Medical Coding Services
Medical Coding Services
The primary goal of a revenue cycle process is to get paid for the services rendered. But how do you make sure that you are paid fully and on time? The answer is simple, accurate medical coding holds the key to getting paid in full and on time.
Medical coding is the process of converting a medical narrative into a series of industry-standard codes. It is a small yet crucial step in the billing process and often the most daunting. From ICD-10 to changing payer trends there is so much to take your time and focus away from patient care. With Scribe4Me as your medical coding partner you are sure to get claims right the first time and reimbursements in full.
Scribe4Me’s Medical Coding Process
Receive: We receive scanned copies of patient charts and related information either through a secure FTP site or directly access patient data from the practice management systems. Our medical coding team downloads these files and then assigns them to the respective coders for review.
Review: Our coding process begins with a careful and strategic review of medical records by our expert coders. This is done to understand the patient's diagnoses assigned and procedures performed during their visit. Our coders also extract other crucial data like physician name, dates of procedure, place of service, price modifiers and other information to check for accuracy.
Communicate: Clear and complete medical records lay the foundation for coding accuracy. That is why we check the medical records for completeness and legibility before coding. If need be, our medical coders reach out to healthcare providers to clarify any missing or unclear information needed to provide accurate coding.
Assign: Using a standardized coding system, such as ICD-10 or CPT, our experienced medical coders assign codes to the diagnoses, procedures, and services provided during the patient visit. They make sure that the codes assigned are accurate and complies with the medical coding guidelines and policies.
Quality check: Our quality assurance team performs an intensive quality analysis check at every step of the coding process. Multiple levels of quality check are done to ensure accuracy and rule out any chances of up-coding/down-coding issues before delivering the coded charts to the client. On top of that, we make sure that coding accuracy is on par with industry standards.
Submit: Once the coded charts are ready they are shared with the client. This is done by uploading the coded charts onto a secure FTP site or directly to the practice management system.
Feedback: Your feedback matters. That is why we collect feedback and act on it in the best possible way, thereby assuring maximum client satisfaction. We continually strive to improve our medical coding process and serve you better.
Service Highlights
Benefits
Revenue Cycle Management
Are you a healthcare provider under increased pressure to focus on providing care as well as maintaining financial viability? Do you feel overwhelmed with administrative and financial responsibilities? Feel like you are losing pace on follow-ups for efficient collection? Are you short of trained experts to handle the complex maze of RCM? Scribe4Me is here to help you.
Insurance Eligibility Verification
The first and most important step is to determine the patient's eligibility and insurance coverage. People often tend to forget to renew their health insurance policy annually. And insurance companies are in no way responsible for payments covered under the plan during the period of lapse. As a result the patient has to pay for the services out of his own pocket. What if the patient is reluctant to pay the bills?
Charge Entry Services
Accurate charges are crucial for claims to pass through the first time and Scribe4Me does it right, each time.It has been stated by insurance companies that 4 out of 10 claim denials are due to clerical errors. Charge Entry is a process of entering medical data to enable claims processing. At Scribe4Me we follow a well-structured Charge Entry Process and ensure that relevant checks are made at each level of the process.
Claims Transmission
Scribe4Me undertakes to do an EDI set-up for those medical practices that wish to get-off paper transaction claims and switch to electronic data interchange (EDI) for claim submission. Submission of the claims through EDI reduces the chances of inaccuracies and errors. Your claims will reach the payer instantly resulting in quicker reimbursements and eliminating claim processing delays.
Payment Posting
We believe that accurate charges contribute to attaining clean submission goals. Scribe4Me offers fast and accurate Payment Posting solutions as a part of the Revenue Cycle Management services and also as a standalone service depending on the client's requirements. Our team of experts has extensive experience in several specialties and in handling a wide range of medical software.
Accounts Receivable Management
We at Scribe4Me understand that Accounts Receivable is an important part of cash flow and requires rigorous follow up. That is why we have a streamlined system in place to control and manage your practice's accounts receivable and recovery. Simply trust the experts for efficiency, and we assure you that all the medical services provided by you will be paid for, fully and promptly.
Denial Management
Scribe4Me helps recoup revenue and maximize reimbursements Denial of medical claims is one of the major issues faced by physicians. Scribe4Me's Denial Management service is designed to perform a root-cause analysis, identify the reason for the denial and take action to resolve it. Most importantly we implement process improvements to stop recurring denials in its tracks.
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