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.

  • We have a team of experienced AAPC/AHIMA Certified coders of most of the specialty streams.
  • Certified medical coders and AHIMA-certified medical coders. Equipped with certifications such as CPC and its variants such as CPC-H/CPC-I and CCS, our team can ensure the highest level of accuracy in medical coding.

Our team provides the following medical coding services

  • ICD-10-PCM, CPT, HCPCS coding and ICD-10-PCS coding.

  • Chart audits and code reviews.
  • Payer specific coding requirements.
  • HCC coding

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

  • The advantages listed below are provided by our coding team
  • Ensure ICD-10 compliance
  • Improved first-pass rate will help you reduce AR backlogs
  • Enhance clinical documentation at the facility and provider levels.
  • By using our worldwide delivery approach, we can increase responsiveness and prompt claim submission.
  • Consistent and reliable reporting of clinical data

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

  • Patient details
  • Insurance details
  • Guarantor details
  • Employer’s details

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.

  • Save over 40% in operational costs
    In-house patient registration services can be costly. Our team will receive the patient’s demographic information and process it very diligently with the current protocols.
  • Improve Productivity & Accuracy
    With guaranteed service levels of accuracy and turnaround time, we are assured that the work performed by our team is of good quality.
  • Reduced claim denials and improved claim submission cleanliness
    Improvements in the quality of the patient registration process result in higher first-pass rates and, as a result, fewer claim denials.
    Naturally, increased cash flow is a by-product of the underlying patient registration process.

  • Collaboration and account management
    Our account management team collaborates with you to improve the overall efficiency and effectiveness of the patient registration process. The team communicates with you via real-time portals and daily status reports on quality and turnaround time. We reconcile each account so that any lapses in the process do not affect the front- and back-end processes in the revenue cycle chain.
  • Software Expertise
    MSAI is proficient in over 15 different practice management systems, including eClinicalWorks, Advanced MD, Intergy, Greenway Primesuite, Nextgen, CPR+, Rain Tree, Gmed, Office Ally, Open Dental, Cerner, Kareo, and others.

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

  • All new patients
  • Hospital admissions
  • Any patient who indicates a change to their coverage
  • For all high dollar procedures

Insurance verifiers should confirm the below-mentioned insurance information for a new patient

  • Patient’s name and DOB
  • Name of the primary insured
  • Social security number of primary insured

  • Payer
  • ID number
  • Insurance Group number
  • Contact information, such as a phone number, website, and address, for submitting claims

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

  • Reduced time and effort
  • Speed up approval and authorization
  • Simplified workflow
  • Faster billing cycles
  • Staff productivity Improved
  • Reducing operational costs

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!

Contact us today for a consultation to learn how our
medical coding and billing services can optimize
your practice’s revenue cycle management!