Medical coding is the conversion of diagnoses and procedures into payable alphanumeric codes. Correct coding will result in fast claim processing which results in improved reimbursement. Inappropriate coding can cause increased denials that need analysis and re-submission and resultant delay in getting payments. We provide customized and comprehensive clinical coding services aimed to reduce costs, denials and maximize your net revenue. Our certified coders are experts in Inpatient and Outpatient clinical coding including CPT, EM, DSL, ICD-9, ICD-10 CM, ICD-10AM and HCPCS. You will get the best from Profit Plus
Bringing expertise to claim submissions drive efficiency and financial results. Health systems benefit from a lower cost and can begin optimizing efficiency and profit from the beginning. Our back-office experts take the administrative work on your behalf and they do research and implement payer changes, track claims, manage denials, and identify areas of improvement for all our clients.
Revenue Cycle Management (RCM) is the process that manages claims processing, payment and overview of revenue generation process. RCM encompasses everything from determining patient insurance eligibility, collecting co-pays and upto properly coding claims. Our revenue management service will accelerate your collection and streamline your workflow, freeing up your staff to focus on patient care. You can enhance physician productivity to deliver quality care at lower cost while we take care of time-consuming clinical paperwork and keep moving. We provide customized and comprehensive clinical coding services aimed to reduce costs of the process & denials and maximize your net revenue.
Implementation of ICD-10 coding is a challenging task for many healthcare facilities and lack of education carries significant risks including increased queries, delayed payment, poor quality reports. We can ensure the transition a hassle free experience.
1. Claims Data Entry & Medical Records Scanning
2. Claim Submission and Resubmission
3. Payment Posting & Denial Analysis
4. Medical necessity compliance checks before submission.