Medical coding is the focal point of claim charges being generated and reimbursed accurately. Healthcare providers and hospitals always look out for full value reimbursement for valid/qualified services and hence the need for billing the correct Diagnosis (ICD-9) and Procedure Codes (CPT-4). With the tremendous growth rate experienced by the Healthcare Industry coupled with increasing complexities, finding skilled and cost effective labor in this sector is a challenging task. SSS can help you get rid of the hassles of recruiting and training coding staff and ensure improved accuracy and total compliance with government regulations.
SSS ADVANTAGE:
- Coding @ $2 per report
- Guaranteed 99% accuracy
- Totally HIPAA compliant
- Get clean claims and fewer denials
- Transparency in coding methodology
- Regular feedback on coding changes
- Eliminate recruiting and training
- Reduced labor costs
SSS Medical Coding Workflow:
- STEP 1: Read and interpret medical record documentation to identify code-able diagnoses and procedures for data capture and billing.
- STEP 2: Accurately assign related diagnostic and procedure codes for reimbursement and statistical purposes.
- STEP 3: Apply knowledge of official coding guidelines to correctly sequence diagnostic and procedure codes.
- STEP 4: Abstract information from patient records to complete insurance claims.
- STEP 5: Have knowledge of various reimbursement methodologies and fee schedules.
- STEP 6: Linkage of diagnostic codes to the proper procedure codes to ensure accurate claims submission.
Accuracy
SSS main advantage over other peers in this industry is that there is increased accuracy in code selections causing a smoother billing process with quicker and better reimbursement.
Increased Revenue for Clients
Our AAPC Certified Coders follow set guidelines and procedures when they code for the patient records for optimized third-party reimbursement. The physician and patient get maximum reimbursement from the insurance company as the services rendered by the physician are accurately reflected through the medical codes in the superbill, resulting in fewer errors and claims denials.
Transparency
Transparency in our coding methodology gives you access, produces consistency, and eliminates the risk of errors.
Feedback and Reports
Clients receive regular feedback on coding changes, front-office documentation practices, and periodic reports such as utilization reviews, case-mix review, and coding-related denial analysis. The reports indicate the charts received from the client, the ICD and CPT codes, and the patient name and DOS.
Quality process
We audit the entire process of coding. We also ensure that the CPT, HCPCS, and ICD codes are based on the AMA and CMS guidelines.
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