Medical Coding smart-admin August 20, 2024

Medical Coding Services
No Revenue Leakage, Get Paid On-Time.

Healthcare providers in the USA need medical coding services. Our skilled clinical coders handle coding for all specialties, assigning diagnosis and procedure codes that help create claims for payers. This ensures:

  • Providers get paid on time
  • Patients receive accurate billing for services
  • Claims are accepted by payers without rejection
Why Choose Us?

Smart Health Medical Coding Protects You from Major Risks

Accurate medical coding is essential, especially with ACA regulations requiring detailed documentation of services and costs provided to patients. At Smart Health, our certified coders ensure your claims are processed efficiently by using standardized codes for precise medical record analysis. This approach helps avoid delays and errors that can result in payment issues, ensuring that your claims are reimbursed fully and quickly.

We stay current with the latest coding guidelines and legislation to keep your claims compliant, reducing audit risks and preventing overcharging due to unbundling. Our coders, who undergo rigorous training and continuing education, handle even complex cases effectively, minimizing claim denials and revenue loss. Outsource your coding needs to Smart Health and benefit from accurate, timely reimbursements and peace of mind knowing your claims are handled correctly from the start.

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How Does Smart Health's Medical Coding Help?

Clinical Statement Analysis

Our coders carefully analyze medical statements and documentation provided by healthcare providers through standardized classifications.

Medical Notes Processing
Physician coders convert diagnosis procedures into codes that are easily readable by insurance companies and hassle-free for medical providers.
Fast Claim Approval

Our coders advocate for the healthcare provider to ensure the claim is approved. They work to recover Aged Receivables and help ensure that denied claims are paid.

Smart Health Medical Coding
Get advanced help with Medical Coding

Our dedicated medical coding experts efficiently extract insights from patient data to maximize your reimbursements. Smart Health offers comprehensive medical coding solutions and services. Our certified coders manage all types of coding projects, including inpatient, outpatient, emergency, and specialty services. Don’t let medical coding issues impact your bottom lineā€”our experts will identify and resolve any problems before they affect your practice.

Our Features

Managing Overlook for Coding (OFC)

This is a proprietary algorithm that we use to measure and manage the productivity and quality of our coding team.

Calculating Risk Adjustment Factor (RAF)

This is a measure of the expected health care costs for a patient based on their diagnoses and demographics.

Improving Discharged Not Final Billed (DNFB)

This is a proprietary algorithm that we use to measure and manage the productivity and quality of our coding team.

Managing Discharged Not Finally Coded Cases

This is the number of days a case remains before being finally coded after discharge.

Optimizing Diagnosis-Related Group (DRG)

This is a system that classifies hospital cases into groups that have similar characteristics.

Increasing Case Mix Index (CMI)

This is the average relative weight of the diagnosis-related groups (DRGs).

Get medical coding done right with our proven process.

01.

Clinical coders encode medical charts into numerical and letter coded data string sequences.

02.

Assignment process finds the relevant codes from the medical classification and entering it into the data collection system.

03.

Clinical coders review medical codes to ensure accuracy, including the diagnosis-related group (DRG) if financed via case mix prototype.

04.

Medical billing advocates work with payers to ensure fair reimbursement for healthcare providers, resolving any issues with denied claims.

05.

Medical coding team ensures timely payment by closing tickets only after payment and claims acceptance.

Billing by the Numbers
% Inpatient Quality Score
% Outpatient Quality Score
% Profee Quality Score
% overall score