Background

Expert Medical Coding for Denial Prevention

Prevent claim denials at the source with our precision medical coding services that ensure maximum reimbursement.

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Precision Coding Prevents Denials

Medical coding forms the foundation of your revenue cycle, where accuracy directly impacts claim acceptance. Our certified coding specialists possess deep knowledge of CPT, ICD-10-CM, and HCPCS Level II coding systems, ensuring each claim reflects the complexity and medical necessity of services provided.

We don't just code—we analyze documentation for completeness, identify potential red flags for payers, and apply modifiers correctly to prevent denials before claims are submitted. Our proactive approach addresses the root causes of coding-related denials that cost practices significant revenue annually.

98.7%

Coding Accuracy Rate

72%

Reduction in Coding Denials

24h

Turnaround Time

Medical Coding Accuracy Visualization

Coding-Specific Denial Reasons We Prevent

Targeted solutions for the most frequent coding-related claim rejections

Incorrect Modifiers

Misapplied or missing modifiers that change reimbursement or cause denials for unbundled services.

LCD/NCD Non-Compliance

Failure to adhere to Local and National Coverage Determinations that specify covered diagnoses.

Medical Necessity Issues

Insufficient documentation to support the medical necessity of procedures using ICD-10-CM codes.

Invalid Codes

Using outdated, deleted, or invalid CPT/HCPCS codes that automatically reject claims.

Unbundling Errors

Separately billing components that should be included in a comprehensive code, triggering audits.

Incorrect Sequencing

Primary diagnosis not listed first or improper ICD-10 code order that affects reimbursement.

Our Medical Coding Process

A meticulous approach to ensure coding accuracy and compliance

Comprehensive Documentation Review

Our certified coders thoroughly analyze clinical documentation to ensure it supports the codes selected and identifies any gaps.

Specificity Optimization

We assign the most specific ICD-10-CM codes available, including laterality, severity, and other clinical details that impact reimbursement.

Compliance Validation

Every claim undergoes compliance checking against NCCI edits, LCD/NCD policies, and payer-specific requirements.

Continuous Updates Implementation

We maintain current knowledge of annual coding changes, quarterly updates, and new guidelines to ensure ongoing compliance.

Performance Analytics

Detailed tracking of coding accuracy, denial patterns, and reimbursement rates to identify improvement opportunities.

Provider Education

We educate your providers on documentation improvement techniques that support accurate coding and prevent denials.

Coding-Specific Results

Measurable improvements in coding accuracy and denial reduction

98.7%

Average coding accuracy rate achieved for clients

72%

Reduction in coding-related denials within 90 days

5.3%

Average increase in reimbursement through optimal coding

100%

Compliance with annual coding updates and changes

Specialty-Specific Coding Expertise

Our coders have specialized knowledge across medical specialties

Cardiology

Neurology

Orthopedics

Pediatrics

OB/GYN

Pulmonology

Transparent Medical Coding Pricing

Flexible options tailored to your practice's coding needs and volume

How do you charge for medical coding services?

We offer flexible pricing models designed for medical coding specificity and accuracy:

Per Encounter Model

Flat fee per patient encounter with tiered pricing based on complexity

Ideal for: Practices with consistent patient volume

Monthly Retainer

Fixed monthly fee for comprehensive coding services and support

Ideal for: Predictable budgeting and ongoing needs

Hourly Consultation

Expert coding consultation and audit services billed hourly

Ideal for: Specific projects or coding audits

Medical Coding Questions

Answers to common questions about our coding services

Our coding team includes professionals with CCS, CPC, COC, and CIC certifications from AHIMA and AAPC. Many hold additional specialty-specific credentials in areas like cardiology, orthopedics, and oncology coding. All coders maintain their credentials through ongoing education.

We implement a rigorous continuing education program that includes weekly updates on coding changes, quarterly comprehensive training sessions, and immediate implementation of all CMS updates. Our coders participate in specialty-specific webinars and maintain memberships with professional coding organizations.

Yes, our team has expertise in both professional (physician) coding and facility (hospital) coding requirements. We understand the different rules, modifiers, and billing guidelines that apply to each setting and ensure appropriate coding based on the service location.

Most clients see a significant reduction in coding-related denials within 30-60 days. We typically implement immediate corrections to current coding processes while developing longer-term strategies for sustained improvement. The exact timeline depends on your current denial rate and the complexity of issues we identify.

Ready to Eliminate Coding Denials?

Our certified coding specialists can transform your denial rates and maximize appropriate reimbursement.

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Medical Billing Assistant

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I can answer questions about:
• Medical coding CPT, ICD-10
• Claim submission
• Denial management
• Revenue cycle optimization
• AccuMed BPO services