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Medical Coding & Clinical Documentation Integrity Audits: Medical coding transcends mere code assignment; it entails ensuring accuracy and compliance throughout the healthcare billing process. At Medical Billing Wholesalers, we lead this critical endeavor, employing a team of certified professionals adept at converting intricate medical information into standardized codes. Precise medical coding can mitigate claim denials.

Clinical Documentation Improvement: We understand the pivotal role of Clinical Documentation Improvement (CDI) in delivering exemplary patient care and securing accurate reimbursement. Our CDI solutions are meticulously designed to uphold the accuracy, completeness, and specificity of your patient records, aligning clinical documentation with operational and strategic excellence.

Charge Entry: Charge entry involves assigning an appropriate value to the patient account based on selected medical codes and corresponding fee schedules. Reimbursements for healthcare provider services hinge on accurately entered charges. Error-free charge entry is crucial to minimizing claim denials and preventing revenue leakage. Through effective collaboration between coding and charge entry teams, we ensure accurate charge capture, comprehensive billing for all procedures, and compliance with coding standards.

Claims Submission: The claims scrubbing or submission process entails reviewing claim data before submission to payers. We leverage practice management system functionality to assess data integrity, identify and rectify rejections, and address edits prior to submission to insurance payers. This meticulous approach ensures smoother claims processing and minimizes reimbursement delays.