"A right code will reimburse you right remuneration”, Medical coding is a crucial process involved in the RCM process.
With several years of expertise on both provider and reimbursement sides, our highly dedicated team of CPC and CPC-H outpatient facility certified coders from American Academy of Professional Coders (AAPC) ensure highly accurate and compliant coding services. Our Quality team oversee daily operation of our Coding department and see to it that all industry standards and compliances needs are met.
The coding process includes the following steps:
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Patient documents / files / reports that are electronically scanned at our client's office are seamlessly and securely accessed by our offshore center using our FTP (File transfer Protocol) connections.
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Our teams verify and validate the documents, split them into batches and review them for completeness, quality and readability.
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Diagnosis, Procedure Codes and modifiers are assigned as per client descriptions and guidelines. Modification of certain codes may be made as per carrier requirement (e.g. certain insurance carriers require ASA code).
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Our diligent auditors and Six Sigma oriented quality control team audit the coded charge sheets and process it further for charge entry and cash posting.
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Our coding team is proficient with CPT, ICD-9, HCPCS level II and DRG codes across various specialties.
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Coding in accordance with NCCI (National Correct Coding Initiatives) and LCD (Local coverage decision and medical policies) as per set rules for different states across US
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Quality and Compliance are continually monitored via a Corporate Quality Assurance Program and a Corporate Compliance Program.
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PCUBE provides 24 to 48 hour turn-around of all completed source documents.
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Assurance in maintaining coding policies and procedures, appropriate and accurate managed contract advice and reports.
Highlights of Coding Team:
We provide regular feedback to our clients on changes in code selections affecting reimbursements and front-office documentation practices to be followed as per CMS guidelines for appropriate reimbursements to physicians as well as insights into coding related denial analysis. Our expertise in E/M Evaluation & Management Services have driven clients across US to use our services for physician education and audits on coding done by other billing companies and/ or physicians themselves.