Outsourced Medical Coding Services
RCM Matter extends medical coding services to a diverse clientele, including physician practices, outpatient clinics, community hospitals, academic medical facilities, and trauma centers. Whether you require full outsourcing or need to fill a coding gap, partner with RCM Matter to achieve optimal revenue potential while ensuring coding compliance.
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Coding Expertise for Seamless Healthcare Operations
RCM Matter offers medical coding services to diverse clients, including physician practices, outpatient clinics, community hospitals, academic medical facilities, and trauma centers. Whether you require complete outsourcing or assistance in specific areas, partnering with RCM Matter can help you achieve your maximum revenue potential while maintaining coding compliance.
RCM Matter has a team of certified medical coders, including AAPC-certified professionals with CPC and its variants, such as CPC-H/CPC-I and AHIMA-certified coders with CCS. These certifications equip our team to provide precise and reliable medical coding services.
5 Key Steps Of Our Medical Coding Process
Data Collection
Smoothly onboard clients, grasp their coding requirements, and establish effective communication. Our streamlined onboarding process ensures a clear understanding of client expectations and sets the stage for a successful coding partnership. Gather crucial patient data and medical records, laying the foundation for accurate and comprehensive coding. Open channels of communication guarantee a collaborative approach, enabling us to meet and exceed client needs efficiently. Throughout the onboarding phase, we prioritize client input, ensuring a tailored coding strategy that aligns with their specific medical coding service requirements.
Chart Review And Code Assignment
Conduct an exhaustive review of patient charts and medical records, meticulously assigning diagnostic and procedural codes (ICD-10, CPT/HCPCS) in strict adherence to industry standards. Ensure precision and accuracy while navigating through complex medical documentation. Uphold compliance with specific coding guidelines provided by the client, fostering a seamless integration of coded data into downstream processes. This step is pivotal in guaranteeing not only billing accuracy but also in contributing to improved patient care through comprehensive and reliable medical coding practices.
Quality Assurance
Carefully go through the coded data, regularly checking for accuracy. Fix any mistakes quickly to make sure the coding is right. Stick to the rules set by regulators and the client, making sure everything is in line. This helps in being reliable, building trust with clients, and making sure the coded info is accurate and trustworthy. Regular checks play a big role in keeping things in order and making sure everyone can depend on the coded data.
Submitting Coded Data
Take all the carefully coded info and put it together into complete medical claims. Send these claims to insurance folks, making sure all needed paperwork is there for billing rules. Keep things smooth by always sticking to the coding rules and talking well with the payers. Stay on top of how the claims are doing, fix any issues fast, and help speed up getting paid. It all adds up to better money outcomes for our clients.
Follow-Up And Resolution
Keep a close watch on the status of submitted claims and promptly address denials, rejections, or requests for additional information. Resolve any coding-related challenges swiftly, whether it involves correcting errors, supplying extra documentation, or appealing denied claims when necessary. Continuously update our coding practices based on valuable feedback, coding modifications, and changes in regulations to ensure our medical coding services remain efficient and compliant with industry standards.
5 Key Steps of Our Medical Coding Process
Data Collection
Smoothly onboard clients, grasp their coding requirements, and establish effective communication. Our streamlined onboarding process ensures a clear understanding of client expectations and sets the stage for a successful coding partnership. Gather crucial patient data and medical records, laying the foundation for accurate and comprehensive coding. Open channels of communication guarantee a collaborative approach, enabling us to meet and exceed client needs efficiently. Throughout the onboarding phase, we prioritize client input, ensuring a tailored coding strategy that aligns with their specific medical coding service requirements.
Chart Review and Code Assignment
Conduct an exhaustive review of patient charts and medical records, meticulously assigning diagnostic and procedural codes (ICD-10, CPT/HCPCS) in strict adherence to industry standards. Ensure precision and accuracy while navigating through complex medical documentation. Uphold compliance with specific coding guidelines provided by the client, fostering a seamless integration of coded data into downstream processes. This step is pivotal in guaranteeing not only billing accuracy but also in contributing to improved patient care through comprehensive and reliable medical coding practices.
Quality Assurance
Carefully go through the coded data, regularly checking for accuracy. Fix any mistakes quickly to make sure the coding is right. Stick to the rules set by regulators and the client, making sure everything is in line. This helps in being reliable, building trust with clients, and making sure the coded info is accurate and trustworthy. Regular checks play a big role in keeping things in order and making sure everyone can depend on the coded data.
Submitting Coded Data
Take all the carefully coded info and put it together into complete medical claims. Send these claims to insurance folks, making sure all needed paperwork is there for billing rules. Keep things smooth by always sticking to the coding rules and talking well with the payers. Stay on top of how the claims are doing, fix any issues fast, and help speed up getting paid. It all adds up to better money outcomes for our clients.
Follow-up and Resolution
Keep a close watch on the status of submitted claims and promptly address denials, rejections, or requests for additional information. Resolve any coding-related challenges swiftly, whether it involves correcting errors, supplying extra documentation, or appealing denied claims when necessary. Continuously update our coding practices based on valuable feedback, coding modifications, and changes in regulations to ensure our medical coding services remain efficient and compliant with industry standards.
Why Choose RCM Matter for Medical Coding Outsourcing?
RCM Matter offers a comprehensive one-stop solution for your revenue cycle management needs. As experts in medical billing and coding, we ensure a seamless and efficient process for your healthcare organization. Our HIPAA-compliant practices guarantee complete data and document security, while potential savings of up to 40% on operating costs per employee provide a cost-effective solution without compromising quality.
Benefit from the expertise of over 100 highly skilled support personnel, real-time report availability, and innovative systems. RCM Matter ensures timely claims filing, strict quality control, and robust information security policies, resulting in a significant reduction in turnaround time. Experience consistent and accurate coding across specialties with 100% transparency in data and processing.
Three Types Of Medical Codes
CPT Codes
These codes are grouped into three categories. The first group is divided into numeric codes corresponding to different areas of medicine, such as radiology, surgery, & anesthesia. The second category contains alphanumeric codes identifying performance measurements & laboratory or radiology test results. Finally, the third category of codes is dedicated to emerging medical technology.
ICD Codes
The ICD codes are a system used to describe the cause of a patient’s illness, injury, or death. The WHO established this code in the 1940s, & each update adds a numeral to indicate the code’s version. ICD-10 refers to the 10th version of the code. Then, clinical changes are made to these codes, which make it possible to record a wider range of illnesses, injuries, & causes of death in detail.
HCPCS Codes
The HCPCS coding system is essential for recording medical services, equipment, or procedures that are not covered by CPT codes. It is the official coding system for Medicare & Medicaid, & it is crucial for medical coders to be familiar with it. HCPCS accurately records medical procedures, similar to CPT codes, to ensure patients receive the appropriate level of care.
