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Medical companies, healthcare institutions, and research and consultancy firms often face the challenge of maintaining accurate medical coding which directly impacts revenue generation and compliance with regulations. Inaccurate or outdated codes can lead to denied claims, causing significant financial loss and potential compliance issues.

Our solution? Introducing our top-of-the-line medical coding audit services. We provide a comprehensive review of your coding practices to identify inaccuracies and areas for improvement. Our expert team stays updated with the latest coding changes and regulations to ensure your practices are always up to par.

The benefits of our services extend beyond just improved compliance. We aim to optimize your revenue cycle by reducing denials and increasing successful claims. With our medical coding audit services, you not only ensure accurate and efficient coding but also unlock the potential for increased financial success. Choose wisely and partner with us where you will experience improved adherence to regulations and amplified revenue generation.

Client Success Stories

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Automation of STAT Reports for a Barbados-based Client

A leading group of radiologists based in Barbados was looking for a reliable medical billing services provider who could help them with the automation of STAT reports. We provide the client with cost-effective services.

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Medical Billing Support to a US-based Client

A leading US-based medical billing services administrator was looking for a medical billing service provider. Our team at FWS provided the client with cost-effective services.

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Success Stories

Medical Coding Audit Services We Offer

Deeply ingrained in the healthcare industry, we meticulously analyze your requirements through our medical bill auditing services. As an esteemed medical coding audit company, we ensure optimal solutions tailored to your specific needs, fostering accuracy and efficiency. Our services include -

Image Illustration Services

Medical Coding Compliance

We strictly adhere to the latest regulations and guidelines, ensuring that your medical coding practices are always compliant, thus reducing the risk of
penalties and denials.

Claims Management

Claims Management

The claims process receives expert management from initiation to completion, minimizing errors and maximizing successful reimbursements.

HCC Coding and Auditing

HCC Coding and Auditing

We provide comprehensive Hierarchical Condition Category (HCC) coding and auditing to ensure accurate risk adjustment factor scores, optimizing your revenue.

Clinical Documentation

Clinical Documentation

Experts scrutinize your clinical documentation for accuracy and completeness, enhancing the quality of patient care and supporting accurate billing.

Risk Adjustment

Risk Adjustment

Our services include precise risk adjustment, ensuring accurate reimbursement and minimizing financial risk.

Coding Process Efficiency

Coding Process Efficiency

We streamline your coding processes, reducing errors and improving productivity, thus leading to increased revenue.

Unbiased Reporting

Unbiased Reporting

Unbiased and transparent reporting offers a clear and accurate picture of your coding practices and areas for improvement.

Coding Due Diligence

Coding Due Diligence

Our team performs rigorous due diligence on your coding practices, identifying potential issues to ensure compliance and efficiency.

Coding Accuracy & Review

Coding Accuracy & Review

We meticulously review your codes for accuracy, reducing the risk of denials and ensuring correct reimbursement.

Coding Resolution Services

Coding Resolution Services

Specialists offer effective resolution services for any coding issues that arise, providing swift solutions to keep your operations running smoothly.

Clinical Documentation

Denials Management

We manage and investigate claim denials, finding the root cause and implementing solutions to reduce future denials and loss of revenue.

Our Medical Coding Audit Services Process Flow

1

Patient Charts Access

2

Pre-coding Implementation

3

Application of ICD and CPT Coding

4

Accuracy Assurance through Quality Check

5

Coded Charts Submission

5

Feedback and Improvement

Why Choose Us as Your Medical Coding Audit Provider?

Choosing us as your preferred partner extends benefits beyond just coding speed and accuracy. Our comprehensive medical coding solutions offer unique advantages, including -

Additional Services We Offer

Enhance your healthcare organization's financial health with our Revenue Cycle Management services, designed to streamline billing operations and improve cash flow.

Our CPT Coding Services ensure accurate and efficient coding of medical procedures, reducing the risk of claim denials and enhancing revenue generation.

With our comprehensive Denial Management services, we help identify the root causes of claim denials and implement proactive strategies to reduce denials and improve revenue collection.

We offer Eligibility Verification services to confirm a patient's insurance coverage, reducing claim rejections and enhancing patient satisfaction by ensuring accurate billing.

Outsource Medical Coding Audit Services to Flatworld Solutions

Partnering with us for medical coding audit services ensures multiple benefits for your organization. As a HIPAA-compliant entity, we guarantee the utmost security and confidentiality of your patient data. Our team of trained and certified professionals ensures accuracy in coding, backed by advanced tools and software. We follow a meticulous audit process, from accessing patient charts to gathering feedback, ensuring a comprehensive and effective audit.

Our services improve the efficiency of your billing and coding and optimize your revenue cycle management. With competitive pricing and project-based costs, you only pay for the services you utilize. By outsourcing your medical coding audit services to us, you invest in expertise and efficiency, paving the way for enhanced business performance and patient satisfaction. Trust us to take your business to new heights.

FAQs

Medical coding and billing services help improve efficiency, reduce errors, and ensure compliance with healthcare regulations. They also streamline the revenue cycle, reducing claim denials and enhancing revenue generation.

Outsourcing allows healthcare providers to focus on patient care, leaving the complex and time-consuming tasks of billing and coding to experts. It can also reduce overhead costs, improve efficiency, and ensure compliance with changing healthcare regulations.

Coding audits verify the accuracy and compliance of medical coding, which is crucial for correct reimbursement and avoiding legal issues. Regular audits can identify and address coding errors, minimizing claim denials and financial loss.

The coding audit process typically includes accessing patient charts, pre-coding, applying ICD and CPT coding, quality checks, submission of coded charts, and gathering client feedback.

The two main types of coding audits are prospective audits, which review codes before submission of claims, and retrospective audits, which review codes after claim submission and payment.

A medical billing audit can identify errors and inefficiencies in the billing process, which can be rectified to improve revenue cycle management. It helps reduce claim denials, improve cash flow, and enhance overall financial performance.

Getting started is simple. Just reach out to us via phone or email, and our team will guide you through the process, tailoring our services to meet your specific needs.

Absolutely. After the audit, we provide recommendations for improving your medical billing process. Our team can assist in implementing these recommendations, ensuring improved efficiency, accuracy, and revenue generation.

Avail best-in-class services at affordable rates

Starts @ $1280-1440 per FTE/month More details

Our Customers

Movement Mortgage
Alcon
ARI
Maximus
Redwood E-Learning Systems

AHIMA Healthcare Convention 2016

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USA

Flatworld Solutions

116 Village Blvd, Suite 200, Princeton, NJ 08540


PHILIPPINES

Aeon Towers, J.P. Laurel Avenue, Bajada, Davao 8000

KSS Building, Buhangin Road Cor Olive Street, Davao City 8000

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