All About Medical Coding Complexities, Dilemmas and Solutions
Are you struggling to keep up with constant changes in medical coding? Is 75% of revenue loss happening as the result of coding mistakes? You are not alone in this. In fact, 65% of providers today are struggling with coding challenges.
A large number of providers come to us regularly, seeking our assistance in resolving coding errors, related issues and complications.
There is no doubt that medical coding is vital to both revenue cycle management and patient-care. Coding is a complex task, made all the more challenging when one has to regularly deal with all the usual aspects of providing care involving diverse services, tests and procedures carried out in inpatient and outpatient settings, then accurately documenting them for billing and medical records, managing collections and so on. Keeping abreast with changes in coding, discarding old codes and using the latest ones – they all constitute a severe challenge for many practices. As each code signifies a specific process, maintaining a high degree of precision in coding is absolutely critical.
Moreover, it is no secret that the healthcare industry is quite complex and challenging in itself, especially due to its ever-evolving landscape. And at times, ensuring precise and timely reimbursements can become quite a daunting task for providers. Likewise, with the rising complexities of industry mandates and payor requirements, accurate medical coding has become a formidable task for many healthcare providers. This is why you need experienced coders like us. Our specialized team of medical coders not only meticulously reviews inpatient and outpatient records to ensure that all diagnoses are accurately coded in accordance with CPT, ICD-10, HCPCS and DRG guidelines but also ensures that all coding undergoes rigorous audits by both in-house and external compliance experts, in order to uphold a consistent 98% accuracy rate.
Understanding Various Types of Medical Coding
More on Why Precise Medical Coding is Important Today
Coding is primarily used to submit claims to insurance companies and government programs in order to receive the payment you deserve. In fact, there are several types of medical codes, each serving a specific purpose within the healthcare system like ICD Codes, CPT Codes and HCPCS Codes. Having experienced coders manage your operations can be surprisingly effective in avoiding repeated denials, significant revenue shortfalls, compliance issues, and administrative headaches. So to avoid these pitfalls and ensure seamless operations, healthcare providers need the support of a dedicated medical coding company that can navigate these challenges with expertise and precision. And with Sun Knowledge offering top-tier medical coding services, you no longer have to worry about finding the best partner to transform your revenue cycle and optimize your practice’s financial health in no time.
Medical coding services transforming your clinical documentation (CDI) process
Any healthcare organization must have a clear and comprehensive picture of their patient’s health and their medical conditions. Proper medical coding solutions ensure that patient records are updated and accurate and that the team members have the required data and documentation available on a real-time basis.
The benefits of quality medical coding services from Uniserve RCM
Why Choose Us
Our medical coders work for:
Our Seamless Medical Coding Approach
Being a leading RCM solution provider with a proven track record of helping many leading healthcare providers across the US with their billing and coding challenges, Uniserve RCM today has come to be known for the highest productivity metrics across the industry.
With a team of certified and experienced coders delivering tailored solutions that meet the unique needs of each coding requirement, Uniserve RCM brings you the assurance of:
- Comprehensive coding expertise in ICD-10, CPT, HCPCS and DRG coding, ensuring precise claim coding
- Rigorous compliance standards consistently updated to align with the latest coding regulations, minimizing compliance risks in a stringent regulatory environment
- Customized coding solutions tailored to meet the unique challenges of each medical specialty
- Leveraging advanced resources and state-of-the-art technology to reduce delays, enhance accuracy, and speed up reimbursements
- Personalized account management where every client benefits from seamless integration and optimal efficiency with their billing systems
DRG Coding: Enhancing Reimbursement for Hospitals
Today more than 73% of hospitals are struggling to manage its DRG coding. Diagnosis Related Group or commonly known as DRG coding is a critical component of hospital reimbursement systems, particularly for Medicare and other insurance programs codes group patients and is mainly based on their diagnoses, treatments, and outcomes, allowing hospitals to be reimbursed according to the complexity of the case rather than the actual cost of care. This system ensures that hospitals are compensated fairly for the services they provide, but it also requires a high level of coding accuracy which we excel in.
As you know there is not one factor but several other critical factors influencing the DRG coding-including the severity of the illness, the patient’s prognosis, the difficulty of the treatment, and the resources required. Also, the principal diagnosis, surgeries performed, and any comorbid conditions also play a significant role in determining the appropriate DRG code.
This is why today in the competitive market having accurate DRG coding is extremely essential for maximizing hospital reimbursement. And any discrepancies between the coded diagnosis and the care provided can result in financial losses. Thus leaving you to us as we excel in DRG coding, ensuring that your hospital is reimbursed appropriately for the care it provides. Our coders are not only experts in identifying the correct DRG codes based on the patient’s clinical documentation, reducing the risk of underpayment but further ensuring that you receive the full reimbursement to which you are entitled.
The One-stop Destination to Resolve Your Entire Coding Dilemma
Partnering with Uniserve RCM means instant access to consistent improvements in your coding accuracy, denial management, and overall revenue. Delivering measurable results that have a positive impact on your bottom line for the last 15+ years, we take pride in offering competitive pricing with no hidden fees. Our all-inclusive rate is just $7/hour.