Coders of all healthcare organizations should be Certified Professional Coder (CPA) with institutions like AAPC and AHIMA. Healthcare organizations fail in successful coding because their coders may not be certified or they are using outdated methods to capture the codes. Medical groups practices and physicians ought to place a keen eye on these types of coding issues and updates to abide by CMS and NCCI edits guidelines.
Receive medical records through secure FTP or check uploaded to the client’s Epic EHR system.
Verify the medical records for proper CDI and CCI edits eliminating coding errors.
Audit of ICD10, CPT, HCPCS, diagnosis codes, modifiers, NDC, and units in the charts.
Entry of the codes in the respective patient encounter or DOS in the CMS 1500 or UB-04 forms.
Report to the client on a daily basis on the findings of the audit and the number of encounters coded.
Leverage BillingParadise’s Epic EHR coding team’s adaptability to your practice. Our 8+ years of coding experienced trainers will offer the following to our coding services:
This is what sets us apart
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Workflow | BillingParadise |
EMR/EHR's RCM Service |
Getting you a daily report on Patients’ Insurance Eligibility info, Procedure Eligibility info, Co-pay, Deductible, Insurance Pre-authorization info and Patients’ Pre-existing Condition info before 8:00 am local time. | Only Insurance Eligiblity Info is avaialble. | |
Medical Coding and Coding Analysis by dedicated specialty specific Certified Medical Coders (CPC) for maximum reimbursement and to zero down denials. | ||
Creating clean claims. | 7 expert podiatry billing teams who offer specialized services across the breadth of your entire billing cycle | |
Claim Scrubbing to zero down denials. | ||
Transmitting claims to the insurance companies within 12 hours from the time of visit. | ||
Acting on clearing house report instantly | ||
Following-up with the insurance companies over the phone from the seventh day of claim transmission. | ||
Posting the EOBs and ERAs. | ||
Following-up with denied claims (Denial Management) and resubmitting claims on the same day | but not on the same day |
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Patient AR Management-Mailing-out patient statements-placing follow-up phone calls to get patients’ responsibilities collected. | ||
Answering the patients’ questions on their responsibilities by having them call us on our dedicated toll-free number. | ||
Access to summary/progress/analysis reports through iPhone/iPad/Blackberry. | but access only to a few reports |
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Most healthcare providers go behind a "pay as they go" policy. Hence, if there is a setback in your cash flow, you won't be able to pay your own bills on-time. Obviously, you may have cash reserves to draw from, but those could easily be frittered away with lack of preparation and proper management. Besides, if you code erroneously, the government may catch you red-handed and sends Recovery Audit Contractors (RACs) to pocket your funds.
Epic's EHR revolution thwarts these drawbacks by effectively selecting the proper diagnosis and/or procedure codes through the improved ICD-10 code structure; so that rationally standardized definitions and more exact clinical terms diminishes coding timelines and errors; such an expertise in us would surely maximize your reimbursements and alleviate the claim denials. Thus, we could bestow you an opportunity to bolster your business.
Epic EHR coding audit services play a critical role in ensuring the financial health of healthcare practices. Outdated procedure lists and care plans can have a significant impact on reimbursements, leading many hospitals and medical group practices to turn to Epic EHR coding audit services to update their systems and include new services.
BillingParadise has helped several Epic users brush aside their billing hurdles and run a more profitable practice, inline, with regulatory guidelines.
Click to ReadMedical coding is becoming increasingly complex. An average coder, who assigns codes without in-depth analysis can do your practice more harm than good. Epic users can now code right!
Click to ReadWe take care of your front end and back end revenue cycle processes. Right from appointment scheduling and eligibility verification to claim analysis and denial resolution, our Epic revenue cycle management services, have you covered. We help you leverage and extract the most out of the staff, technology and workflow of your medical practice.
Click to ReadAR calling is more than just making calls to insurers and leaving home at six. You need AR callers who are persistent, informed and quick.We work with Epic users every single day and offer flexible, practice specific support.
Click to ReadOptimize the many moving parts of your revenue cycle with BillingParadise’s Epic revenue cycle management services. Our certified revenue cycle specialists will improve the compliance and performance of your Epic RCM processes.
Click to ReadWe have specialized teams of AAPC certified medical billing specialist who hold speciality specific certifications to handle your billing and claims management