Medical Coding & Billing for Hospitals
DNFB Reduction
DNFB (Discharged but Not Finally Billed) is the major obstacle for CFOs of most of the hospitals for maintaining the revenue stream and intact operations.
DRG Coding under IPPS
Supported by prudent Clinical Documentation to rule out any HACs by documenting POA criteria, well on time through concurrent medical reviews.
Inpatient Surgical Procedure Coding
By using ICD-10-PCS by close communication with surgeons to seek clarity on surgical procedure notes to determine exact Root Operation(s) / Approach and other vital parameters of the procedure to report.
Timely completion of Medical Records
With concurrent reviews of charts and duly completing prudent PQP by our coding-billing team.
Quality Data Submission Mandates
In the ACO environment of P4P and Value Based Purchasing (VBP) Programs, Quality Data Submissions under EHR-MU (Modified Stage-2), IQR and OQR are obligatory.
We undertake DRG coding, CDI, IGRP/ OQPR services for hospital to curb DNFB situation and improve the compliance. We also intelligent Clinical Data Abstraction (CDA) services for accomplishing this task.
We provide support For UB–04 Filing and Accounts Receivable Follow-Up for improved revenue collections
We are focused towards the Health IT Services especially for ACOs and large healthcare groups where Health Analytics-Data Based. Management Services (HA-DBMS) drive the revenue and curb the vulnerabilities of statutory audits, sanctions and penalties associated with compliance. We are fully aware of the end-to-end process of IPPS and DRG Coding and the quality data submission norms. Our coders will be either CCS (AHIMA) or CIC (AAPC) who understand this domain very well. Our coders will take into account CCs/MCCs as well to keep a balance between documentation related to POA/HAC criteria. IMPACT-Act-2015 is paving the ways of ZPIC and RAC auditors to go through the hospital charts with close lens to see the value of the delivered care . Most of the times it is the under- documentation which is the culprit that leads to charges of non-compliance while establishing Medical Necessity. We believe in this area we could best assist you to ensure MN compliance.
Our coders/documentation specialists’ work as a trusted partner with your billing team. With such a close partnership, DNFB can be significantly reduced as well as we could keep good tab on readmissions.
Clinical Data Abstraction (CDA) / Claim Based Data Analytics / Abstraction Services
Meaningful Use of EHR - Modified Stage-2
Hospitals are required to report on single set of 9-Objectives and 16-eCQMs across 3-NQF domains during the period 2015 -through-2017.
Hospital Outpatient Quality Reporting Program (OQRP)
We can assist you to complete the reporting of 33-measures to complete your QDS mandate.
Hospital Inpatient Quality Reporting Program (IQRP)
Beginning for the CY 2016- we can help you prepare your data for submitting on the 45- measures. If you would choose to also report on 16-Voluntary eCQM Measures, we can assist you to report on same.
UB-04 Claims Filing- ECS- Cash- Posting and AR-Follow-Up Services
These are our basic services which help hospitals to reduce their work-load of routine work to enable them concentrate on the Clinical Domain.