Managing and receiving payments for medical coding services rendered is one of the challenging aspects for healthcare providers especially today with different payers requirements and rising complexities of industry mandates.
This is why, you need dedicated specialists to help manage the process who can help you avoid challenges in coding services like – repeated denials, revenue shortfalls, compliance issues etc, and manage accurate documentation and profitable practice with seamless operation. Accurate and thorough medical coding is simply a must-have for modern, successful healthcare practices.
What is medical coding?
Medical billing and medical coding are separate processes, but both are crucial to receiving payment for healthcare services. The medical coding involves extracting billable information from the medical record and clinical documentation with the help of diagnosis codes and each aspect of the patient’s visit has its own code.
All about codes:
Medical codes are basically used to correctly correspond with the medical service or treatment rendered. Any incorrect code can lead to claims denial and thus a medical coder needs to be well versed in the coding procedure, coding guidelines and also new codes.
There are three types of codes which are generally used for medical coding:
ICD is the full form of the International Classification of Diseases (ICD) code and was established by the World Health Organization (WHO). In fact today, the ICD – 10 is most popularly used to note the illnesses variation, injuries and causes of death.
CPT is the Current Procedure Terminology (CPT), which is used to document the medical procedures the patients receive during their clinical visit. These codes can be divided into three categories.
The first category is further divided into sub-categories of numeric codes, which correlate to specific medical fields, such as radiology, surgery and anesthesia.
The second category consists of alphanumeric codes to identify performance measurement as well as potential laboratory or radiology test results.
The final category of codes is related to up and coming medical technology.
HCPCS or the Healthcare Common Procedure Coding System (HSCPC) is one of the most important codes for medical coders as it is the official coding system for Medicare and Medicaid. In fact, HCPCS and CPT codes are quite similar. It is used to record medical services, equipment or procedures not covered by CPT coding.
Why having a medical coding company as your operational partner is a better option?
With all these coding complexities, new regulations and so many different codes that need to be recorded correctly it becomes challenging for in-house coders to often manage the work seamlessly. This is why having an expert with specialized experience and knowledge is always an advantage. Moreover, surveys have shown the risk of error in medical coding can be high — especially for healthcare staff who are already overwhelmed with their day-to-day duties. Outsourcing of medical coding services not only reduces your incorrect code and ensures a faster reimbursement but is the best solution to avoid potential fraud charges as well.
In fact, there are several reasons to outsource medical coding services in the USA:
• Cost reduction – Outsourcing medical coding services can decrease administrative costs.
• Improvement in accuracy- with a team of trained professionals, rigorous follow-up and maintenance of checks and balances, the rate of errors reduces. With a better accuracy rate comes fewer denials and quicker reimbursement.
• Saves your time and helps in Resource Reallocation/Management – saving your time from complex coding processes, outsourcing gives your practice time to work on what you do the best, which is treating patients.
Sunknowledge – the ideal outsourcing operational partner for medical coding services:
Optimizing your revenue while reducing compliance risks, Sunknowledge Services Inc is the ideal medical billing company near you handling medical coding challenges for more than 28 specialties.
Following proprietary workflow technology that improves your practice finances, our certified medical coder further streamlines claims submission, maintains an accuracy rate of 99.9%, reduces lag days, and ensures a better coding approach.
In fact, our dedicated account manager seamlessly works with your billing system to ensure the highest degree of data integrity and highest productivity metrics for better ROI.
• Reduction in your operational cost by 80%
• Reduction in your coding errors and also in your denial rate
• Complete and customized status tracking
• Better recovery rate with the highest collection ratio
• Experienced and certified coders that are specialty-specific and dedicated to your account
Partnering with Sunknowledge Services Inc. means that you will be working with the best medical billing company in the USA that empowers your practice with a rigorously focused approach and better revenue.
So, if you experienced and professional medical coding services for temporary backlogs you can’t manage, or facing higher demand for your coding services, Sunknowledge Services Inc. is your one-stop destination
What are the kinds of medical coding that you are familiar with?
We work with three type of coding systems viz. ICD- 10, CPT and HCPCS. Of these, ICD (International Classification of Diseases) is the most popular and widely used. We are also ready for ICD-11. Besides ICD, our coders are well-versed in CPT (Current Procedure Terminology) and HCPCS (Healthcare Common Procedure Coding System) codes.
What kind of training and certifications do your medical coders possess?
Our medical coding specialists are rigorously trained in all aspects of medical coding and stay up-to-date with all medical coding mandates, new codes and billing requirements. All our coders are CPC certified and highly experienced in providing error-free coding.
What efforts do you take to reduce errors in medical coding?
Sunknowledge coders are not just trained to code but are also experts in maintaining a track record of 99.9 % accuracy rate in the coding process. We work as an operational extension of your practice, strictly following your coding requirements and ensuring rigorous follow-ups and checks along all the steps.
If I outsource medical coding services, will my data be kept secure and confidential?
That’s a big YES! At Sunknowledge, we take special measures to ensure that all your information is safe and secure while maintaining 100% HIPAA compliance. We use secure VPN firewalls to remotely access your data.
How many years of experience do you have?
Sunknowledge is among the top medical coding outsourcing companies in USA today. With more than 15 + years of experience in the healthcare billing business, we cover 28+ specialties including DME, HME, Urgent Care, Orthotics & Prosthetics, Infusion and many more.
Are there any startup costs & do I need to pay a startup fee?
There are no startup fees to get started with Sunknowledge. When you choose to work with us, we will also provide you a dedicated Account Manager and a Team Leader at no extra cost.