LoopMedix delivers professional medical coding services to a wide range of healthcare providers, including physician offices, outpatient centers, community hospitals, academic medical institutions, and trauma care facilities. Whether you need end-to-end outsourcing or support in targeted coding areas, partnering with LoopMedix enables you to maximize revenue potential while ensuring strict coding compliance.
Our team comprises certified medical coding specialists, including AAPC-certified professionals (CPC, CPC-H, CPC-I) and AHIMA-certified coders (CCS). These credentials ensure that our experts deliver highly accurate and dependable coding solutions tailored to your organization's needs.
We begin by seamlessly onboarding clients and thoroughly understanding their unique coding needs. Our efficient onboarding process ensures clarity around expectations and sets the foundation for a strong, collaborative partnership. Key patient data and medical records are collected to support accurate, comprehensive coding. Consistent and open communication channels enable us to align closely with each client’s goals, ensuring the development of a customized coding strategy tailored to their specific requirements.
An exhaustive review of patient charts and medical records is conducted, with diagnostic and procedural codes (ICD-10, CPT/HCPCS) meticulously assigned in accordance with industry standards. Emphasis is placed on accuracy and compliance with client-specific guidelines, ensuring seamless integration into downstream processes. This step not only enhances billing accuracy but also contributes to better patient care through clear, reliable medical coding.
Thoroughly examine coded data with regular accuracy checks to ensure correctness. Promptly correct any errors to maintain high coding standards. Adherence to regulatory and client-specific guidelines ensures compliance and reinforces reliability. This process strengthens client trust and guarantees that all coded information remains precise and dependable. Consistent audits are essential for maintaining order and upholding the integrity of medical coding operations.
Compile all accurately coded information into complete medical claims. Submit these claims to insurance payers, ensuring all required documentation complies with billing regulations. Maintain adherence to coding standards and maintain clear communication with payers throughout the process. Monitor claim status diligently, address any issues promptly, and facilitate faster reimbursement. This proactive approach contributes to improved financial outcomes for clients.
Closely monitor the status of submitted claims and promptly address any denials, rejections, or requests for additional information. Swiftly resolve coding-related issues by correcting errors, providing necessary documentation, or appealing denied claims as needed. Continuously refine coding practices by incorporating feedback, adapting to coding updates, and staying compliant with evolving regulations to ensure efficient and accurate medical coding services.
LoopMedix delivers a comprehensive, all-in-one solution for your revenue cycle management needs. Specializing in medical billing and coding, we provide a smooth and efficient workflow for healthcare organizations. Our HIPAA-compliant procedures ensure full data and document security, while offering potential savings of up to 40% on operating costs per employee—delivering cost-effective solutions without sacrificing quality.
Leverage the expertise of over 100 highly skilled support professionals, benefit from real-time reporting, and utilize our advanced systems. LoopMedix guarantees timely claims submission, rigorous quality control, and strong information security policies, significantly reducing turnaround times. Enjoy consistent and accurate coding across specialties, with complete transparency in data handling and processing.
Medical codes are categorized into three main types. Category I includes numeric codes used for established medical procedures and services across specialties like surgery, radiology, and anesthesia. Category II consists of alphanumeric codes that capture performance measures and test results, such as those from labs or radiology. Category III codes are designated for emerging technologies, services, and procedures that are still under evaluation or not yet widely adopted.
ICD codes are a standardized system used to classify and describe the causes of a patient's illness, injury, or death. Developed by the World Health Organization (WHO) in the 1940s, each revision of the code is marked by a version number, with ICD-10 representing the 10th edition. Over time, clinical modifications have been added to expand the system’s scope, allowing for more detailed documentation of a wide variety of health conditions, injuries, and causes of death.
The HCPCS coding system is essential for recording medical services, equipment, or procedures that are not covered by CPT codes. It is the official coding system for Medicare & Medicaid, & it is crucial for medical coders to be familiar with it. HCPCS accurately records medical procedures, similar to CPT codes, to ensure patients receive the appropriate level of care.
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