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Coding

Hospital Billing Services Coding process results in cleaner claims, fewer denials and enhanced revenue. Correct coding is essential in enhancing revenue and decreasing compliance risk. Our Offshore certified coder’s intensive, strategic coding lays the foundation for obtaining our client’s maximum reimbursement, while ensuring full compliance. Our coding specialists combine their knowledge of anatomy and physiology with the most current coding structure to ensure the maximum reimbursement.

Our team is comprised of experienced Certified Professional Coders (CPCs) accredited by the American Academy of Professional Coders (AAPC). They have proficiency in the following code sets and usage guidelines; CPT-4, HCPCS, ICD-9-CM, LCD/NCD and CCI EDITS.

Hospital Billing Services Offshore Medical coders are thoroughly trained regarding current documentation and coding guidelines and updated regularly on the latest developments on Local Medical Review Policies (LMRP) and Correct Coding Initiative (CCI) Edits. Our Offshore Coding training programs enforce compliance and our coders strictly follow the guidelines provided by CMS.

Hospital Billing Services Offshore Coders are extremely familiar with the reimbursement arena, and are current on Correct Coding Initiatives, bundling and unbundling procedure changes, payer specific requirements and any state or federal government compliance issues. Our Offshore Coding experts review all dictated reports to ensure completeness and accuracy. This unique service maximizes revenue and protects against accidental fraud and abuse.

    We use the following industry coding standards:

• Diagnosis Codes (ICD-9: International Classification of Disease)
• Procedure Codes (CPT-4: Current Procedural Terminology)
• Coding for Inpatient Services (ICD-9)
• Drug Codes (NDC: National Drug Codes)
• Other Procedure Codes (HCPCS: Healthcare Procedure Coding System)

Outsourcing to Hospital Billing Services Offshore Coding provides transparency in our coding methodology and gives you access produces consistency and eliminates the risk of errors. 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.

By adapting the principles of Six Sigma, our coding team delivers above 98% accuracy and 24-hours turnaround time and our coders have vast experience in coding for various specialties including Radiology, Emergency Medicine, Pathology, Cardiology etc.

    Our Coders are proficient with:

• CPT, ICD-9, and HCPCS coding across various specialties
• Insurance and governmental regulatory requirements
• Payer-specific coding requirements

Hospital Billing Services is dedicated to improving our client's cash positions through an approach which focuses on reimbursement and compliance. Our experienced and credentialed coding staff optimizes the use of E/M levels while staying in compliance.

For facility coding, coders at Hospital Billing Services assign facility codes based on proprietary facility criteria which is determined through an analysis of each client's needs. For professional fee coding, Hospital Billing Services complies with the 1995 CMS documentation guidelines for evaluation and management services. ICD-9-CM, CPT and HCPCS codes are assigned appropriately, along with the proper use of modifiers.

Chart Tracking

Missing or incomplete charts can impact an organization's cash significantly. Hospital Billing Services provides every client with a detailed chart workflow analysis to determine when and where chart losses occur, make recommendations on how to fix the losses, and provide training focused on process improvement for complete chart capture. We also provide our clients with a daily log of what charts are outstanding that is customized to meet their needs.

Backlog Coding Services

Hospital Billing Services backlog coding services, facility and professional-fee are available to cover staff absences, intake of new staff, and spikes in chart volume. Maximum reimbursement can only occur when charts are coded and billed in a timely and accurate manner.