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"Within 10 days of starting with them we received our first check from claims they had submitted. They even went back and reworked all the denied claims from our old billing service and were able to collect on claims that were a year old." Read more... or See all Testimonials |
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The Problem: The ICD-9 and CPT Coding Initiatives Are Complex and Constantly Changing.
Medical coding is the process of assigning diagnostic and procedural codes to represent patient conditions and care. The accuracy and completeness of medical coding is essential for achieving proper physician reimbursement and providing quality patient treatment. Coding is one of the most important and complex processes of a medical practices revenue cycle and is often an area that is least understood by physicians and billing staff.
Currently the ICD-9 coding complex is comprised of approximately 17,000 codes. CMS has mandated that physicians start utilizing the ICD-10 coding system, which consists of 155,000 codes, by the year 2013.
The process of medical coding is only going to continue to become more complex and harder to navigate. Making sure your practice is properly coding will continue to become more important than ever.
The Solution: Outsourcing Your Coding To An Extensive Network of Certified Professional Coders. Atlantic Financial Consulting is a leading provider of medical coding services to physician practices for every medical specialty. What ever your needs are, we have an extensive network of certified professional coders that are experienced in your specialty and can provide you with the appropriate coding services to ensure your practice is achieving maximum reimbursement and that your coding is fully compliant with all of the Correct Coding Initiatives (CCI) and Local Medical Review Policies (LMRP). Experience has taught us that some medical practices are leaving as much as 20% to 30% of their revenue on the table because proper coding is not being utilized. Our certified coding team will ensure you that your practice is achieving maximum reimbursement and coding properly in accordance with Medicare guidelines. How It works Our team utilizes iDocumentNow, a web-based, 128-bit encrypted, HIPAA compliant application to facilitate the coding of your practice’s patient encounters. Physician offices fax a copy of the patient notes for each encounter for the day into the iDocumentNow system.
The coded encounter is then returned back to the medical practice within 24 hours so that the claim can be processed in-house or we submit the claim through our practice management system if your practice is currently outsourcing your billing with our firm. We invite you to explore how we provide cost savings and increased reimbursement for physician practices. Contact Us today to learn more. Benefit # 1: Industry Expertise We only select coders that have the experience and certification to provide our clients with the best service possible. Our coders are certified by The American Academy of Certified Professional Coders (AACPC) and the American Health Information Management Association and have years of coding experience. In addition, our coders have one of the deepest private networks to share knowledge and coding best practices with each other. Benefit # 2: Increased Revenue On average, a physician that sees 40 patients a day will spend 2 hours per day coding all the patient encounters. This is lost time that is an administrative burden and time that could be better spent seeing patients. If a physician were to spend those 2 hours seeing an additional 7 patients versus doing coding, that would generate an extra $420 in revenue per day, which equates to $8,000 per month, or $96,000 per year in additional revenue. In addition, our experience has shown us that a good majority of the time we are able to increase a practice’s Relative Value Units (RVUs) some times by as much as 20% to 30%. One of the best opportunities for improving revenue is for physicians to ensure they are properly documenting their treatment and billing accordingly. With our iDocumentNow technology, our coders can digitally markup documents during the coding process and identify areas of documentation improvement. We can then provide ongoing documentation training for your physicians, billing staff and nurses to ensure that your practice is compliant and your audit risk is minimized. Benefit # 3: Cost Savings A national shortage of certified coders often leads to physicians having to perform their own coding. Physicians are required to select services from superbills and other office staff such as nurses may be responsible for diagnostic coding as well. This administrative burden can be eliminated and better spent treating patients and increasing revenue. Outsourcing the coding of your patient encounters to our firm can eliminate the need for staff to perform this administrative headache. This reduces your practices overhead and other costs associated with coding. Our small fee charged per patient encounter is worth the coding expertise your practice will receive. Benefit # 4: 24 Hour Turn Around We understand time is of the essence when submitting claims and we know the impact the coding process can have on your practice’s accounts receivable, cash flow and bottom line. This is why we strive to provide a 24-hour turn around for most specialties. Benefit # 5: Increased Compliance With Medicare RAC Audits and increased private payer audits on the rise, physicians today must achieve higher levels of accuracy when it comes to clinical documentation or their practices may face harsh financial penalties. Our certified coders review physician documentation as each patient encounter is coded to make sure that no documentation deficiencies exist within your practice. If deficiencies are identified, we can provide appropriate training for your physicians, nurses and billing department to bring your practice up to speed on proper documentation to ensure you are compliant. Benefit # 6: Fast Start Up We understand the importance of proper coding and how it can impact your practice’s revenue and bottom line. With that being said, we have the appropriate technology and team to start coding for your practice within a few days. To get started or learn more about our coding services, Contact Us today.
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Atlantic Financial Consulting |
Our certified professional coders access your patient notes via iDocumentNow and assign appropriate Diagnosis, CPT and HCPCS codes to each encounter based on the patient notes that are received.
