other pertinent data. may consist of graphs, tables, charts, etc.

Monitoring & Tracking

  • Over time, keep an eye on and track compliance and correctness of coding.
  • To guarantee that the most recent data is available for analysis, set up data refresh schedules.
  • Technology allows auditors to keep an eye on code patterns, see trends, and respond quickly to address issues.

Collaboration & Reporting

  • Interactive tools and visual displays to efficiently view the audit findings.
  • They can be shared by auditors and providers with departments or persons inside the company that are relevant. This encourages openness and makes communication easier while optimising the code.

Choose The Best Medical Coding Company for Accurate and Up-to-date Codes

There are several reasons why you should choose Claim x Care as your medical coding provider:

⦁ Staying Compliant

⦁ Complete Auditing

⦁ Specialty Specific

⦁ Denial Assistance

⦁ Backlog and DNFB

⦁ Staffing Requirements.

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Inspect, Detect & Improve

With our Coding and Audit Services, you can strengthen the financial processes of your healthcare organization and ensure continued financial stability.

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What May Be Found During a Medical Coding Audit?

The following are some benefits for healthcare organizations that hire an outside, specialized business like Claim x Care to conduct a healthcare coding and certification audit.

  • ID Coding Errors
  • Training Staff Needs
  • Efficiency of the Coding Process
  • Compliance Issues
  • Reimbursement Opportunities
  • Documentation Shortcomings
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Speak to A Specialist

Do you need further information or would you want customized quotations for your healthcare organization? Get in touch with us to arrange a time for a free consultation that comes with no obligations.

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What's Our Client Says

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Mike David
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The most diligent and competent billing business is Claim X Care. Claim X Care verifies the accuracy of their billing. They have excellent expertise of physician billing.
John Doe
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Claim x Care has been a huge assistance with our excellent A/R. They are constantly so eager to assist and do the work quickly..
Jack
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For accrediting our practice, I went with Claim x Care. The crew helped us along the way and was courteous, understanding, and quick to respond.
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Frequently Asked Questions (FAQ’s)

What is revenue cycle management (RCM) in healthcare?

The process of overseeing the financial facets of patient care, from scheduling and registration to claim filing and payment collection, is known as revenue cycle management in the healthcare industry. It entails duties like coding, billing, accounts receivable administration, and confirming insurance eligibility.

Revenue cycle management is offered by Claim x Care as a whole service or in segments that may be chosen as a la carte offerings. In all we do, we tailor our solutions to the particular healthcare provider and practice management style, making our service to you exceptional.

How can RCM services benefit my healthcare organization?

Your healthcare company may gain from revenue cycle management services by increasing cash flow, decreasing claim denials, increasing revenue collection, and simplifying administrative duties. Revenue cycle management services may improve practice management, boost efficiency, improve financial performance, and free up staff members to concentrate on patient care by using knowledge, technology, and best practices.

According to our observations, when revenue cycle management is done well, it will also result in a better patient experience, which will raise the number of favourable reviews and eventually lead to patient expansion.

What types of healthcare providers can benefit from RCM services?

Numerous healthcare organizations, such as hospitals, doctor offices, clinics, ambulatory surgical centres, and medical billing firms, might benefit from revenue cycle management systems. Any organization that handles medical billing and revenue collection, regardless of size or specialism, may gain from more efficient revenue cycle management procedures.

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