Coding
Your providers decide what was delivered. We code from what they documented
Undercoding leaves money behind and overcoding invites audits. Coding errors also come back later as denials, when they are harder to fix.
What's Included
- ICD-10, CPT and HCPCS coding
- Modifier and bundling review
- Charge capture checks
- Documentation feedback for your providers
Who does what
What We Do, And What We'll Ask Of You
Coding and charge capture
- What software does
- Suggests codes based on the documentation.
- What a person does
- A certified coder reviews and confirms every code.
- What we need from you
- Completed visit notes and answers to coding questions.
SampleSampleProvider queryFictional example for illustration. Not a real client, patient, payer or result.
See how a question goes back to a provider
- GapWhat the note says: office visit and a knee injection, with no separate evaluation described
- AskedWhat we ask: “Was anything evaluated beyond the injection at this visit? If so, please document it.”
- AnswerWhat the provider says: evaluated new shoulder pain too, and added it to the note
- CodedWhat we code: 99214-25 and 20610, from the updated note
The number we watch: Coding accuracy. The share of reviewed codes found correct, along with charge lag, the days from visit to charge entry.
Frequently asked questions
Got Any Questions?
Your providers do. We code from your documentation and ask when it isn't clear.
Yes. Coding can be its own statement of work.