Medical Coding

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Healthcare BPO Medical Coding Service

Medical coders need to have a strong understanding of anatomy, physiology, medical terminology, and coding guidelines to accurately assign codes. They must also stay updated with changes in coding regulations and industry best practices. Accuracy in medical coding is crucial as it directly impacts reimbursement, compliance, and data analysis.

Coding and documentation are the crucial steps in getting reimbursement of the services provided to patients . Medical coders review the medical records and assign appropriate codes to describe the diagnoses and procedures performed during the patient's visit, alos verify any specific coding guidelines for appending modifier. Accurate coding is essential for proper reimbursement from insurance companies.

  • Verifying Medical record Documentation for better patient future care and proper value based reimbursement.
  • Medical necessity verification for the procedures performed, specificity and laterality of the diagnosis mentioned with relations to other diagnosis are documented.
  • Appending Modifier, checking edits.
  • Coding additional tracking codes and measurements for providers enrolled for incentive based program.
  • Appropriate coding, avoiding any upcoding and excessive use of modifier.
  • Checking documentation for any missing procedure performed and avoid down coding.