CureMed Solutions

Coding Services

Coding Services

A latest survey by Harmony healthcare of more than 130 healthcare providers all over the United States revealed that the claim denial rates of a massive one-thirds of the hospitals were 10% or over and the rate of denial ranged between 6 and 13%. The accepted “danger zone” for denied claims is touted as 10%. 32% said it was caused due to coding errors while 20% said the reason was front-end concerns.

October 2021 report in Becker’s hospital reviews studied $100 billion worth of denials and $2.5 billion in audited claims to assess reason why payers denied hospital claims over coding issues. The top reasons for denials related to coding were:

1. The health insurer deems the information submitted by a provider does not support the level of service billed.

2. The procedure code is inconsistent with the modifier used or a required modifier is missing.

Coding Services

3. The diagnosis is invalid for the date or dates of service documented.

4. The diagnosis is inconsistent with the procedure.

5. The diagnosis was not covered.

We at Curemed Solutions, know that coding requires an extensive amount of time and work. Any error, no matter how big or small, can cause serious implications for your practice. So, here’s what we offer:

  • An extremely efficient team of coders who are CPC, CPC-H and COC certified from AAPC, CCS from AHIMA and BCHH-C with collective experience of 60+ years.
  • Our team of coders are updated regularly towards understanding the changing regulatory and coding requirements and are adept to code using the latest ICD-10 system.
  • We follow comprehensive process tailored to your specific policies and protocols.
  • Code audits are done for upcoding, downcoding, unbundling, proper use of ICD codes and modifiers.
  • CLINICAL DOCUMENTATION IMPROVEMENT- Our team of experts comprises of healthcare professionals with multiple years of clinical experience, well versed with medical terminology, diagnosis and procedures who review the patient medical record documentation for completeness and accuracy and provide assistance in improving clinical documentation provided by the clients or requirement of additional documents, if any to ensure maximum reimbursement from the payers.
How outsourcing these services to us benefits you?
  • Practically error free coding reducing your chances of claim denials/rejections.
  • Quick and cost-effective service with best in industry offers at a very competitive pricing
  • Increases your productivity by freeing up time and resources so you can focus on enhanced medical care and manage your essential business operations more efficiently.
  • We are 100% HIPAA complaint and have robust intrusion prevention service with fully managed firewall solutions and encrypted virtual private network.
Coding services we offer
  • Evaluation and management coding
  • Emergency Department coding
  • Anesthesia coding
  • Pathology coding
  • Radiology coding
  • Trauma Care coding
  • SDS coding
  • IP-DRG coding
  • IVR coding
  • HCC and HEDIS coding

Accurate medical coding is the key to receiving reimbursement from an insurance company, as well as maintaining proper patient documentation. Rendering this chore to the team of experts at CMS gets you to amplify your cash flow and focus better on patient care, you take care of your patients while we take care of your coding needs.