Medical Coding Services for Maine Clinics and Healthcare Providers
Certified medical coding solutions to resolve perennial revenue cycle management issues. Our clinical coding staff help your practice avoid fines and penalties by offering advanced ICD-10, HCPCS and CPT-compliant services.
Why Accurate Medical Coding Matters for Your Practice
Healthcare facilities in Maine are always at knife’s edge when it comes to correct coding for medical billing. Unable to tackle this challenge leads to denials and revenue leakages that hurt your practice’s financial health. Outsourced medical coding is not only a best option but essential for providers in minimizing their parctice’s claim denials.
Maine medical billing company always stays at the forefront in helping medical professionals including physicians, nursing practitioners, and therapy providers in resolving issues pertaining to invalid and non-compliant coding practices. Our AHIMA and AAPC-certified and qualified coding professionals play a crucial role in your healthcare facility’s success by enhancing patient care and increasing revenue collections. Outsourcing our clinic coding services allows healthcare facilities lacking skilled staff to meet industry coding standards effortlessly.
- Healthcare Facilities
- Single Specialty Hospital
- Emergency Rooms
- Urgent Care Clinics
- Private Practices
- Group Practice Clinics
- Free-standing Emergency Care
- Primary Care Physicians
- Tertiary Care Facilities
- All Medical Specialties
- Radiology Labs
- Pharmacies
- Rural Health Clinics
- PharmaciesChiropractic and Physical Therapy Clinics
- Mental/Behavioral Health Rehab Centers
Who We Serve in Maine
Our Maine medical coding support team has expertise and experience in dealing with all medical specialties across the state of Maine and diverse range of healthcare facilities including:
Our Certified Medical Coding Services Include
Facility Coding Service
We offer high quality facility coding support to in-patient departments. Our clinic coders have complete know-how of HCPCS, ICD-10 and CPT coding standards. They accurately assign codes to provider’s professional fee, room charges, nursing, medication charges precisely and with a 100% precision.
Pro Fee Coding
Providers are an integral part of the health system and any mistake that results in unfair fee cuts or denials puts their practice at risk of financial strain. Our company ensures correct bills and codes so doctors are paid timely and without deductions.
Risk Adjustment Coding
We offer risk adjustment coding services to practices where patients with complex and complicated chronic conditions are treated. Our compliant coding practices ensure providers receive higher reimbursement on treating patients requiring additional time from the physicians under a value-based medical care model.
Coding Audit Services
We perform periodic audits on healthcare coding practices to identify deviations from industry’s established standards and guidelines. We help providers identify downcoding, upcoding and non-compliance risks pertaining to their in-house billing teams. Our AHIMA and AAPC-certified coding team ensure complete compliance with regulations.
FQHC & CHC Coding
Our medical practice coding services in Maine also cover FQHC (Federally Qualified Health Center) and CHC (Community Health Center). Trained medical coders of our company ensures providers and facilities get top-level accuracy for proper reimbursement from Medicare, Medicaid and other commercial payers.
EMR Coding Integration
We provide advanced EMR coding integration with the provider’s database which involves connecting Electronic Medical Record (EMR) systems with other healthcare applications and platforms to streamline data exchange and improve workflow efficiency. This allows different systems to securely share patient data.
Coding Services by Specialty – Tailored for What You Do
Physician coding services offered by Maine medical billing consultancy company are suitable to more than 50 medical specialties. Our certified medical coders are familiar with latest CPT and ICD-10 coding standards and modifier such as:
- Behavioral Health: 90791/90834 accuracy & modifiers
- Pediatrics: Vaccine/Wellness coding (e.g. 99392, 90460)
- Family Medicine: Complex E/M leveling (99213 vs 99214)
- OBGYN: OB package codes, global period optimization
- Chiropractic, Podiatry, Internal Medicine, and more
Our Process: From Clinical Notes to Claim-Ready Codes
The remote medical coding services we offer strengthen your practice and revenue cycle management by precision-driven HIPAA-compliant coding solutions. Our certified coding support staff follows a well-defined steps starting from:
Data Gathering
Medical coders of our company begin this step by data collection of the patients with absolute accuracy.
Assigning Coder
We assign expert coder that has years of expertise in coding specific to your specialty.
Code Selection
After checking provider’s notes, correct ICD-10 and CPT codes are assigned corresponding to diagnosis and treatment.
Quality Control
Each claim goes through a rigorous second review for checking level of compliance and adherence.
Documentation Feedback
After thorough evaluation, missing documents are added with the help of providers for better efficiency.
Submission
Medical claim is submitted after quality assurance after evaluating accuracy of codes, claim is submitted.
Compliance and Updates
We stay up-to-date with the changing regulatory landscape of healthcare and coding practices for optimal compliance.
Reporting & Analytics
Our coding professionals provide daily, weekly, monthly and quarterly revenue cycle and coding reports.
Reimbursement Tracking
A crucial part of our coding services is claim tracking, recovery and appeal filing ensures timely reimbursement.
Customer Support
A 24/7 customer support service stays vigilant in answering incoming calls and providing prompt answers to queries.
Why Choose Our Healthcare Coding Service in Maine?
Maine medical coding for clinics are distinct and provide a variety of advantages that are not offered by other companies like:
Reducing Claim Denials
Our coding specialists meticulously perform HIPAA-compliant coding duties and ensure insurance claims are free of errors and invalid practices.
Reducing Coding Compliance Risks
Our coding specialists meticulously perform HIPAA-compliant coding duties and ensure insurance claims are free of errors and invalid practices.
AHIMA and AAPC Certified Medical Coders
Entire medical coding team of our company is AHIMA and AAPC-certified, ensuring the best, bright and expert professionals.
Latest Billing Software
Outsourced medical coding for healthcare providers from us ensures you get access to the latest billing software to fast track reimbursements.
Regular Audits
Our medical coding audit support professionals perform regular and periodic audits to mitigate irregularities and non-conformance with payers policies.
Knowledge of Local Policies
E/M coding services we offer are based on Maine’s local payer policies and healthcare regulations for improved reimbursement process.
Frequently Asked Questions (FAQs)
Do you offer coding audits or compliance checks?
Yes. We offer tailored revenue cycle coding services and audits as a complete package for healthcare facilities based in Maine. Our medical coding experts thoroughly audit the current practices for compliance checks to find areas for improvement and apply remedial actions to stop the revenue leakages.
Can you support multiple specialties?
Yes, we provide specialty-specific coding services across all disciplines and to over 50 healthcare specialties. Our team has extensive experience with the particular coding requirements of numerous medical specialties, ensuring that your clinic receives accurate and timely payments.
What’s included in your coding services?
Maine’s healthcare coding solutions include various services like:
- Diagnosis Coding
- Procedure Coding
- Medical Services and Equipment Coding
- Abstracting Information
- Creating Claims
- Ensuring Compliance
- Data Analysis and Reporting
How do you ensure code accuracy?
Our team of professional medical coders are certified and stay informed with the latest coding guidelines ensuring they perform at their best without making any mistake. Additionally, we arrange refresher training and courses for our team that ensures they perform above industry’s standards or at least perform at industry’s best benchmark. Lastly, our coders also perform periodic audits of coding practices to see gaps or weaknesses in performance, thus, eliminating any errors.
How fast can coding be completed?
Typically, we code the charts within 24 hours of the practitioner signing the medical documents. This timeline also includes time for coding review for quality assurance and error detection, thus we smoothly perform all tasks so your practice gets the best results.