Did you know inaccurate coding practices are the leading cause of claim denials, resulting in reduced reimbursement? Furthermore, recurring Centers for Medicare & Medicaid Services (CMS) code changes bring an additional level of complication. Reviewing services, tests, and procedures in an inpatient and outpatient setting can be challenging for your coding team and, in turn, can affect your revenue cycle.
Proper coding ensures patient records are accurate, care team members have the necessary data and documentation available in real time, and the revenue cycle is growing. Accurate, efficient, and secure coding is crucial for maintaining healthy revenue and compliance.
Suma Soft’s coding solutions cater to various healthcare settings and specialties with expertise in complex Inpatient, Outpatient, and Professional Fee coding. With highly trained coders and 24+ years of expertise in Healthcare BPO Services, Suma Soft's comprehensive Medical Coding Services offer a reliable and cost-effective solution. With a team of certified coders with extensive experience, we ensure accurate coding for all your healthcare services, maximizing reimbursements and minimizing denials.
Listing an incorrect code could result in claim rejection or denial, delayed reimbursement, and potential fraud charges at worst. Outsourcing medical coding services helps you identify data inconsistencies and reduce or predict errors. Outsourcing Medical Coding can also help businesses decrease administrative costs and improve accuracy, translating to fewer claim denials and quicker reimbursement. Here are some more benefits of outsourcing medical coding services:
Enhanced Revenue Cycle Management
Accurate coding helps secure timely reimbursements from insurance companies. Medical coding services help submit claims with the correct codes, minimizing denials and delays.
Improved Compliance and Reduced Risk
Medical coding service teams stay updated with the latest coding guidelines and regulations, including ICD-10-CM and HCPCS. This ensures your practice adheres to all compliance standards, reducing the risk of audits and penalties.
Streamlined Workflows and Increased Efficiency
By outsourcing your medical coding, you free up your in-house staff to focus on core patient care activities. This leads to improved efficiency and reduced administrative burden.
Focus on Quality Care with Peace of Mind
With accurate coding handled by medical coding services, you can confidently dedicate your time and resources to exceptional patient care.
Suma Soft’s medical coding services cater to various healthcare settings and specialties with expertise in complex Inpatient, Outpatient, and Professional Fee (Ambulatory) coding. With highly trained, experienced, and AHIMA and AAPC-certified coders, quality and security are our highest priorities. Our commitment to maintaining compliance and guaranteeing 95% or greater accuracy makes us your best-in-class coding partnership experience.
Our experts use advanced HCC coding, or Hierarchical Condition Category coding technologies and best practices to determine healthcare practices' risk adjustment factor (RAF), influencing reimbursement rates from Medicare and other payers.
Risk adjustment hierarchical condition category (HCC) coding services help simplify the process for your medical practice. Our team of experienced coders ensures accurate and timely claims submission, maximizing your reimbursement potential.
Our medical coding audit services help healthcare providers improve their coding practices by offering comprehensive coding audits and improvement services. Our Medical Billing Services helps with accuracy, documentation, revenue, coding risk, and compliance.
Our extensive expertise in delivering precise and high-quality medical coding analysis services includes rigorous reviews and assessments of medical coding practices to ensure compliance with regulatory requirements and maximize reimbursement outcomes.
-
ICD-10-CM and ICD-10-PCS Coding Services
-
CPT and HCPCS Coding Services
-
DRG (Diagnosis-Related Group) Coding Services
-
E/M (Evaluation and Management) Coding Services
-
Specialty-Specific Medical Coding Services
-
Radiology, Cardiology, Oncology, Pediatrics, Orthopedics, and more.
Rheumatology, Endocrinology, Radiology, Psychiatry, Cardiology, Internal medicine, Chiropractic, Physical therapy, Gastroenterology, Orthopedics, Skilled nursing facility, Ambulance services, Urgent care and Emergency room, Pediatrics, Pediatric neurology, and nephrology.
Suma Soft follows a thorough and efficient medical coding process to guarantee accuracy and timely claim submission.
Review Medical Documents
Our medical coding team reviews all relevant medical records stored with EMR Data Entry, including physician notes, discharge summaries, and operative reports.
Abstract Creation
The medical coding service team creates a concise clinical abstract highlighting critical diagnoses and procedures performed.
Code Assignment
Our certified coders thoroughly analyze the clinical abstract and assign the most appropriate HCPCS and ICD-10 codes, ensuring accuracy and compliance.
Quality Check
Our medical coding service team ensures that each coded document undergoes a rigorous multi-level review process to guarantee quality and consistency.
Submit Coded Document
We submit accurately coded documents electronically to insurance companies, maximizing efficiency and reducing potential errors.
Suma Soft stands out as the ideal partner for your Medical Coding needs with our commitment to accuracy, expertise, and personalized service. Here's what sets us apart:
HIPAA Compliance
At Suma Soft, all our medical coding processes are HIPAA compliant, and thus, you can be assured that all your confidential patient data is completely safe & secure with us. We ensure that your patient data is protected and free from any risk of data breaches.
Complete Data Security
Suma Soft is an ISO-certified company, and data security is at the core of our operations. Having set rigorous privacy, security, and confidentiality standards at every level of our medical billing & coding services, we ensure complete protection of your patient’s healthcare data.
Trained and Certified Team
Experienced and certified medical coders stay up-to-date with coding standards and best practices to ensure compliance, quality control, and reduce errors. Our medical coders are well-trained before handling live projects, ensuring accurate coding for all procedures and treatments.
Advanced Coding Tools and Software
We leverage the latest and most advanced coding tools and software to ensure precise medical coding that avoids delays in claims processing and reduces the likelihood of claim denials. Our coding team uses dedicated coding software and custom-built workflow tools to ensure coding accuracy and productivity.
Competitive Pricing
Outsourcing your medical coding can significantly reduce operational costs associated with hiring and training in-house coders. With our medical coding services, businesses can save up to 60% on operating costs. With our project-based pricing, organizations only pay for the services they require.
Related Case Studies
Software TestingCrafted and tested a customized home automation system to deliver maximum performance at cost-effective rates.
Built a responsive customer care service structure for a leading Indian food delivery portal.
