Coding you can explain when the payer asks.
Accurate coding protects revenue in both directions: no undocumented codes that come back as recoupments, and no documented work left unbilled.
Documentation-supported codes
Every code on the claim is supported by the provider's documentation for that encounter. If it isn't documented, it isn't coded.
Never raised automatically
Designed so levels and codes follow what the note supports. Discrepancies go to a coder, not to the claim.
Documented work captured
Documented services that are easy to miss, such as tests, counseling and quality codes, are flagged so they can be billed.
Support kept with the encounter
The documentation support for each code stays with the coded encounter, as an auditable record for a payer review, a records request or an appeal.
Ready for payer audits and medical record requests
- The documentation behind each code, kept with the encounter.
- The guideline each code follows: AMA CPT®, ICD-10-CM Official Guidelines, CMS or your payer contract.
- A record of encounters that went to a coder and why.
Guidelines we code to
- AMA CPT® code set and office/outpatient E/M guidelines
- ICD-10-CM Official Guidelines for Coding and Reporting, updated every October 1
- CMS billing rules, including HCPCS Level II and unit limits
- Your payer contracts and policies
Find out where your coding stands.
We'll code a sample of your past encounters and show you where the documentation and the billed codes disagree.