The Growing Importance of Professional Medical Coding Services

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Physicians require the services of trained and skilled medical coders to ensure error-free, timely claim reimbursement.

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The Growing Importance of Professional Medical Coding Services

  1. 1. The Growing Importance of Professional Medical Coding Services Outsource Strategies International Solutions and Beyond 8596 E. 101st Street, Suite H Tulsa, OK 74133 Main: (800) 670 2809 Fax: (877) 835-5442 www.outsourcestrategies.com
  2. 2. The standards and best practices related to medical insurance billing, Medicare, and Medicaid in a constant state of flux. To stay competitive, healthcare facilities need to focus on maintaining a healthy bottom line and keep pace with the changes propelled by new clinical and regulatory initiatives such as electronic health records (EHR) and ICD-10. All this puts the focus on medical coders. In this ever-changing and challenging environment, physicians require error-free, timely medical coding services to ensure the health of their bottom line. www.outsourcestrategies.com Main: (800) 670 2809 Fax: (877) 835-5442
  3. 3. Integral Part of the Healthcare Team Physicians are busy professionals who need to focus on doing what they do best - caring for their patients. This leaves them with no time for tasks such as billing and coding, which are however, crucial to the health of their practice. There are several factors that go to make coding professionals a crucial part of the healthcare team: They serve as the resource person for physicians and administrators for information on documentation, regulations, reimbursement, and data collection They have a thorough knowledge of medical terminology, diseases and medications to assign a diagnostic or procedural code to each entry in a patient’s record They are up-to-date with Current Procedural Terminology (CPT), HCPCS, and the International Classification of Diseases (ICD) codes and guidelines They interpret the medical charts and reports accurately and assign the right codes so that claims will not be rejected www.outsourcestrategies.com Main: (800) 670 2809 Fax: (877) 835-5442
  4. 4. Smooth Handling of the Complex Coding Process Medical coders conduct thorough checks to ensure that the codes attached to the claims are valid before the paperwork is submitted for further review. This is essential as most health insurance companies either use the same set of medical codes internally, or use a cross reference chart that connects internal codes to the set of medical codes used externally. On locating an invalid code, the coding specialist stops the review of the claim quickly and returns it back to the physician’s office. These experts ensure efficient record processing by help to maintain complete and accurate records of healthcare. Code data are utilized by both physicians and hospitals to track their performance as well to prevent fraud and abuse. Commercial insurance companies and Medicare depend on these codes to calculate reimbursement rates. Government agencies utilize this data to track and tackle threats like obesity, tobacco usage and infectious diseases.
  5. 5. With the many challenges of claim submission and reimbursement, the best solution is to outsource these tasks to a professional medical coding company. An established company would have a team of experienced certified AAPC-certified coders that can provide advanced medical coding services for physicians, physicians’ offices, medical practices, and treatment centers to optimize revenue while minimizing compliance risks. Contact Information 8596 E. 101st Street, Suite H Tulsa, OK 74133 Main: (800) 670 2809 Fax: (877) 835-5442 E-mail: info@managedoutsource.com URL: www.outsourcestrategies.com

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