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Medical Billing and Coding Services | USA Medical Coding Services
At CREDENSE, we recognize the significance of medical billing and coding in maintaining the financial stability of your practice. Our team of dedicated medical billing and coding professionals is passionate about delivering exceptional service. We assist our clients in enhancing their efficiency by effectively addressing complex billing issues. Our coders and billers possess proficiency in CPT, HCPCS, ICD-10, HEDIS, and OIG guidelines.
Although your practice may have excellent patient satisfaction scores, a great clinical and support team, and multiple success stories, all these factors are meaningless if you do not bill for your services accurately. In addition to compliance and audit requirements, ensuring precise and efficient medical coding for the services you offer is crucial to your bottom line and overall success. Medical coding involves transforming medical reports that detail a patient's condition, diagnosis, and treatment into relevant codes that serve as the basis for a claim. It is an integral part of practice management and is closely tied to the medical billing process.
Medical coders extract information from medical records and assign appropriate diagnosis and procedure codes. These codes are used to create an insurance claim that determines the amount the insurer will pay for the care, as well as the amount the patient will be billed.
In 2016, NBC reported a medical claims error rate ranging from 7 to 75 percent. The Office of the Inspector General found in 2010 that 42% of Medicare claims were incorrectly coded, with 19% of those lacking sufficient documentation. The AMA reported in 2018 that the most common medical coding errors were unbundling code, using various current procedural terminology codes for parts of a procedure, and upcoding.
Regardless of the error rates, which can range from 7% to 75%, it is essential to ensure proper billing practices to prevent fraud and maintain a profitable business.
At CREDENSE, we stay up-to-date with the latest industry changes, including ICD10-CM, CPT, ICD-10-PCS, HCPCS, and more.
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Advantages with CREDENSE:
Custom Services based on what your practice needs
Certified, experienced coders who go through regular training programs to stay abreast with updates on CMS and AMA guidelines
Continual Improvement: Our account managers consistently communicate with and gather feedback from your team to ensure accuracy.
Clinical Documentation Improvement: Accurate coding is based on correct clinical documentation. We help our clinicians with tips and feedback on methods of improving documentation
Tailormade Reporting Capabilities