Swagpro Medical Billing Services understands the importance of medical billing and coding for the financial health of a practice. We have a team of highly passionate medical billing and coding professionals. We help our clients increase their efficiency by handling complex billing issues effectively. Our coders and billers are proficient in CPT, ICD-10, HCPCS, HEDIS, and OIG guidelines.
Your practice may have the perfect patient satisfaction scores, multiple success stories and a wonderful clinical and support team – these factors have no value if you do not bill for your services appropriately. Apart from the compliance and audit perspective, ensuring accurate, efficient medical coding for the services you provide is what impacts your bottom line, and success! Medical coding turns medical reports, containing patient’s condition, diagnosis, and prescription etc. into a set of relevant codes that eventually become a basis for a claim. It is intricately tied to the process of medical billing and is an important facet in practice management.
Medical Coders take information that is filled in the medical record documentation and assign appropriate diagnoses and procedure codes. This is then developed into an insurance claim, which indicates how much the insurer owes for the care, and helps determine how much the patient will be billed.
In 2016, NBC reported a 7 to 75 percent error rate in medical claims. In 2010, the Office of the Inspector General reported that 42% of Medicare claims were improperly coded and 19% of these claims lacked sufficient documentation. The AMA, in 2018, stated that unbundling code, using multiple current procedural terminology codes for parts of a procedure, and upcoding were the most common medical coding errors.
Irrespective of the error rates, whether 7% or 75%, ensuring proper billing practices saves you from fraud, and enables you to maintain a profitable business. At Swagpro Medical Billing Services, we are up-to-date with the latest industry changes, whether ICD10-CM, ICD-10-PCS, CPT, HCPCS or others.
Custom Services based on what your practice needs
Certified, experienced coders who go through regular training programs to stay abreast with updates on CMS and AMA guidelines
Continual Improvement: Our account managers consistently communicate with and gather feedback from your team to ensure accuracy.
Clinical Documentation Improvement: Accurate coding is based on correct clinical documentation. We help our clinicians with tips and feedback on methods of improving documentation
Tailormade Reporting Capabilities
Get in touch with us at firstname.lastname@example.org for more information.