10273 Lakeshore Dr Lancaster, SC 29720, US
What We Offer

Our Services

Our Medical Coding Services streamline your revenue cycle with unmatched accuracy and compliance. Our certified coders excel in the latest standards, guaranteeing precise coding across all services and procedures.
Partner with us to ease your administrative load, boosting operational efficiency and revenue maximization.

Patient Demographic & Charge Entry

Every piece of information in the patient demographic form is essential for claim payment. Accuracy in data entry is essential to get claims paid. At MedCode we enter all demographic, insurance information and charge entry with maximum accuracy to ensure that the claims get paid. Since the MedCode team works during the U.S. nighttime you can get these claims sent to the payers much faster by having your data entry completed by the time you start your workday.

Coding

Proper visit coding is essential for your practice to receive the correct reimbursement and avoid denials. Our team of experienced coders are all AAPC certified and years of experience in this space, which gives you the confidence that every visit will be accurately coded and submitted to the insurance company. We know the ins and outs of coding guidelines and can help you stay up-to-date with the latest changes. Further, because of team is located in Chennai, India, the medical billing capital of the world, the visit coding team codes while you sleep. Plus, you’ll get these expert resources at a fraction of the US-based cost due to cost of living being less for the high-qualified Indian team to make your revenue cycle management even more effective.

Payment Posting

You need efficient payment posting to help your practice keep track of payments, maintain accurate records, and optimize your revenue cycle management. Our experienced team of payment posting specialists ensures that every payment is accurately recorded and posted to the appropriate account. This is a time-consuming task that your expensive on-shore team should not take on. Further, mistakes can lead to payment delays and even denials. Our reporting capability builds a thorough system of checks and balances to ensure the data is accurate and correct. The MedCode team of experts also work denials proficiently and effectively to ensure you get the most reimbursement.

Denial Management

Denials happen and need to be worked, but this can get really pricey for your business. Other providers may simply status a denial claim, leaving you in a lurch and frustrated. This is not the experience you will have at MedCode. Create a summary, then collaborate with you on your unique procedure that our team uses to resolve this process in the future. Not everything needs to be outsourced and so we will determine together who on the MedCode team or your team, should work the process. Then, we use this strategy to go after each and every denial with vigor, making sure you get the maximum reimbursement as early as possible. MedCode can help you optimize your revenue cycle management and improve your bottom line.

A/R Follow Up

Timely and accurate payments are critical for your business’ revenue cycle management, and so the team at MedCode will proactively research on claims that are not paid. We will reviewing claim status reports, communicate with insurance companies or other payers, and investigating any issues with patient eligibility, coding errors, or missing information. You will be kept informed of the status of these claims and any actions being taken to resolve outstanding issues. Doing so will minimize the work for your team, making this more affordable for you and more likely to see timely reimbursement

Provider Credentialing

Many networks are closed these days, and the process to be credentialed is a complex and ongoing process that requires specialized expertise and knowledge of the healthcare industry and regulatory requirements. This process is an essential part of your revenue cycle management and involves several steps to ensure that you or your providers are properly credentialed and authorized to provide services to patients. Prior to submitting your application, the industry experts at MedCode will do the legwork to make sure applying is worth your while. Once you become eligible, we will fill out your application and manage your CASH often to ensure you are current with each insurance panel and any changes that are required.

Credit Balance Resloution

MedCode is intent on helping you maintain a positive reputation and relationship with insurance companies and your patients. To help you do so, we have a system for gathering data on any balances so that your books don’t show a negative balance and you continue to build trust and integrity with your patients and insurance companies. Credit balance resolution is an important part of your revenue cycle management, as it keeps you in compliance with regulatory requirements and your financial records stay accurate and up-to-date.

Eligiblity & Benefits

MedCode can help you verify and confirm a patient’s eligibility and insurance coverage for healthcare services. This is an important step in the revenue cycle management process and ensures you receive timely and accurate reimbursement for your services. MedCode’s team of offshore experts proactively use a tool to check eligibility as quickly as possible, but especially before your patients arrive in your office. This will give you time to proactively reach out to patients to confirm alternative methods of payment or update their insurance benefits.

Patient Statements

Patient statements in medical billing refers to the documents sent to patients outlining the details of medical services they’ve received, the associated charges, insurance payments, and any outstanding balances. These statements play a crucial role in transparently communicating financial information to patients and ensuring timely payments. To know more, reach out to us at MedCode.