Medical Coding Services

Medical billing and coding services convert doctors’ notes into a special language that insurance companies understand. It’s a big deal because if it’s not done right, the doctor’s office might not get paid. Efficient medical coding services help doctors and hospitals get their money faster and without trouble.

Here are some important things to know:

Mistakes in coding are the main reason behind over one-third of the times insurance companies say ``no`` to paying the bill (that's a lot!).

When coding is done well, it can make the whole process of getting paid smoother and faster, sometimes by a big margin of 25 to 30%.

It adheres to the regulations of ICD-10, CPT, and every insurance company, which is essentially a secret handshake to get paid.

It streamlines and simplifies everything for all healthcare professionals, whether in a large hospital or a small medical office.

Choosing an affordable medical coding company is similar to choosing a reliable business partner. They help keep your money flow steady and your office running without any hiccups.

Employing time-tested methods and top-of-the-line technology

Need for Outsourcing Medical Coding Services

Outsourcing medical coding services is a smart choice that saves you money and solves problems like not having enough staff and following the rules. It ensures timely payments. Medical coding outsourcing services help your business run smoothly and get more done.

Good reasons to outsource:

Cuts costs up to 40% compared to having your team.

You get specialized coders who know their stuff.

They finish coding jobs in just 24-48 hours.

They can handle growth and offices in different places.

It makes sure your claims are right and lets your team focus on other important things.

In simple terms, outsourcing coding services makes your business better by getting rid of extra work and helping you save money.

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Medical Coding Process

To ensure that you are being paid properly and following all the regulations, it is important to understand the process of medical coding This can be easily summed up as:

To ensure that you are being paid properly and following all the regulations, it is important to understand the procedures in the medical coding process. This can be easily summed up as:

First, someone looks at the notes from the doctor's computer (that's the EMR/EHR).

Then, they use big books with codes (ICD-10, CPT, and HCPCS) to put the right numbers and letters for what happened with the patient.

Next, other people check the codes to make sure they're correct through something called ``internal audits and compliance checks.`` It's like having a second pair of eyes to avoid mistakes.

Lastly, the coded information goes into the billing system to get the money from insurance companies for the doctor's work.

And here’s a cool fact: Clinics that do this well see their clean claim numbers (that’s claims that don’t get sent back) go up by 15 to 20%. That’s like getting a gold star for doing a great job, according to Becker’s Healthcare.

Practolytics follows a medical coding services process that is streamlined to get things done efficiently.

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Why Choose Practolytics for Medical Coding Services

Ranked among the best medical coding companies, Practolytics is known for delivering reliable solutions that put compliance first. As one of the best companies in this field, our main strength is helping clients get paid quicker and face fewer rejected claims.

What sets us apart:

We have a 98% accuracy rate, which is high compared to others.

Our team is well-trained and has special certificates from AHIMA and AAPC, showing they know their stuff.

We fit nicely with the systems you already use for managing patients and money.

We check our work often to avoid any issues with the people who pay us.

When you work with Practolytics, you’re not just getting a service provider. You’re getting a partner who cares about making your coding process the best it can be. We are one of the top medical billing companies, and our results are clear evidence.

Benefits of Medical Coding Services

Professional medical coding services and medical coding audit services come with several big pluses for your healthcare business. These benefits touch on how your healthcare company works day-to-day, the quality of care you give, and how you handle money stuff.

Here are the main merits you get:

Fewer Headaches with Insurance: They cut down the times insurance companies say ``no`` by a huge 30%. That's more money in your pocket.

Staying on the Right Side of the Law: They keep your medical info safe and help you play by the rules set by HIPAA and OIG.

Better Records: They give feedback that makes your medical notes cleaner and clearer. It's like a teacher giving you tips to write better essays.

Full Reimbursement: You receive the most you should from insurance companies.

Stress-Free Financial Reviews: They organize your financial papers so neatly that if anyone ever looks at them closely, like in an audit, you won't have anything to worry about. It's like having all your papers in order every single time.

In short, these services are having a reliable gadget for your medical business that keeps things humming along and ensures you receive what you’re meant to, with less anxiety about audits and losing money.

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Customer stories

Practolytics has been invaluable to our practice since October 2022. Their expertise in coding guidance and provider audits has given us more confidence in the way we operate. Their team is not only knowledgeable but also incredibly supportive providing clear and concise guidance tailored to our specific needs. Their compliance audits have been thorough and insightful, helping us to identify areas for improvement that could prevent financial losses while also providing opportunities for further provider training. I highly recommend their service to anyone looking to enhance their billing and coding practices.

