Medical Coding
Medical coding is the process of converting written descriptions of diagnoses and treatments into Alpha-numerical universal medical codes. This compiles data and examines illnesses, therapies, and results. This influences the payment of claims. Claim denials or underpayments may result from missing or inaccurate codes.
Accurate Medical coding can reduce the Claim denials
The quality of medical coding is very critical for accurate reimbursements. Coding errors can be expensive, cause claim denials, and even cause unnecessary compliance issues.
Our team provides the following medical coding services
We perform medical coding in accordance with the clinical documentation that is currently available and the procedures that our clients have specified through specific work instructions. Medical coding is done in accordance with the clinical data that is currently available and in accordance with the procedures that our clients have set through specific work instructions. Examining a Medical Coder’s work is handled by a skilled auditor with the required training and certification. We guarantee to provide the greatest coding accuracy and turnaround times in the industry.
Benefits of MSAI Medical Coding Services
Patient Demographics Entry
Entering patient demographics is a critical step in avoiding a lot of backtracking and errors during the claims processing process. The data captured in the demographic entry process from the base for the medical record affects not only the medical record but also the payment of insurance claims. Error-free patient data capture is critical for claim submission and expedited claim processing by insurers.
The main purpose of demographic entry is to create an account and key in the data into the software – PMS (Practice Management System).
The following is the basic information that are entered in the system
After the above information is keyed into the system, the patient account number is generated, which is used by all the medical billing departments.
Inaccurate capture of patient information could result in
Increased claim denials and delayed payments: This will cause rework as the clearing house systems and the payer claims adjudication platforms may reject the claims. As a result, delays in obtaining payment on account of unpaid claims can occur.
Benefits offered by our team
In addition to eliminating rework, accurate patient data entry ensures prompt reimbursements and decreases the number of days in accounts receivable. Our demographics team receives training to spot errors in the patient registration process and work collaboratively with our clients.
Eligibility, and Benefits Verification
Prior to providing services, improper benefit information verification causes the majority of claim denials. Prior authorization and insurance eligibility verification are the first and most important stages in the medical billing process. Inpatient, outpatient, and ambulatory care encounters all involve the insurance verification process.
It will make sure that the hospital or doctor’s office is paid for the services provided and will aid in determining the patient’s responsibility, also known as their portion of the hospital bill—for those costs. Verifying a patient’s eligibility involves confirming the validity of his or her claims and confirming the patient’s active coverage with the insurance provider.
Coverage and eligibility benefits should be verified for
Insurance verifiers should confirm the below-mentioned insurance information for a new patient
Outsource to a Reliable Service Provider
Why not contract with a third party to handle your insurance verification needs to decrease the workload on your front desk staff? MSAI Healthcare Solutions, Inc., can assist with your insurance verification burden. Your claims can be processed and billed accurately by our experts to avoid having them consistently rejected or denied.
The following are a few advantages of outsourcing your insurance verification services
You can get assistance from MSAI. Our highly qualified and competent insurance verifiers can do the task in place of your front desk staff with our Eligibility and Benefits Verification Service. Your front desk employees can now concentrate more on patient interaction and engage in more hands-on work for duties that call for their physical presence. Schedule a conversation session right away to find out more about how we can assist you!