Coding & CDI

At HealthRCM, we specialize in providing top-quality medical coding and clinical documentation improvement services that help healthcare organizations optimize their revenue cycle management. Our team of certified medical coders has extensive experience in the field and is dedicated to delivering accurate and timely coding solutions tailored to meet the unique needs of our clients. With our expertise, you can trust that your coding needs are in good hands, allowing you to focus on providing exceptional patient care.

We have experience in a wide range of outpatient settings including: Urgent Care, Primary Care, Acupuncture & PT, Ambulatory Surgery, Cardiology, ENT, Home Health, Gastroenterology, Labs, OBGYN, Oncology, Orthopedics, Pediatrics, Podiatry, Radiology (Diagnostic / Interventional)

Training

We understand that physicians need to have a solid understanding of medical coding to ensure they are accurately documenting patient encounters and complying with regulations. That's why we offer specialized medical coding training specifically designed for physicians. Our courses are led by certified trainers with years of experience in the industry and are tailored to meet the unique needs of healthcare providers. Whether you're looking to improve your coding skills or gain a better understanding of the revenue cycle management process, our training solutions can help you achieve your goals and improve patient outcomes.

Auditing

We provide comprehensive medical auditing services to help healthcare organizations ensure that their coding and billing practices are compliant with regulations and industry standards. Our team of certified medical auditors has extensive experience in conducting audits and identifying areas for improvement. Whether you need a one-time audit or ongoing support, our solutions can help you minimize risk, improve revenue, and enhance the quality of patient care. Trust us to be your partner in achieving compliance and optimizing your revenue cycle management.

RCM Consultation

We offer comprehensive revenue cycle consulting services designed to help organizations optimize their revenue cycle processes, improve financial performance, and enhance patient satisfaction. Our team of experts has years of experience in the industry and is dedicated to providing tailored solutions that meet the unique needs of each client. Whether you're looking to improve coding accuracy, streamline billing processes, or enhance collections, our consulting services can help you achieve your goals and drive long-term success. Trust us to be your partner in transforming your revenue cycle management.

Revenue Cycle Assessment

A revenue cycle full assessment is a comprehensive analysis of a healthcare organization's revenue cycle management (RCM) process.

It involves evaluating all the steps involved in the process, from patient registration to billing and collections.

Here are key areas that are included in our revenue cycle full assessment:

  • Process flow and design

  • Organizational structure and team productivity metrics

  • Vendor performance and management

  • Patient registration: Insurance eligibility, registration accuracy, prior authorization, point of service collections

  • Coding and documentation review

  • Charge capture

  • Chargemaster compliance and management

  • Clean claims submission

  • Payment posting and reconciliation

  • Contract management

  • Revenue Integrity: collection rate calculation; under/overpayments detection

  • Denial management: denial rate and common denial reasons

  • Accounts receivable aging

  • Self-pay strategy

  • Reporting and analytics

  • Technology: This may include reviewing the organization's use of electronic health records (EHRs) and other technology systems used in the revenue cycle process.

Technology

Our medical coding technology platform streamlines the coding process and ensures accuracy and compliance. It leverages advanced analytics and machine learning algorithms to quickly and accurately identify the appropriate codes for each medical encounter, helping healthcare organizations maximize revenue and minimize compliance risk. Our technology is designed to integrate seamlessly with existing EHR and billing systems, making it easy to implement and use. With our technology, you can trust that your coding needs are being handled efficiently and accurately, allowing you to focus on providing exceptional patient care. Trust us to be your partner in transforming your revenue cycle management with cutting-edge technology.