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RevenueMD has become a leader in the healthcare
coding industry based on one general principle.
We continually process extensive QUALITY
CHECKS!.
Our experienced Medical Coders are certified by
the AAPC (American Association of
Professional Coders) and offer state-of-the-art
procedural and diagnostic coding across major
medical specialties. At RevenueMD, the
healthcare services team follows the coding
process through a structured methodology that
has worked well for large US clients.
Medical Coding Services provided by RevenueMD
CPT and HCPCS coding - We code for surgery, lab
and other tests based on the guidelines of AMA
and CMS.
ICD coding - We do ICD coding related to the CPT
and HCPCS codes based on AMA and CMS guidelines.
Multiple specialty coders
Our medical coding company has highly skilled
coders with proven ability in giving high
quality results within set deadlines, for
multiple specialties like
Skill sets
Our coders are proficient with:
CPT, ICD-9, ICD-10, DRG and HCPCS coding across
various specialties
Insurance and governmental regulatory
requirements
Payer-specific coding requirements
Certification and Training
RevenueMD has dedicated coding team members who
follow AHIMA norms . Our AAPC-certified Medical
Coders have years hands-on experience . They
have also received extensive training by our
skilled staff to look for common systematic and
procedural errors that impact your revenue
cycle.
Infrastructure
RevenueMD's processing center deploys a
multi-site processing strategy for clients with
significant scale and size needs, to mitigate
risk. Highlights of our comprehensively frame
worked infrastructure include:
Redundant Servers - Drives - Bandwidth
Emergency Disaster Recovery
Built in IT redundancies for uninterrupted
operation
7 day diesel powered emergency generator power
back up
Dedicated, fully equipped and train IT personnel
24/7 security supported by state-of art access
control system
Medical Coding Process.
Coding the Handwritten Diagnosis
The coding process begins when a hospital intake
form or charge sheet is batched and arrives on
the desk of a coder. His job is to extract
information from the Physician's handwritten
diagnosis on the charge sheet and code it
according to specified guidelines.
Procedural and Diagnostic Coding
RevenueMD's certified medical coders handle
Procedural and Diagnostic Coding using
references such as ICD-9-CM, LMRP, CPT
Assistant, HCPCS Level II. Here's what happens:
After a patient visits a physician, a chart is
prepared and given to Medical Coders, whose job
is to:
Read the chart
Match the problem with its corresponding
numerical code from the most current ICD-9
(International Classifications of Diseases) Book
Assign the proper diagnosis code with its
numerical code from the CPT (Current Procedural
Terminology) Book.
The Coding team checks the compatibility of the
diagnosis with the procedure code.
Superbill/Patient Encounter Form
These two codes (Procedural and Diagnostic codes)
and any modifier codes that may be needed to
better describe the medical problem and its
treatment are placed on a patient encounter form
or superbill.
The patient's chart is then re-filed and the
encounter form/superbill is given to a medical
billing team.
For billing purposes, the use of the ICD codes,
when juxtaposed with CPT codes, tells the payer
Description of Service Provided
Lists the diagnosis, symptom, complaint,
condition or problem (e.g., the reason for
performing the service).
This information is essential for accurate,
timely and optimized third-party reimbursement.
Quality checks
Our senior certified coders verify the day to
day work of our coders and external coding and
compliance experts periodically audit the coding
department. For a more detailed look at the
entire medical coding process,
click here.
The RevenueMD advantage
1. Accuracy
RevenueMD's main advantage over other peers in
this industry is that there is increased
accuracy in code selections causing a smoother
billing process with quicker and better
reimbursement.
2. Maximize Revenue
Our experience and technological innovations
ensure optimal revenue to hospital facilities,
physicians and patients.
Our AAPC Certified Coders follow set guidelines
and procedures when they code for the patient
records for optimized third-party reimbursement.
The physician and patient get maximum
reimbursement from the Insurance company as the
services rendered by the physician are
accurately reflected through the medical codes
in the superbill, resulting in fewer errors and
claims denials.
The result is better collections for physicians
and hospitals and fewer missed opportunity
costs.
3. Transparency
Transparency in our coding methodology gives you
access, produces consistency and eliminates the
risk of errors.
4. Detailed Reporting - Efficiency Analysis
Clients receive regular feedback on coding
changes, front-office documentation practices,
and periodic reports, such as utilization
reviews, case-mix review, and coding-related
denial analysis.
The reports indicate the charts received from
the client, the ICD and CPT codes, the patient
name and DOS.
These reports are generated:
Daily
Weekly
Monthly
Problem Log
To enable us to improve our services, a problem
log mentioning unclear files, charts or medical
information is raised and is sent along with the
files to the client for clarification and
instructions.
5. Quality Control Process
We audit the entire process of coding. We also
ensure that the CPT, HCPCS and ICD codes are
based on the AMA and CMS guidelines.
6. Productivity
One Medical Coder can deliver 150 charts per day
(based on the specialty). This includes both CPT
and ICD codes.
Remote
Coding
DRG/ICD-9-CM
Coding
Reviews
Emergency
Room
Coding
-
E&M
Coding
and/or
evaluation
of
hospital
emergency
room
records
-
Extensive
experience
working
onsite,
offsite
or
online
Compliance
Audits
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