MID REVENUE CYCLE

MID REVENUE CYCLE

MEDICAL BILLING/CODING

Coding is a quintessential part of Revenue Cycle Management billing and coding services and it's our privilege to demonstrate our Coding and Auditing services to make your revenue cycle a more reliable and operative one at that.

  • Tans-quest downloads the scanned super-bills from the server, uploaded by the clients to be assisted by our CPC. Servers are secured and encrypted extensively at the client’s office.
  • Medical Billing mainly involves entering data with the help of proprietary billing software, and here we use Robotic Process Automation (RPA).Our billing team engages in communicating with physicians, nurses, and other healthcare professionals to categorize the rcm services a patient has received.
  • Medical coding - a niche segment in Revenue Cycle Management - is a prerequisite for medical billing, filing, and claiming reimbursement. It is the process in which a patient's history covering his/her condition, diagnosis, prescription, and procedures are converted into a set of alphanumeric codes.
  • Our Certified Professional Coders (CPC) uses top-of-the-line technologies to code and produce a hassle-free analysis on par with the guidelines set by CMS and AMA.
  • Clients can collect their claims from the Charge Entry team which houses the audited super-bills. We guarantee that our coding department will operate with peak expertise and accuracy in the field.
  • The Coding Process includes the following steps:
    • Access Patient Medical Records through the secured network using VPN Connections.
    • Coders review and scrutinize the documents for accuracy and split them into batches for processing.
    • Diagnosis, Procedure codes, and modifiers are assigned as per the coding guidelines and client requirements.
    • Quality checks are in place before the charge Entry Process.

CLINICAL DOCUMENTATION IMPROVEMENT

Every hospital and health system is different and their needs are unique. Our competent professionals are experienced in reviewing medical documentation and notifying the physicians of inaccurate documentation.

  • We offer Clinical Documentation Improvement (CDI) services to assist our clients in providing medical documentation that is complete and accurate. Our CDI services help clients eliminate gaps in reimbursement and increase the quality of the documentation.
  • Our CDI specialists have healthcare regulatory experience in a variety of settings and are skilled in clinical knowledge, clinical documentation improvement programs, clinical documentation services, payment systems & methodologies, as well as ICD-10 coding concepts and guidelines.
  • Our Key RCM services in clinical documentation
    • Transition to ICS-10 Coding
    • Medical chart review by skilled CDI specialist
    • Clinical documentation monitoring and assessment
    • Clinical documentation improvement programs
    • Analysis and audit reporting of the CDI program
    • Training and educational resources for high-quality documentation