Medical billing and coding is the process of translating healthcare services into standardized codes and submitting claims to insurance companies to receive payment for services rendered.

It ensures accurate and timely reimbursement for healthcare providers, helps maintain patient records, and supports the overall healthcare revenue cycle.

The process involves patient registration, insurance verification, coding of services, claim submission, payment posting, and follow-up on denied or unpaid claims.

• CPT (Current Procedural Terminology): Codes for procedures and services.
• ICD (International Classification of Diseases): Codes for diagnoses.
• HCPCS (Healthcare Common Procedure Coding System): Codes for services, supplies, and equipment not covered by CPT.

We review the reason for denial or rejection, correct any errors, and resubmit the claim or appeal the decision as necessary.

Medical coding involves assigning standardized codes to diagnoses and procedures, while medical billing involves submitting claims to insurance companies and managing payments.

The time can vary, but typically insurance companies who provide electronic remittance can take between 5 to 15 business days.

Common reasons include incorrect patient information, coding errors, incomplete documentation, and lack of prior authorization.

Yes, we provide billing and coding services for a wide range of medical specialties some of them include: Cardiology, Orthopedics, Mental Health, Internal Medicine, Family Medicine, Addiction Medicine, Adolescent Medicine, Critical Care Medicine, Geriatric Medicine, Pain Medicine, Sleep Medicine, and , Sports Medicine.

Our certified coders undergo continuous training and use the latest coding guidelines and software to ensure accuracy and compliance.

We do not have our own medical billing software. Our team is more than capable of using any billing application that our client is using.

We adhere to HIPAA guidelines, regularly update our practices to comply with industry standards, and undergo periodic audits to ensure compliance.

Yes, our proficient team has vast experience of using various EHR systems and we can start working on client’s EHR in no time.

A superbill is a detailed receipt provided by healthcare providers to patients, listing the services rendered and codes needed for insurance reimbursement.

Yes, we handle patient billing inquiries, send statements, and manage payment plans to ensure patient satisfaction.

We verify patient insurance coverage and benefits before services are provided to ensure accurate billing and reduce claim denials.

Our rates vary based on the scope of services required. Please contact us for a customized quote based on your practice’s needs.

We use advanced encryption, secure servers, and strict access controls to protect patient information and comply with HIPAA regulations.

Yes, we provide detailed reports on claim status, reimbursement rates, and financial performance to help you manage your practice efficiently.

Contact us via phone or email to schedule a consultation. We will discuss your specific needs and create a tailored plan to improve your billing and coding processes.