Carol Raugust – Practice Manager Platinum Hospitalists

Customer Stories

I have been a very satisfied client with Practolytics for nearly 5 years now. As you would expect, they are collecting the money that we have worked so hard for. We like the fact that they share our passion for data. We both approach our common issue i.e., how to collect money from a data centric viewpoint, and this drives improvement. The team is always willing to listen to us and make changes if necessary. Through the years we have asked for help with various office activities from credentialing to prior authorizations to procurement of outside medical records. Yes, these were add on-services, but outsourcing these activities to their team has been a winning solution that has intertwined the billing team into the success of our practice. These add ons have been a good value for us too. Lastly, we have easy access to one of the principal partners on the billing team, and the response time has always been excellent. Thank you! Practolytics!

Guy Lerner – MD Specialist in Pain Care, Kentucky

Customer Stories

We have been working with Manik and the rest of his team since August 2015. At that time, we were a clinic in need of guidance, in terms of credentialing, understanding the claims process and optimizing the use of the technology and stabilizing cash-flow. The team as a whole spent many hours upfront working to get everything moving smoothly and also developing relationships with most insurance companies. Manik’s hard work & dedication paid off as our practice more than tripled in visits, and we no longer had to tell the patients that we aren’t in the network. This more than anything has allowed us great patient flow and continued steady growth.

Robert Gass – Owner Care Physical Therapy, New York

Customer stories

We are a solo orthopedic practice in North Carolina and our relationship with Practolytics started in June 2015. They have staff members who are always willing to help. They work very hard to make us happy and I appreciate all that they do on a daily basis. They take out the worry of getting payments and always follow up with insurance companies. I found the customer service to be unsurpassed. All phone calls are returned and our questions are answered in a thorough and timely manner. The monthly reports are easy to read and provide a quick assessment of the health of the practice, including the company’s account receivables. When I need advice or am unsure of something, it gives me comfort to know that they are just a phone call away. Switching to Practolytics was truly one of the best decisions that I have made for our practice. I truly look forward to a longtime relationship with the staff at Practolytics.

Rekha Parikh – Administrator Orthopedic Solutions & Sports Medicine Center, North Carolina

Customer Stories

I started a new practice approximately 5 years ago. I have used Practolytics for my billing services over this entire period. I have also used them for integration of collections, adding new providers and DME. They have been excellent and are also part of the reason why I am so successful. They are very knowledgeable about billing. I not only see patients in clinic but also at the hospital and nursing home and also do surgical procedures in and out of the office. I have been very impressed with their level of skill and knowledge. They also do very good on communication. I would highly recommend them for any of your billing needs.

Dr. Nicole Cupp – MD Advanced Podiatry of Bartlesville

Customer Stories

FAQs about Medical Coding

Can medical coding services help during audits or payer disputes?

Absolutely. They give you proof and reasons for codes to win in audits and appeals.

Are outsourced medical coding services compliant with regulations?

Yes. They stick to HIPAA, OIG, and insurer-specific guidelines.

Will outsourcing coding compromise patient data privacy?

Trustworthy partners keep data secure with HIPAA rules.

What exactly is medical coding, and why does it matter to my practice?

Medical coding is like giving special labels to sicknesses and the things doctors do. This helps everyone get paid correctly and stay on the right side of the rules.

Why is medical coding important in healthcare?

It ensures correct money requests, helps with sharing information, and lowers chances of cheating or legal problems.

What is the difference between medical billing and medical coding?

Coding converts health info into simple, uniform codes that help us submit clean bills to the folks who cover the costs. This way, everyone gets what they need, and the payment process goes smoothly.

Can coding services help reduce insurance denials?

Correct and rule-abiding coding means fewer denials and more cash flow.

What technologies do coding providers use to improve efficiency?

They offer clever tools with AI, smooth EHR connections, audit helpers, and info-filled dashboards.

What types of healthcare facilities use medical coding services?

Hospitals, doctor offices, surgery centers, labs, and urgent care clinics are essential places for healthcare services.

How do coding services ensure compliance with HIPAA?

They use safe tech, limit access, and train everyone well to follow regulations.

Are outsourced coders certified?

Good news! Reliable companies hire expert coders with specialized knowledge and certifications like CPC and CCS.

How does outsourcing medical coding benefit healthcare providers?

It improves accuracy, reduces claim denials, lowers costs, and keeps you rule-compliant.

Ensure Precise Coding – Contact Our Experts

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