MEDICAL BILLING & CODING
At CareMed Partners, we prioritize being careful and correct – especially when it comes to medical billing and coding.
Coding is an especially challenging and complex task. It requires exceptional attention to detail. There are specific codes that must be used for every conceivable medical procedure or test. For example, the American Medical Association’s current procedural terminology (CPT) codebook is enormous, containing thousands of codes. So, too, is the World Health Organization’s international classification of diseases (ICD) and the Centers for Medicare & Medicaid Services’ healthcare common procedural coding system (HCPCS). Plus, there are a slew of rules and guidance regarding why one code should be used over another.
Even though coding can be difficult, we know this stuff inside and out. It’s how our medical coders are able to get it right the first time, ensuring you are properly reimbursed by insurance companies and government agencies. Medical coding is just part of CareMed’s revenue cycle management services intended to get you the full allowable amount due.
Do You Need Medical Billing & Coding Help?
You should consider outsourcing your medical billing and coding if any of the following are brought to your attention on insurance claims for your practice:
- Incorrect procedure codes
- Missing information or documentation
- Insufficient data to support a claim
- Under-coding or over-coding (upcoding)
You could be accused of submitting a fraudulent claim even if the error was unintentional. For example, if a claim is submitted with the code for a more expensive service than what was delivered, you could be accused of upcoding – even if your only fault was misunderstanding the coding system.
What We Do
Our health claims specialists have mastered the craft of medical coding and billing. We are able to read and interpret clinical documents. We use the most up-to-date code sets and keep abreast of changes and updates in coding guidelines.
Our medical coding services involve selecting the correct diagnostic or treatment code, entering codes in the electronic health record (EHR), and reviewing claims for coding accuracy. The most value in what we offer is in the first item: selection of the correct code. We achieve accuracy in coding through our knowledge and experience and a variety of best practices, such as:
- Using the highest level of specificity when coding
- Knowing and using umbrella codes for procedures when available
- Using current, valid report modifiers
- Ensuring proper documentation is included when required
How You Benefit from Medical Coding
Physician reimbursement depends on proper medical billing and coding. Even with the best of intentions, medical coding errors can have you facing serious repercussions such as significant fines. At CareMed Partners, we take care of the details of medical billing and coding – and there are plenty – so you don’t have to. Our medical coding services can also help:
- Ensure you receive the full amount you’re entitled to
- Speed claim processing for faster reimbursement
- Protect you against claims of coding fraud or abuse
- Avoid insurer audits or investigations
- Avoid fines for repeat coding errors
Our friendly staff is available to help address any questions or concerns you have about our medical billing and coding services. Want to know more? Just ask! Call CareMed Partners today at (877) 271-2645 and start getting the medical billing help you need.
Contact Our Medical Billing Specialists Today!
Medical billing and coding is just one of our many revenue cycle management services. Find out more about the next step in the cycle: claim processing and submission.