Medical Coding & Audit Services
Improve Coding Accuracy and recover lost revenue by identifying un-billed procedures.
Medical Coding and Audit Services
Medical Coding and Audit Services
Inpatient and Outpatient Coding Excellence.
Medical coding is more than just assigning codes; it’s about ensuring accuracy and compliance in the healthcare billing process. Medical Billing Wholesalers stand at the forefront of this crucial task, employing a team of certified professionals skilled in transforming complex medical information into standardized codes. Accurate Medical Coding can reduce Claim Denials.
What Sets Us Apart:
- Certified Expertise: Our team, boasting AAPC and AHIMA certifications, is adept in ICD-10-CM, CPT, HCPCS, and ICD-10-PCS coding, ensuring adherence to the latest coding guidelines.
- Customized Coding Solutions: From chart audits and code reviews to HCC coding and payer-specific requirements, we tailor our services to meet the unique needs of each client.
- Stringent Quality Assurance: Every coding task undergoes thorough audits by knowledgeable auditors, ensuring unparalleled accuracy and reducing the risk of compliance issues.
Coding Training Process
Our coding training process includes rigorous initial training, customized modules, ongoing refreshers, practical experience with feedback, and support for certification and specialization. This approach ensures coders are prepared and continuously adapt to the dynamic medical coding field.
Medical Coding Audit Services
Maximizing Revenue, Minimizing Errors:
Our focus extends beyond coding to encompass comprehensive audit services. We help healthcare providers identify and correct coding discrepancies, thereby improving their revenue cycle efficiency and reducing claim denials. Medical Coding errors can be costly and result in claim denials, besides creating unwarranted compliance issues, which could be even more expensive.
We help hospitals, health systems, and physician practices in enhancing coding accuracy and improving regulatory compliance. Our comprehensive reviews and charge capture audits are designed to identify and rectify coding discrepancies.
Optimize Revenue Opportunities: We ensure that every service provided is accurately billed, maximizing revenue through meticulous auditing. Our medical coding audit services play a crucial role in preventing financial discrepancies and optimizing billing processes.
Retrospective and Prospective Audits:
Prospective Audits: Our prospective audits are proactive, conducted before billing to identify and correct potential errors. This preemptive approach ensures accuracy from the onset, reducing the likelihood of compliance issues and claim denials.
Retrospective Audits: Our retrospective audits delve into past billing, focusing on identifying and correcting past inaccuracies. This approach not only recovers any inappropriate payments but also provides valuable insights for refining future coding practices.
Staff Education and Operational Improvement:
Improve Staff Education and Training: We believe in empowering your staff with education in best practice billing processes. This includes training in both front-end and back-end operations, thereby improving overall billing integrity.
Uncover Trends and Identify Opportunities: By leveraging our expertise, your organization can achieve its data-quality and financial goals. We help evaluate processes and staff performance, uncovering trends that reveal opportunities for further improvement.
Coding Denial Management Services
Navigating the Complexities of Coding Denials with Expertise
In the challenging landscape of healthcare billing, coding denials can significantly impact revenue. Our dedicated Coding Denial Management Services are designed to effectively address and prevent these issues.
- Denial Analysis: Identifying root causes of denials for targeted resolution strategies.
- Efficient Re-coding and Appeals: Swiftly and accurately addressing denied claims for rightful reimbursement.
- Preventive Strategies: Proactive measures to reduce future denials, refining coding processes, and enhancing education.
- Regular Monitoring and Reporting: Tracking denial trends and providing insightful reports for informed decision-making.
Ready to take your business to the next level?
Get in touch today and receive a complimentary consultation.
Our users are Happy & Healthy
“I want to take a moment to thank Medical Billing Wholesalers for their extra hard work and commitment in reducing our Missing Slip inventory. The combined efforts of Offshore and our TVH Team had our Missing Slip Inventory down from 22K to 13K.”
Florida based Healthcare Centre
“I want to take a moment to thank Medical Billing Wholesalers for their extra hard work and commitment in reducing our Missing Slip inventory. The combined efforts of Offshore and our TVH Team had our Missing Slip Inventory down from 22K to 13K.”
Florida based Healthcare Centre
“I want to take a moment to thank Medical Billing Wholesalers for their extra hard work and commitment in reducing our Missing Slip inventory. The combined efforts of Offshore and our TVH Team had our Missing Slip Inventory down from 22K to 13K.”
Florida based Healthcare Centre
Healthcare partnerships
Effectively Combat Clinical Denials and Shift Focus to Denial Prevention
Benefits of Our Medical Coding and Audit Services
Reduce Costs by Over 40%
Leverage our global delivery model for over 40% savings in operational expenses by optimizing medical coding and billing processes, leading to efficient resource use and minimized financial waste
Improve Quality and Accuracy Through Guaranteed SLAs
Enhance the quality and accuracy of coding with guaranteed Service Level Agreements (SLAs). This ensures adherence to high standards and provides assurance of timely, precise, and reliable coding services.
Decrease in DNFB | Arrest Revenue Leakage
Minimize ‘Discharged Not Final Billed’ (DNFB) cases, enhancing revenue flow through efficient and timely billing practices.
Access to a Certified Labor Pool
Benefit from a pool of certified professionals, skilled in the latest medical coding and audit practices, ensuring high-quality service delivery.
Reduce AR Backlogs
Significantly reduce accounts receivable (AR) backlogs with an enhanced first-pass rate, leading to quicker claims processing and reduced delays.
Improve Clinical Documentation
Enhance the quality of clinical documentation at both provider and facility levels, resulting in more accurate and comprehensive medical records.
Improve Responsiveness and Timely Filing of Claims
Leverage our global delivery model to boost responsiveness and ensure timely filing of claims, reducing the risk of late or denied claims.
Consistent and Reliable Reporting of Clinical Data
Ensure consistent and reliable reporting of clinical data, enhancing data integrity and providing valuable insights for healthcare decision-making.
Ensure ICD-10 Compliance
Guarantee adherence to the latest ICD-10 medical coding standards, ensuring accuracy and compliance in medical billing and coding processes.
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