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Medical Coding – How it Works
Three organizations maintain the three principal medical code sets – WHO (World Health Organization) for ICD, The AMA (America Medical Association) for CPT, and the CMS (The Centers of Medicare & Medicaid Services) for HCPCS. These codes are utilized by doctor’s offices to turn the doctor’s diagnosis, prescription, and/or whatever procedures were performed into a uniform “language” conveying this information to the insurance company when filing a claim. These lists are updated yearly with new codes and some codes may be deleted. It is the responsibility of the provider to ensure every code added matches the documentation and what the patient is experiencing in terms of symptoms.
There was a time when a provider could have one person in their office who could handle medical coding. Those days are gone. Since the introduction of managed care, coding has gotten incredibly complex with thousands of codes that change constantly. How do you and your staff keep up and maintain a high level of patient care?
With Medical Coding
At Billed Right, our AAPC Certified Coders are here to help! Having a second set of eyes on your claims before they get submitted can help these claims get through the first time instead of getting denied due to coding errors. What we do:
- Review visit notes once locked to ensure procedure and ICD codes are accurate and reflect what was documented
- Notes are also scanned for any modifiers needed
- Claims are quality checked for completeness and accuracy
- Continued education on coding and compliance
- Get you paid faster when claims are submitted clean the first time
What clients say
Psychiatry Group, Ohio.
"I have been very happy with Billed Right and have seen a significant increase in collections since switching to them 8 months ago. They are professional, efficient, and respond to all my questions and concerns thoroughly and promptly. I highly recommend them and have referred them to my colleagues."
Internal Medicine Provider, Altamonte Springs, Florida
“As a practice entering commercial insurance for the first time, we briefly tried to manage our own billing before realizing that we really needed to bring in a professional. After interviewing several companies, we selected Billed Right who was committed to understanding our business model and become a true partner in our success. Over the past 18 months we have seen significant organizational growth and Billed Right has partnered with us to help facilitate that growth as they remain a key asset to our organization.“
Behavioral Health Provider, Connecticut
Account Managers are always readily available to help me. I appreciate their efforts daily! Our AM is a true gem and gift to any client account she manages. Her knowledge and suggestions aid me and my clinic in many ways. I would never have been able to execute a few items without her help. I was not in my current role before they chose to use Billed Right, however, I do see reports that show substantial increases in Revenue for my company. I appreciate the transparency of reporting, coding, and claims with the team and within the system. I would highly recommend Billed Right to others. In fact, at the most recent Meditab conference, Billed Right’s contact information was given freely with praise to several small business owners in need of financial assistance.
Practice Administrator of Urgent Care, TN
Billed Right has depth that similar service organizations do not. There is not a one or two-person team that handles everything. It is an organization that as a team understands our account. We have senior leadership, on the ground leadership and day to day team members that know our account. That is not easy to replace and certainly, at our size, not something we could bring internally without a significant commitment to infrastructure. While we cannot speak to how they may align with a specific set of needs…they are a professional organization with solid tools. Ultimately you will choose an outside billing partner for the simple reason of increasing collections. This will happen with Billed Right…but to us…as much as increasing our cash flow is their team of professionals. I like them, respect the contribution they make to our company and openly offer my personal recommendation.
CEO, Pain Management, CA
I have been associated with Billed Right for the past two years since I started my practice. Billed Right have been incredibly helpful in assisting my practice with initial credentialing, providing prompt responses to all my requests and excellent service to address my concerns. I am very satisfied with their timely insurance billing, collections, low AR, and patient accounts management. My Account Manager meets with me regularly to review and discuss management reports and address my questions in a professional and promptly manner. I am very satisfied and could not ask for better service. For these reasons I highly recommend Billed Right to anyone looking for a reliable practice management service.
Psychiatry Provider, FL
Billed Right is very knowledgeable in every aspect of business. When our Dr. First acquired the practice, it was a huge mess because one provider was leaving, and one was coming in but Billed Right stuck in there with patience and loyalty. Account Managers are top notch when it comes to every aspect of the business and make sure that you are comfortable in what they teach you. Staff members are very competent and have patience of saints to put up with credentialing and enrollment processes. Staff are polite and know what they are doing and go out of their way to help in every situation. I want to thank each one of the teams. Patient call rep is awesome and is also top notch in the field.