Apart from Patient Demographic & eligibility related denials, Coding related denials too are important as it is directly proportional to practices integrity and using appropriate ICD/CPT for services provided to patients is no less significant.
We have mastered the art of generating clean claims for the providers to accomplish the goal of getting paid through the first submission by diligently reviewing each chart to come up compatible ICD/CPT combination that meets medical necessity of both NCD and LCD, meeting MUE limits and CCI edits too.
Besides this, we have also invested in using high profile medical coding scrubbing tools and partnered with leading US based medical coding consultancies to ensure fast changing Billing and Coding regulations are educated and implemented by both our staffs and the practice.
This process is very crucial since payers have become highly vigilant in adjudication and reimbursement of claims.