Professional coding translates clinical services into correct billable codes. Specialty expertise prevents undercoding and compliance issues.
Common Problems:
Miscoded E/M levels
Incorrect modifiers
Missing diagnosis specificity (ICD-10)
Inconsistent provider documentation
Process:
Review charts → assign CPT/ICD → query provider → code validation → claim submission
Benefits: Improved reimbursement, reduced denials, defensible coding in audits, accurate clinical data for reporting.
KPIs We Track: Coding accuracy rate, query turnaround time, undercoding/overcoding incidence, audit pass rate.
FAQ:
Q: Do you handle specialty coding (anesthesia, psychiatry)?
A: Yes — we assign coders trained in each specialty’s guidelines and modifiers.
We identify your needs and devise customized solutions as per requirements.
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