Medical Coding

Deciphering the Medical Coding Maze

Medical coding is pivotal in the claim submission and reimbursement process. Utilizing the correct codes offers payers detailed insights into patient diagnoses, services rendered, and procedures performed. However, inaccurate coding can result in claim denials, reduced payments, and revenue loss. Accurate coding is essential for ensuring optimal reimbursement and financial stability in healthcare practices.

Medical Coding Audit

With coding playing such a critical role in reimbursements, payers frequently conduct coding audits to identify improper billing practices. We ensure your codes will withstand scrutiny through best practices like:

Maintaining comprehensive documentation that supports your code selection.

Tracking coding trends to avoid suspicious fluctuations that could trigger external auditing.

Having physician query processes in place to address any vagueness in visit notes.

Training staff regularly on compliant coding practices and ethics.

Performing internal auditing regularly to validate coding adherence and identify improvement opportunities.

Developing a written compliance plan outlining steps and safeguards followed.

AccuCare is the nation’s top-rated revenue cycle management firm. Our clients value our exceptional claims handling, prompt responses, thorough follow-up, and outstanding management of denied claims.

Medical Coding

Deciphering the Medical Coding Maze

Medical Coding Audit

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