Rx Business Solutions

Revenue Cycle Management Experts

   
Medical Coding Support    

Remote Medical Coding Services

The Problem: The ICD-9, CPT® and HCPCS Coding Initiatives Are Complex and Constantly Changing.
Medical coding is the process of assigning diagnostic and procedural codes to represent patient conditions and care. The accuracy and completeness of medical coding is essential for achieving proper physician reimbursement and providing quality patient treatment. Coding is one of the most important and complex processes of a medical practices revenue cycle and is often an area that is least understood by physicians and billing staff.
 
Currently the ICD-9 coding complex is comprised of approximately 17,000 codes. CMS has mandated that physicians start utilizing the ICD-10 coding system, which consists of 155,000 codes, by the year 2013.

            Coding Changes for 2010
  • CPT® has 224 new codes and hundreds of other changes.
  • ICD-9-CM has 313 new codes and hundreds of other changes.
  • HCPCS has 156 new codes with over 100 other changes.
The process of medical coding is only going to continue to become more complex and harder to navigate. Making sure your practice is properly coding will continue to become more important than ever. 

Many medical providers do not have coders in their front office staff
Instead, the provider will do the coding and pass it along to the medical billing staff.  While medical providers are trained in ICD-9 and CPT coding, these codes are frequently modified and the requirements to assign specific codes to encounters are changed. Incorrectly assigning a diagnosis code or procedure code could result in decreased revenue (under coding), denied claims because the diagnosis and procedure do not match and over payment for services (over-coding) which in turn could lead to problems for the medical provider if CMS or private insurance companies audit their medical charts/records. The CMS is doing just that with their Recovery Audit contractor (RAC) Program. Thus, incorrect coding results in underpayment, no payment or overpayment with possible legal action taken by the payers against the medical provider.

The Solution: Outsourcing Your Coding To an Extensive Network of Certified Professional Coders.

How much time do you spend coding your patient encounters daily? What if you could have someone else do the coding for you? Having a certified coder on staff can not only be costly, as many certified coders can command a higher salary than other staff. It can also be difficult as there can be a shortage of qualified coders in your area. "Remote coding", or out-sourcing, is the perfect answer to this dilemma.

Rx Business Solutions is a leading provider of medical coding services to physician practices for every medical specialty. Whatever your needs are, we have an extensive network of certified professional coders that are experienced in your specialty and can provide you with the appropriate coding services to ensure your practice is achieving maximum reimbursement and that your coding is fully compliant with all of the Correct Coding Initiatives (CCI) and Local Medical Review Policies (LMRP).

Experience has taught us that some medical practices are leaving as much as 20% to 30% of their revenue on the table because proper coding is not being utilized. Our certified coding team will ensure you that your practice is achieving maximum reimbursement and coding properly in accordance with Medicare guidelines.

How the Medical Coding Support Service works

The process is simple. For each patient encounter on a particular date of service, your office provides the superbill/charge sheet, medical notes from the encounter, and any lab results from the encounter. These are then faxed to us at our toll-free, secure internet based fax. The data is then forwarded to our highly trained team of certified coders. Typical turn-around time is 24 hours. We deliver your report to you by email with all medical codes, diagnosis ICD-9 codes, procedure CPT codes, and HCPCS Level II codes.

How much does it cost?

Our pricing depends on the number of reports to be processed, length of stay and specialty. A small service fee per patient encounter is typical. The good news is there are no minimums or maximums to worry about. You can use this service on an as needed basis if you wish.

Need more information?

For more information or to learn how to get started contact us today to speak with a representative.

 

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