Medical coding services are the need of healthcare providers in the USA. Our expert clinical coders fulfill the coding needs of every specialty by assigning diagnosis and procedure codes that facilitate the creation of claims for submission to payers.
Our coders carefully analyze medical statements and documentation provided by healthcare providers. They classify this information using standardized classifications.
Physician coders convert diagnosis procedures into codes that are easily readable by insurance companies and hassle-free for medical providers.
Our coders work with the billing team to generate a super bill that includes charges the payer is responsible for patient insurance coverage, and any co-payments.
Our coders advocate for the healthcare provider to ensure the claim is approved. They work to recover Aged Receivables and help ensure that denied claims are paid.
Accurate medical coding has become a necessity, particularly since ACA law has obligated healthcare providers to furnish patients with medical services they receive along with their corresponding expenses.
At INOVA MedSolutions, our certified coders analyze medical records to assign the proper standardized codes. This clinical coding expertise ensures your claims are reimbursed fully and quickly. No more submitting a service only to wait months for payment because of a coding error.
We follow the latest medical coding guidelines and legislation so your claims comply. This protects you from audit risks and overcharging patients due to unbundling. With INOVA MedSolutions, your reimbursements will be timely and accurate.
Our rigorous training and continuing education gives our coders an edge. They identify the right codes for even the most complex cases. This clinical coding solution helps avoid those claim denials that lead to revenue loss.
Put INOVA MedSolutions medical coding services to work for your practice. Our clinical coding solutions bring speedy and correct reimbursements in today’s climate of growing regulations. Outsource your coding needs and gain peace of mind knowing claims are coded right the first time.
Our medical coding and auditing recovers revenue that you’re currently missing. The increased reimbursement will more than cover our reasonable fees.
INOVA MedSolutions medical coding experts analyze patient records and assign diagnosis + procedure codes to them with 99% accuracy. This CPC coding helps healthcare providers receive proper reimbursement from insurance companies. Our skilled coding managers thoroughly review all charts to ensure compliance with ICD-10, CPT and HCPCS standards. You can trust INOVA MedSolutions to capture every diagnosis, test, and treatment with the right codes for optimal revenue cycle management.
Medical coding is the key to payment and compliance, but not all facilities code the same. Whether you need ICD-10-CM codes for oncology, CPT codes for orthopedics, or HCPCS Level II codes for DME, INOVA MedSolutions has dedicated coding experts for every medical domain. We match knowledgeable coders and auditors to handle your unique caseload. For medical coding done right, our custom medical coding solutions make all the difference.
INOVA MedSolutions medical coding service relies on specialized software that scans medical records and provides an initial set of suggested codes. Our medical coders then review the records, analyze the suggestions, and finalize the codes based on their in-depth understanding of coding rules. This audit results in highly accurate coding that translates health records into the proper billable codes insurance companies require.
Getting facility services paid ain’t easy. Atleast, not without experts who know the codes. INOVA MedSolutions medical coding department has the HCPCS know-how to get it right. We take all your inpatient services – the wheels, the rooms, the nursing – and code them properly. Contact us now to avail facility coding service.
The doctor sees the patient. The doctor does tests. The doctor prescribes medicine. But then what? That’s where INOVA MedSolutions comes in. Our pro fee coders get the doctor paid right. We make sure the insurance company pays the doctor fair. The patient sees a correct bill too. No surprises. Contact us today for profee coding service.
Each payer has their own way of accepting codes. This can confuse doctors. But our coders know the rules of big payers. Like UnitedHealth, Cigna, and Humana. Our team works as per the guidelines for each payer’s codes. This way, claims process smoothly and doctors get paid without unfair cuts. Contact us today to avail coding solutions for your payer network.
Do you want to save your medical coding budget? With INOVA MedSolutions offshore coding service, medics receive high-caliber coding at a lower price point. We identify and develop coding talent overseas, where pay standards are more affordable. Your coding gets done for a fraction of the cost, following all HIPAA rules. Contact us today for offshore coding solutions.
Hierarchical condition category (HCC) coding is a specialized field that relies on a risk-adjustment prediction model and is linked to over 10,000 ICD-10 diagnosis codes. Our trained HCC coders are experts in the regulations surrounding this risk adjustment model and use their expertise to ensure that diagnosis codes have assigned RAF scores for both commercial risk adjustment and Medicare Advantage risk adjustment.
Inpatient coding is used for patients who require hospitalization and must be admitted for an extended stay. Our coders are certified with the Certified Inpatient Coder (CIC) credential, which validates mastery in abstracting information from the medical record for ICD-10-CM and ICD-10-PCS coding. We also have experience with Medicare Severity Diagnosis Related Groups (MS-DRGs) and the Inpatient Prospective Payment System (IPPS). This optimizes the revenue cycle of a provider by reducing claim denials and ensuring timely payments.
INOVA MedSolutions provides complete medical coding solutions and services. Our certified coders handle all coding projects — in patient, outpatient, emergency, or specialty services. So don’t let medical coding problems affect your bottom line, as our experts will detect them and correct them before they damage your practice.
For healthcare leaders seeking truth in numbers, our medical coding services deliver. We scrutinize records to derive meaning, value, and direction. The benefits are manifold: reduced costs, optimized reimbursement, and evidence-based care. What results is sustainable growth and mission fulfillment.
Our medical coding and auditing recovers revenue that you’re currently missing. The increased reimbursement will more than cover our reasonable fees.
This is a proprietary algorithm that we use to measure and manage the productivity and quality of our coding team. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics.
This is a measure of the expected health care costs for a patient based on their diagnoses and demographic factors. A higher RAF score indicates a higher risk and complexity of the patient’s condition. We use our expertise in coding and documentation to ensure that your RAF scores accurately reflect the severity of your patient population and maximize your reimbursement from Medicare Advantage plans.
This is a proprietary algorithm that we use to measure and manage the productivity and quality of our coding team. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics. It allows us to monitor the coding process in real-time, identify and correct errors, and generate reports and analytics.
This is the number of days a case remains before being finally coded after discharge. A high DNFC can delay your claim submission and reimbursement, as well as increase your coding backlog and workload. We help you lower your DNFC by providing fast and affordable coding services, using our OFC software and our skilled coders.
This is a system that classifies hospital cases into groups that have similar clinical characteristics and resource use. Each DRG has a relative weight that reflects the average cost of treating a patient in that group. DRGs are used by Medicare and other payers to determine the payment rates for inpatient hospital services. We help you optimize your DRG assignment by applying our knowledge of the MS-DRG system, the coding rules, and the documentation requirements.
This is the average relative weight of the diagnosis-related groups (DRGs) for all patients treated at your facility. A higher CMI indicates that you have treated more complex and resource-intensive patients, which may result in higher reimbursement rates from Medicare and other payers. We help you improve your CMI by assigning the most appropriate DRGs for your cases, based on the ICD-10-CM and PCS codes and the MS-DRG system.
Our medical coding and auditing recovers revenue that you’re currently missing. The increased reimbursement will more than cover our reasonable fees.
