The Future Of Medical Coding

Medical Coding process is used in the healthcare industry and the medical billing companies. The coding methodologies are updated every year and the coders use the latest technologies in their job which helps for insurance claims.

The work done by medical billing and coding companies are one of the fastest growing businesses in the healthcare industries. The proper functioning of healthcare companies are ensured only with a well-managed accounts and billing with quality time devoted to patient care. Proper revenue optimization without compromising patient care can be achieved only with the help of outward service provider experts in medical billing and coding.

Medical coding overview

Medical coding has evolved in a significant way in the past few years. ICD-10-CM coding strategies are ready to be implemented from Oct 1st 2014. Medical coding process will be the first step in the medical billing process and involves using ICD-9-CM and HCPCS (Level I CPT codes and Level II National Codes) codes. The clinical coding systems assign distinct numeric values to medical diagnosis, surgeries and procedures, adverse effects of drugs, complications of surgeries and signs & symptoms of diseases. These coding systems serve as an important function for collection of general medical statistical data's, physician reimbursement, benchmarking measurement and quality review.

What is Outsourcing?
Outsourcing is any job that could be performed by the internal staffs, but is instead contracted to a third party off-site or on-site for a considerable period of time.

Medical coding outsourcing

When the task of billing and coding processes are entrusted to reliable service providers, there is guarantee of maximum compensation as billing processes are done without any flaws. Medical coding professionals have the expertise to provide accurate coding and ensure that each and every claim are followed up with great efficiency and processed on time.
The advantage of hiring professional experts are that we can get easy access to certified coders who can efficiently manage the clients' coding as they are well versed in ICD-9, HCPCS and CPT codes. Accurate codes are assigned to ensure absolute compliance and no denials. Professional coders are also aware of the individual payers' requirements, government regulations and covered services.

Revenue enhancement

1. Effective handling of Insurance enrollment, authorization & verification.

2. Systematic patient enrollment, AR & denial management, account assessment, audits & coding and payment posting.

3. Submission of bills and claims without any flaws.

4. Regular follow-ups with prompt reimbursement.

5. Timely filing of Primary & secondary claims.

6. Proper organization, registration and recording of patient records.

7. Checking eligibility of insurance.

Expertise Medical coders are updated with the latest standards of care and procedures and hence assign the correct codes for prevention of denials and enhancement of reimbursement. Before submission of the bills for processing, the patient's information must be double checked. Therefore outsourcing medical coding to the right provider will definitely benefit healthcare professionals, thereby improving performance and productivity.

Now, medical coding and billing services are gaining popularity among healthcare providers. Medical practices are realizing the value of outsourcing to a good medical company and are keen to enjoy the benefits offered. Also, the outsourcing market is estimated to grow tremendously in the coming years with several companies planning to outsource low-end and high-end jobs to offshore companies.

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