Optimizing medical coding to collect maximum reimbursements
The goal of every physician practice’s revenue cycle solution is to lower costs and increase collections while remaining in compliance. Rising costs of doing business have increased the challenges for medical practices. Surprisingly, the most important preventive step that you can make is to ensure that your medical coding is both effective and accurate. Medical coding may seem mundane, but it is the key to the long-term financial success of your practice and achieving well balanced revenue flow. Viewed in that light, medical coding becomes a lot more compelling, doesn’t it?
Is your coding being performed by certified coders?
Even if your staff have been coding for years, it can be difficult to stay up-to-date without supplemental training, particularly meeting the standards required by AAPC and AHIMA for certified coders. Both providers and staff members need to be well versed in CPT™ and ICD-10 codes as well as the payor guidelines for the services they provide. EqualizeRCM employs highly experienced, credentialed coders (AAPC/AHIMA certified) for outsourced medical coding and auditing services. Attention to coding matters, both in terms of revenue and compliance with Medicare, Medicaid and Tricare standards.
It takes two to make clean coding. Our trainers can improve provider’s coding skills
EqualizeRCM also provides accurate and reliable training for providers. Each healthcare provider providing evaluation and management services must adhere to the Evaluation and Management (E/M) guidelines published by CMS and the AMA (i.e., the 1995 E/M Documentation Guidelines and the 1997 E/M Documentation Guidelines). This entails a minimum of four hours of training per year. The best and most useful training comes from certified medical coders – and EqualizeRCM’s training team are top-flight and ensure that providers are up to speed with the latest codes and best practices.
Learning from rejected claims
Every practice has claim rejections, but if you detect an ongoing pattern, and if you are experiencing a denial rate of more than 10%, it is time to make an in-depth analysis of where the problems lie. To gain a rapid assessment of your medical coding strengths and weaknesses, EqualizeRCM offers two excellent solutions:
Augment your coding team with EqualizeRCM trained professionals
EqualizeRCM employs AAPC and AHIMA certified medical coders who can perform medical coding services to speed and enhance your in-house team. In the process, we will feed back to you our findings on your documentation, comparisons to similarly situated practices, and how to improve.
A coding audit can be very revealing
EqualizeRCM performs independent audits to give you a clear summary report of your internal medical coding effectiveness. This essential information is worth every penny. LEARN MORE