Medical Billing and coding companies

Medical Billing and Coding Companies

Medical Billing and coding services

Medical Billing and Coding is the layman’s term for Revenue Cycle Management services. While usage of this term might include portions such as AR follow-up and Denials Management, it typically does not include Insurance Verification, Physician Credentialing or Data Indexing medical records services that are the other portions when outsourcing medical billing .

The major areas in Medical Billing and Coding are:

The process starts either with entering or auditing of the patient Demographic information, when the charting is still done on paper. In cases where an EHR (Electronic Health Record) or HIM (Hospital Information Management) system is used, then the Demography information automatically gets ‘pulled’ into the Billing system and only an audit might be required.

The next step which is critical to the whole process is medical coding. Medical coding is the process of assigning Diagnoses (ICD) and Procedure (CPT) codes. In addition, there are other codes used such as the HCPCS (Hospital and supplies) and ASA (Anesthesia) codes and ADA (Dental) codes. e-care is one of the few medical coding companies located offshore that has got many of its medical coding staff complete the online ICD-10 CM certification.

On completion of the medical coding service, the next step is to enter the charges for the coded encounters. The charges vary by payer and also by location (county specific), in addition to being unique for each service or procedure done by the physician.

Medical Coding Services

After the charges are entered, a ‘claim’ is created which is ready to be sent to the payer through EDI process. The transmission of claims is electronic which facilitates quick insights into ‘rejections’ that can be immediately re-worked at the billing or medical coding level and transmitted again.

The payer processes the claim and sends an electronic document in the form of ERA (835) which might contain both payment and denial information. The payment posting team then segregates these and performs the payment posting where the paid amounts are reconciled against the charges that were created earlier. The Denials are then sent to the Denial Management in Medical Billing team for further analysis and re-work.

Outsourcing medical billing and to e-care ensures that the entire process is handled with accuracy and within the agreed turnaround times, resulting in increased cash flow and ROI.

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Quick Facts

  • Experience in 35+ Specialties
  • Expertise in more than 25 different billing Software
  • 98% Quality SLA for Coding and Billing
  • Collected over $ 1 Billion
    Average AR Days 34
  • 96% Claim First Pass Rate
    95% Collection Ratio

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