Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. The same process is used for most insurance companies, whether they are private companies or government sponsored programs. Medical billers are encouraged, but not required by law, to become certified by taking an exam such as the CMRS Exam, RHIA Exam and others. Certification schools are intended to provide a theoretical grounding for students entering the medical billing field.
Medical coding is the process of transforming descriptions of medical diagnoses and procedures into universal medical code numbers. The diagnoses and procedures are usually taken from a variety of sources within the health care record, such as the transcription of the physician's notes, laboratory results, radiologic results and other sources. Diagnosis codes are used to track diseases and other health conditions, whether they are chronic diseases such as diabetes mellitus and heart disease, to contagious diseases such as norovirus, the flu and athlete's foot. These diagnosis and procedure codes are used by government health programs, private health insurance companies, workers' compensation carriers and others.
We understand the criticality of timely medical billing and coding in effectively managing your revenue cycle.
Our billing department ensures that all bills are submitted with the correct information. We understand how important it is to enter details correctly so that there are no delays or denials. Whether it is a superbill or an encounter form, our trained staff will accurately and efficiently enter details related to patient demographics, date of service, CPT and ICD codes with modifiers and the number of units. In addition, we conduct Quality checks at two levels to ensure accuracy of data.
Accurate medical coding is critical for all healthcare providers. We can help you ensure compliance with government regulations and also help improve coding accuracy. All you need to do is scan your patient records and upload them on our secure FTP server. Our dedicated team of coding experts will download and analyze these files on a daily basis