Medical Coding
Medical Coding
In the evolving landscape of the healthcare industry, medical coding has emerged as a pivotal element. This specialized field is dedicated to the conversion of medical procedures, services, diagnoses, and equipment into universally recognized alphanumeric codes such as ICD (International Classification of Diseases), CPT (Current Procedural Terminology), PCS (Procedure Coding System), and HCPCS (Healthcare Common Procedure Coding System).
ICD codes play a crucial role in describing illnesses, injuries, or causes of death, offering a standardized language for healthcare documentation. On the other hand, CPT and PCS codes are instrumental in categorizing various procedures, including surgeries, radiology, measurement procedures, anesthesia, and more. Meanwhile, HCPCS codes specifically highlight outpatient hospital care and various forms of medical aid.
Supra Mediinformatics Healthcare
Coding Solutions:
Hierarchical condition category (HCC) coding
Hierarchical Condition Category (HCC) coding is a systematic process of classifying and coding medical conditions for risk adjustment in healthcare. It plays a crucial role in capturing the complexity of patient health, aiding in accurate reimbursement and resource allocation.
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Evaluation and management (E/M)
Evaluation and Management (E/M) coding is a standardized system in healthcare used to categorize and bill for patient encounters based on the complexity of medical services provided. It encompasses the assessment and documentation of a patient's medical history, examination, and decision-making processes by healthcare professionals.
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Inpatient
Inpatient Medical Coding involves assigning specific codes to diagnoses, procedures, and treatments for patients admitted to a hospital. These codes ensure accurate billing and reimbursement while providing essential data for healthcare analytics and quality improvement.
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Outpatient
Outpatient Medical Coding entails assigning codes to procedures and services provided to patients who receive healthcare services without being admitted to a hospital. This coding process is crucial for accurate billing, reimbursement, and maintaining comprehensive healthcare records.
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Home Health Coding
Home Health Coding involves assigning specific codes to healthcare services provided to patients in their homes, ensuring accurate billing and reimbursement for home health agencies. These codes capture the complexity of care delivered in a home setting, facilitating comprehensive and tailored healthcare management.
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Healthcare Effectiveness Data and Information Set (HEDIS)
The Healthcare Effectiveness Data and Information Set (HEDIS) is a comprehensive set of performance measures that assess the quality of healthcare services provided by health plans. It serves as a valuable tool for evaluating and comparing the performance of healthcare organizations in delivering effective, patient-centered care.
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Center of Excellence for Medical Coding
Medical coding involves extracting medical information, assigning accurate diagnosis and procedure codes, and facilitating the creation of claims for payer submission. Standardized codes convey essential information to payers, including patient diagnosis and medical necessity for received treatments or services.
Our team comprises certified coders, including CPC, CIC, CANPC (AAPC), CCS (AHIMA), and BCHHC (Home Health Coding), with expertise in coding various specialty records. They are well-acquainted with both client-specific and general coding guidelines.
Coding Audit Services in Healthcare:
Our top-tier audit team is dedicated to eliminating the risk of coding errors. Employing various methods such as
- Training Audits
- Focused Audits
- Random Audits
- Retro Audits
- Periodic Audits, etc.
ensures a meticulous review, refining our coding processes, and preventing even the slightest errors before completion.
Exclusive Medical Coding Training:
Our team is supported by coaches who provide guidance in any coding ambiguity, ensuring our overall coding accuracy consistently exceeds 98%. We recruit both experienced and fresher life science graduates. Our comprehensive coding training program includes foundation training on RCM fundamentals, on-the-job client/specialty-specific coding training, individualized feedback on quality during pilot coding and go-live, certification training for non-certified coders, and refresher sessions on various topics conducted by our Training team. Our rewards and recognitions inspire all coders to maintain consistent high performance.
Specialties we Serve:
List of Specialties:
- Anesthesiology
- Behavioral and Mental Health
- Cardiology
- Dermatology
- Emergency Department
- ENT
- Home Health Care
- Neonatal Care
- Obstetrics- Gynaecology
- Ophthalmology
- Orthopedics
- Gastroenterology
- General Surgery
- Physical Therapy
- Radiology
- Urology
Technology Experience
Our Latest Blogs
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Streamlining Healthcare Finances: The Role of Medical Billing RCM Services
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Medical Billing Services: When Should It Be Outsourced
Even when many hospitals and medical practices tend to rely upon the expert hands of their in house employees over any other third-party stakeholder, the
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