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Hospital Institution Coding

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Hospital/Institutional coding

Most of the Hospitals are facing financial challenges in collecting the charges for the services provided to the patients. As we all know HIM department have to must go through a complex process which involves multiple skills and continues to follow up and efforts to achieve the financial and compliance goals. Many of the hospitals leaving the money on the payer’s table due to shortage of inadequate and inexperienced and unskilled resources with the HIM teams. Mhites helping hospitals in catering long term and short term needs like overflow coding, vacation coding, backlog coding and audit services helps in saving cost and increase in rich cash flow. Medical coding plays a vital role in the revenue cycle management which directly influences the financial status of the facilities and physicians. Mhites coders have over more than 10 years of experience in coding different patient types and specialties in outpatient and inpatient setups. Our coders are CCS/CCS-P/CPC certified. Many of our coders are from medical or life science background, their knowledge on human anatomy, disease process and their treatment procedures provide (s) a great deal of contribution to in handling the PCS coding and complex accounts for the facilities and providing the recommendations to the physicians on documentation improvement. Mhites team has a fair understanding of hospital process and business office requirements. Our coding team has a fair understanding of along with the following capabilities of hard coding, soft coding and revenue codes and clinical documentation issues and the physician query process to resolve the issues.

Our strong team of coders will help you in bringing down the DNFC/DNFB (unbilled) and ensure billing for charts under 3 days from the discharges consistently. We’re extremely experienced in coding the below patient types.

Our Hospital coding Expertise

IP DRG coding-
Our inpatient coders are highly proficient in MS DRG and APR DRG coding for multiple specialties for small to big hospitals including Acute Care Hospitals, Critical Access Hospitals (CAH), Rural Hospitals and Community Hospitals.

ED coding-
Our ED coders strictly follow ACEP guidelines and have a very good understanding of the ED process. We provide services to hospital attached and freestanding emergency facilities.

ED charge auditing
Our ED team focuses on overcharging, undercharging, missing modifiers, missing of units and missing charges which helps keep revenue leakages in check.

SDC (Single Day Care)
Our surgery coders are highly knowledgeable in surgical procedures of multiple specialties and assign accurate procedure codes, appropriate modifiers and fixing medical necessity edits.

Ancillary visits coding
The ancillary coders have a very good understanding of Rehab visits, labs and radiology procedures to assign diagnosis and procedure codes as per the system requirements.

Abstraction Services
The team has experience in abstracting the information specific to states like OSHPD for the state of California and specifics to facilities and as per the specifications of the payers.

Charge entry
In addition to coding, the team enters charges into the billing system and check for the bundling procedures, modifier assignment, medical necessity, assigns correct units as applicable.

Payment Posting
Our payment posting executives are always on-time and accurate when it comes to providing the reports on the collections and receivables which gives time to time financial visibility of practices and facilities.

Our expertise in Hospital information systems

  • EPIC
  • Cerner
  • McKesson Products
  • Siemens
  • CPSI
  • 3M HDM
  • Magic Meditech
  • Sorian
  • Optum CAC
  • eClinicalWorks
  • 3M
  • HPF
  • MPF