Outsource Medical Coding

The need to organize and distinguish between complex medical procedures is important. The coding procedure brings clarity and accuracy in a field which depends on these key factors. If you do not have the resources to perform this vital process in house why don't you outsource medical coding to India? Indian Service Providers increase accuracy in code selections causing a smoother billing process with quicker and better reimbursement.

Why Is Medical Coding Important?

The explosion of scientific knowledge that followed World War II brought increasingly sophisticated and complex procedures to the science of medicine. Improvements and refinements in these procedures were constantly developed and utilized, but physicians, in their statements for professional services, found it difficult to explain concisely the differences and refinements in procedures and to distinguish with clarity one procedure from another. Some providers furnished the same description for different services while others furnished different descriptions for the same services. The resulting confusion and uncertainty led to delayed or inequitable payments, creating dissatisfaction among consumers, payers and physicians.

The growing involvement of computers made it apparent that some method had to be devised to describe and distinguish the enormous numbers and kinds of medical and surgical procedures, complaints and diagnoses, so that a code number could be assigned to them to facilitate accurate and rapid determination of the nature and value of the service performed.

Two types of coding systems have thus evolved: the first is Current Procedural Terminology (CPT) and the second is International Classifications of Diseases (ICD).

Why Outsource Medical Coding to India?

• Are coding errors wasting your resources, time, and money?
• Are you facing a shortage of trained and experienced coders?
• Are high labor costs and high-turnover draining your resources?

Indian Service Providers will partner with you to eliminate recruiting and training, reduce labor costs, and improve accuracy through their high-quality operations.

Indian coders are professional, skilled, and well versed in international coding practices. A hospital intake form or charge sheet is batched and arrives on the desk of a coder who will abstract the following handwritten information, convert it to code and get it in front of data entry. Most coders are AAPC (American Association of Professional Coders) certified and have a minimum of 4 years hands on experience. They do the coding for the handwritten physician's diagnosis on the charge sheet.

Indian Service Providers ensure accuracy in code selections causing a smoother billing process with quicker and better reimbursement.

They constantly develop and refine internal compliance of contract ICD, CPT coding resources that meet the needs of the client and embrace the shared responsibilities of compliance.

What is the Coding Process?

The Coding Process is as follows:

• Precoding of the charge tickets.
• Coding of the Diagnosis and the Procedure with reference to the above materials.
• Checking the compatibility of the diagnosis with the procedure code
• Checking for the modifiers in relation to the procedure.
• Checking that the coded codes are the one that are listed in the charge tickets.
• Sending the file for QC (Quality Control).
• The quality control rechecks the complete coding and the pre-coding with all the references available.
• QA (Quality Audit) is done again to give a 100% quality to the file.
• Clarifications and doubts are noted and put into documentation and sent to the client for answers.
• TC (Teleconference) with the clients is conducted to get updates and clarifications –once in a week or weekends with prior schedules.

Quality - Adherence to International Standards

• Use the most up to date books and software like CPT, ICD-9, HCPCS, C++ edit to keep in touch with the constant changes in the coding world.
• Work in accordance with client requirements and standards set by HIPAA regulations in order to assure turn around time.
• Dedicated professionals who work under the AHIMA rules.
• Coding staff have received extensive training under coding experts in the U.S. Certified coders monitor their work regularly and external coding and compliance experts periodically audit the department.

Employees are proficient with:

• CPT, ICD-9, and HCPCS coding across various specialties
• Insurance and governmental regulatory requirements
• Payer-specific coding requirements
• Software like ENCODERPRO, CODERITE etc.

Process:

Most coders are AAPC (American Association of Professional Coders)certified and have a minimum of 4 years hands on experience. They do the coding for the handwritten physician's diagnosis on the charge sheet.

The coder determines the code to be used following each patient encounter. An AAPC Coder, is extremely careful while coding for patient records. Utmost attention if given to quality to get reimbursement from the Insurance Company for the services rendered by the physician.
 

Indian coders are skilled and provide high quality results within the stipulated period of time for multi-specialty clients like Cardiology, Radiology, Neurology, Infectious Diseases, Internal Medicine, Pathology and Oncology.

How do you benefit from their expertise?

• Indian Service Providers guarantee 95-98% accuracy and compliance with all government regulations.
• Clean claims, fewer denials.
• Their experience and technological innovations ensure optimal revenue.
• Transparency in the coding methodology gives you access, produces consistency, and eliminates the risk of errors.
• Clients receive regular feedback on coding changes, front-office documentation practices, and periodic reports, such as utilization reviews, case-mix review, and coding-related denial analysis.
• Eliminate recruiting and training, reduce labor costs, and improve accuracy through our high-quality operations.