Medical Coding and Billing
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What is Medical Coding?
Medical coding is a crucial process in the healthcare industry where healthcare diagnoses, procedures, medical services, and equipment are translated into standardized alphanumeric codes. These codes come from comprehensive medical coding systems like the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS).
Types of Medical Coding Pure RCM Does
- Outpatient Medical Coding
- Inpatient Medical Coding
- Homecare Medical Coding
- Homecare Medical Coding
- Diagnostic (Lab and Radiology) Medical Coding
- Dental Coding
What are the most common concerns of healthcare facilities?
Coding Errors
Incorrect or incomplete coding can result in claim denials, underpayments, and compliance issues. Pure RCM’s certified coding experts ensure precision, significantly reducing errors and improving the likelihood of claim acceptance.
High Claim Denial Rates
Frequent claim denials due to coding errors can delay payments and strain financial resources. Our team thoroughly reviews and corrects claims to minimize denials and ensure faster reimbursement.
Regulatory Compliance
The healthcare industry is governed by complex and ever-changing regulations. Pure RCM keeps up-to-date with all coding guidelines and regulatory changes, ensuring your organization remains compliant and avoids potential penalties.
Benefits of Pure RCM’s Services
Increased Accuracy and Compliance
Our certified coders are well-trained and continually educated to maintain high standards of accuracy and compliance. This dedication minimizes the risk of errors and ensures adherence to the latest coding regulations.
Enhanced Financial Performance
Accurate and efficient medical coding directly impacts your financial health. By reducing claim denials and optimizing the billing process, Pure RCM helps improve your organization’s financial performance and cash flow.
Operational Efficiency
We leverage advanced technology and best practices to streamline coding operations, reducing administrative burdens and allowing your staff to focus on patient care. Our solutions significantly boost overall productivity and efficiency.
Continuous Support and Education
Beyond initial services, Pure RCM offers ongoing support and education to keep your team updated on the latest coding practices and regulatory changes, helping you stay competitive and compliant.