The complex task of securing the charges from the patients for the services rendered is a tough challenge to several hospitals. The HIM department in the hospitals has to undergo a complex process involving multiple skillset to attain the financial and compliance goals. As most hospitals experience inadequate, unskilled and inexperienced resources due to a shortage of competent HIM teams, it shows upon the financial health of the hospitals.
At this backdrop, we support hospitals to accomplish short-term and long term and short term needs like overflow coding, vacation coding, backlog coding and audit services which helps to curtail the cost and increase in rich cash flows. Medical coding plays a vital role in the revenue cycle management impacting the financial status of the facilities and healthcare professionals.
Our coders have an average experience of more than 10 years in coding the different health needs of the patients specialty-wise in outpatient and inpatient setups. All of our coders are CCS/CCS-P/CPC certified, qualified either in life sciences or in medicine. Their immaculate knowledge on human anatomy, disease process and treatment procedures contributes In handling the PCS coding, complex accounts for the facilities and providing the appropriate recommendation to the physicians on documentation improvement.
We have a fair understanding of hospital process and business office requirements. Our coding team is competent in hard coding, soft coding, revenue codes, clinical documentation issues and the physician query process to resolve the issues.
Our coders help to bring down the DNFC/DNFB (Unbilled) and ensure billing for charts under 3 days from the discharges consistently. We’re competent and experienced in coding the patient types presented below:
Expertise in Hospital Coding:
IP DRG coding
Our coders are highly proficient in MS DRG and APR DRG coding in multiple specialties from Small to Large hospital including Acute Care Hospitals, Critical Access Hospitals (CAH), Rural and Community Hospitals.
Our coders adhere to AECP guidelines and have a thorough knowledge of ED process. We provide services to hospital attached and freestanding emergency facilities.
ED charge auditing
Our team focuses on overcharging, undercharging, missing modifiers, missing units and missing of charges which helps to keep a tab on keep revenue leakages.
SDC (Single Day Care)
Our surgery coders are proficient 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 on rehab visits, labs and radiology procedures to assign diagnosis and procedure codes as per the system requirements.
The team has experience in abstracting the information specific to states like OSHPA for the state of California and specifics to facilities as per the specifications of the payers.
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.
Medical Record Services-
- CDS Services (Clinical Documentation Specialist)
- Appeal Letter writing Services (RAC appeal letter)
- Proficiency in Hospital Information Systems (HIS)
Proficiency in Hospital Information Systems (HIS)
- McKesson Products
- 3M HDM
- Magic Meditech
- Optum CAC,