Why Do You Need Help from Medical Coding Services?

The medical facility revenue stream is based on documenting what was decided, learned, and performed. A patient’s test results, diagnosis, and treatment need to be documented, not only for the reimbursement process but to guarantee excellent treatment and care in future visits.

A patient’s medical history and personal health information guide them through subsequent treatments and complaints, so they need to be easy to understand. This is more important for the bigger facilities that experience many patient visits every year.

The challenge for medical practices is that there are thousands of diseases, injuries, conditions, and causes of death. Also, a facility performs several services, and many injectable drugs and supplies must be tracked. There’s too much going on at one time to be manually tracked by the facility.

With medical coding solutions, health experts classify them for easier tracking and reporting. Note that each procedure, tool, and disease have different acronyms, descriptions, eponyms, and names. Medical coding standardizes the presentation and language of every service, disease, tool, and other aspect of the healthcare industry so that medical billers can easily understand, track, modify, and claim insurance.

This standardized language is designed by the Health Information Portability and Accountability Act (HIPAA), allowing payers, providers, and hospitals to communicate consistently and easily. Since medical coding needs to be done in a particular way, doctors and other healthcare providers require expert help who have knowledge and training in medical coding. They know the right codes for each drug, service, equipment, tool, and other things that reduce the risk of making mistakes.

Note that appropriate medical coding is important for accurate medical billing. Healthcare companies aren’t reimbursed if they use the wrong medical codes in the claim. So, hiring a qualified and experienced team that improves your chances of getting approval for insurance claims is best.

Reasons to Hire Medical Coders

Up-to-Date Certifications

Experts must stay updated with the updated coding regulations, systems, and best practices. They also should have certifications and complete the education required to become medical coders. Medical coders must keep up with updates from healthcare organizations, government agencies, and other organizations through their blogs, websites, webinars, seminars, email lists, and other resources.

Staying current with the certifications and other things requires a great investment of time. Sometimes, a major update in the medical industry changes medical coding. For instance, the introduction of ICD 10 came with several different codes.

If you hire medical coding companies, you don’t need to worry about changes in medical coding and other requirements. These companies will take care of all the medical billing and coding issues. Health experts can rest assured that the professionals working on your data are up to date with their skills, certifications, and knowledge. At Portiva, our expert team follows coding regulations and meets all the requirements before they offer you reliable medical coding services.

Improvement in Collection Rate

The collection of patient information has a great impact on the financial health of the health facility. However, one of the bigger challenges in the healthcare industry is the slow pace of collection. Data filing and tracking hundreds of patients can become challenging if any health facility is short-staffed.

Hiring a professional medical coder can enhance the collection rate and reduce the number of denied claims. Timely filing and precision in the claims documentation result in speedy clearance of insurance claims. Medical coders with relevant experience and knowledge in your domain can effectively increase the collection rate with error-free filing. They help you speed up the payment collection process.

Compliance with the Industrial Upgrades

It might be possible that your health practice might not be generating as much revenue as you invest. This may be happening because of the following reasons:

·          Outdated medical services revenue cycle management

·          Incorrect coding processes

·         Non-compliance with HIPAA regulations

Note that accurate documentation is important to reimburse your claims. Medical coders require knowledge of updated regulatory standards to file and submit claims properly. They ensure HIPAA compliance throughout their practice while dealing with ePHI or PHI.

A credible and qualified medical billing company can help you stay on top of the medical industry trends. They are responsible for using an accurate set of codes; they use all the necessary methods and technologies to offer better results.

Hiring Challenges

If you plan to establish an in-house medical coder team, it might cause several problems for you. Finding qualified, experienced, and skilled medical coders in the market is hard. Even if you find one, it may cost you exponential money.   Finding an experienced coder in a specific field is even more difficult.

There might not be enough credible medical coders in your area who meet your requirements. The shortage of medical coders in some places also drives up the salaries of medical coders. Furthermore, retaining your hired coders is also a great challenge, especially when there are great job opportunities for coders.

When a medical facility outsources its services and opts for a medical billing service provider, several coders are in the market to assist you. However, not everyone is reliable. Medical coding companies have teams that include members with different specialties to help you with every billing and coding task. People working on remote medical coding jobs are highly qualified, which helps them reduce the risk of errors and mistakes.