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Our coders carefully analyze medical statements and documentation provided by healthcare providers. They classify this information using standardized classifications.
Our coders carefully analyze medical statements and documentation provided by healthcare providers. They classify this information using standardized classifications.
Our coders carefully analyze medical statements and documentation provided by healthcare providers. They classify this information using standardized classifications.
Our coders carefully analyze medical statements and documentation provided by healthcare providers. They classify this information using standardized classifications.
Clinical coders encode medical charts into numerical and letter coded data string sequences.
Assignment process finds the relevant codes from the medical classification and entering it into the data collection system.
Clinical coders review medical codes to ensure accuracy, including the diagnosis-related group (DRG) if financed via case mix prototype.
Medical billing advocates work with payers to ensure fair reimbursement for healthcare providers, resolving any issues with denied claims.
Medical coding team ensures timely payment by closing tickets only after payment and claims acceptance.
Each payer has their own way of accepting codes. This can confuse doctors. But our coders know the rules of big payers. Like UnitedHealth, Cigna, and Humana. Our team works as per the guidelines for each payer’s codes. This way, claims process smoothly and doctors get paid without unfair cuts. Contact us today to avail coding solutions for your payer network.
Trust our coding auditors to validate your records, maximize revenue, and keep you compliant with regulations. Our experts find issues, fix errors, and optimize your codes.
Documentation holds the keys to coding. Our review unlocks accuracy, capturing every revenue dollar while averting audit risks.
Our coding consultants dive deep into patient charts to apply the right codes, enabling proper reimbursement and a clear view of population health.
Don't stretch your staff thin with coding. Our service analyzes records and assigns precise codes for you. No need to hire, train and manage additional in-house coders. Outsource to us and reduce staffing burdens.
Stop losing hard-earned income. Our coders' hawk eyes spot deficiencies leading to denials. We optimize records so you get paid for all you do. No more lost revenue.
Backlog refers to the number of cases pending to be coded after discharge. DNFB refers to the ratio of accounts that are not final billed due to incomplete or inaccurate coding or documentation. BellMedEx eliminates the backlog of uncoded cases and decreases DNFB ratio.
This is a proprietary algorithm that we use to measure and manage the productivity and quality of our coding team. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics.
This is a measure of the expected health care costs for a patient based on their diagnoses and demographic factors. A higher RAF score indicates a higher risk and complexity of the patient’s condition. We use our expertise in coding and documentation to ensure that your RAF scores accurately reflect the severity of your patient population and maximize your reimbursement from Medicare Advantage plans.
This is a proprietary algorithm that we use to measure and manage the productivity and quality of our coding team. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics.
This is the number of days a case remains before being finally coded after discharge. A high DNFC can delay your claim submission and reimbursement, as well as increase your coding backlog and workload. We help you lower your DNFC by providing fast and affordable coding services, using our OFC software and our skilled coders.
This is a system that classifies hospital cases into groups that have similar clinical characteristics and resource use. Each DRG has a relative weight that reflects the average cost of treating a patient in that group. DRGs are used by Medicare and other payers to determine the payment rates for inpatient hospital services. We help you optimize your DRG assignment by applying our knowledge of the MS-DRG system, the coding rules, and the documentation requirements.
This is the average relative weight of the diagnosis-related groups (DRGs) for all patients treated at your facility. A higher CMI indicates that you have treated more complex and resource-intensive patients, which may result in higher reimbursement rates from Medicare and other payers. We help you improve your CMI by assigning the most appropriate DRGs for your cases, based on the ICD-10-CM and PCS codes and the MS-DRG system.
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