Medical Billing Services
Support with preparing, submitting and following up on claims, so your billing routine stays organised.
Service
Coding and documentation support that keeps claims consistent with the record they are based on.
Overview
Medical coding translates the documentation of a visit into the standard codes that claims rely on. It sits between the clinical record and the billing office, which is why gaps in documentation often show up first as billing problems.
We provide coding workflow support that follows the documentation your clinicians provide and the coding guidelines your practice works to. We do not change the clinical record, and questions about what was done are returned to the provider who documented it.
Coding works best when documentation and billing talk to each other. We keep a simple log of queries and outcomes, so your providers and billing staff share the same picture.
Common challenges
Practices come to us when routine business tasks start taking more time and attention than they should.
Tasks are shared between people who are also busy with patients, so follow-up is easy to miss.
Each person does the same task a little differently, which makes errors harder to spot.
Information sits in email, paper files and separate systems, and is slow to find when it is needed.
It is hard to see what is in progress, what is waiting and what needs a decision.
What the support covers
The exact scope is agreed with you, and it depends on your practice and your systems. In general, our support covers these areas.
We look at how the work is handled today and agree how it should be handled from here.
We carry out the agreed tasks on a regular routine, following your instructions and preferences.
We keep track of work that is waiting on someone, and raise it with you when it needs attention.
We keep notes and records of the work in a consistent format that your team can review.
We keep you informed about progress and anything that needs your decision.
As your needs change, we review the arrangement with you and adjust it.
How it works
A simple, four-step approach that keeps you informed at each stage.
We learn how your practice handles Medical Coding Services today: your people, systems, payers and priorities.
We agree what we will take on, how we will work with your systems, and how we will communicate.
Our team carries out the agreed work on a regular routine and keeps records of what was done.
We review progress with you, share what we see and adjust the approach when something changes.
Benefits
Everyone knows what is being done, by whom and what comes next.
Work follows defined steps, so it looks the same from one week to the next.
Records are kept in an organised way that is easy to check and hand over.
Regular updates show you where things stand without you having to ask.
A dedicated team shares the routine workload with your own staff.
The arrangement can be reviewed and changed as your practice changes.
Who it supports
Our Medical Coding Services support is designed for the people who run healthcare organizations: physicians, medical practices, clinics and healthcare groups.
Explore the medical specialties this service applies to.
FAQ
Answers to questions we are often asked about this service.
We send a query to the provider who wrote it and record the response. We do not guess or alter the clinical record.
The guidelines your practice and its payers use. We confirm them with you at the start so the work matches how your practice operates.
Tell us what your practice needs and we will explain how our support could work.
Please do not include patient information.