Services

Professional Medical Billing Services that keep your Practice Running

Do you spend hours putting together healthcare information for a claim? Do you pay thousands of dollars in salaries to have in-house medical billing specialists on your team? Is your accounts receivable a nightmare because most of your denied claims rarely get handled to ensure proper reimbursement? If you find yourself nodding, let MedTech save the financial well-being of your practice.

Medesun medical billing solutions revolve around optimized billing workflows at the most granular levels. When we get down to managing your claims, we call upon certified billers, coders, and quality control specialists for error-free submission and swift reimbursement. For this, we also rely on proven software that can be integrated with the systems you use across your medical setting.

What do MedTech Medical Billing Services Include?

We help you sustain your practice by getting paid for every service you provide and minimizing late payments. By leaving your medical billing to MedTech, you can keep your focus on other crucial operations while we deal with all your electronic and paper claims, including:

• prioritizing and preparation

• submission

• resubmission

• payment collection

Our medical billing specialists will communicate with the insurance companies you’re working with to handle denied claims. Our expertise enables us to create superbills and dig deep into rejections to make necessary corrections and resubmit them right off the bat.

Aside from insurers, MedTech is your helper for communication with your patients. We can review their records to red-flag missing or overdue payments and collect them before they take a toll on your practice budget. Our team is adept at follow-up processes at all levels while sending weekly patient statements and keeping stakeholders up to date on payment-related information.

No more billing errors

At Medesun, we can take care of your medical billing online, or more specifically, remotely. That’s how you can save a great deal of money on hiring and training in-house billers.

But this is only the beginning. We can help you steer clear of costly billing errors like missing payments and unhandled rejections to:

• ensure you get paid on time and in full

• build a consistent revenue flow across your medical business

• help you comply with billing requirements

• improve your A/R with the best medical billing practices

• strengthen the financial stability of your practice

Don’t look any further for the best service for medical billing management. Contact MedTech to discuss how our billers can help your practice.

HCC Medical Coding Services: Optimizing Risk Adjustment and Revenue

Introduction:

Hierarchical Condition Category (HCC) coding is a critical component of risk adjustment and revenue optimization in the healthcare industry. Accurate and thorough HCC coding ensures that healthcare organizations are reimbursed appropriately for the care they provide, while also providing valuable insights into patient health status and care needs.

Overview:

Our HCC medical coding services are designed to help healthcare organizations optimize risk adjustment and revenue by ensuring accurate and thorough HCC coding. Our services include:

Chart Review and Analysis: Our experienced HCC coding specialists will review patient charts and analyze the medical documentation to identify all relevant HCCs and ensure that they are properly documented and coded.

Coding Compliance and Auditing: We provide ongoing compliance monitoring and auditing to ensure that HCC coding is accurate, complete, and compliant with regulatory requirements.

Physician Education and Training: We provide physician education and training to help them understand the importance of accurate and thorough HCC coding, and to help them improve their documentation skills.

Technology Solutions: We offer access to technology solutions that can help automate and streamline the HCC coding process, improving accuracy and efficiency.

Our HCC medical coding services are designed to help healthcare organizations optimize risk adjustment and revenue by ensuring accurate and thorough HCC coding. Contact us today to learn how we can help your organization achieve these goals and improve the financial health of your practice.

Why MedTech HCC Coding Services?

Experience:

Our company has years of experience providing medical coding services to healthcare organizations of all sizes and specialties. Our team of experienced, AAPC, AHIMA Certified medical coders and auditors is up-to-date on the latest industry standards and regulations, ensuring accurate and compliant coding.

Customized Solutions:

We understand that every healthcare organization is unique, with its own set of challenges and goals. That’s why we offer customized solutions to meet the specific needs of each of our clients. Our services are tailored to your organization’s size, specialty, and unique requirements, ensuring maximum efficiency and effectiveness.

Quality Assurance:

We are committed to quality assurance, with a rigorous internal auditing process to ensure accurate and compliant coding. Our team of auditors provides ongoing monitoring and feedback to our coders, ensuring that they stay up-to-date on the latest industry standards and regulations.

Technology Solutions:

We offer access to technology solutions that can help automate and streamline the medical coding process, improving accuracy and efficiency. Our technology solutions include advanced coding software, electronic health record (EHR) integrations, and data analytics tools.

Customer Support:

We are dedicated to providing exceptional customer support, with a team of knowledgeable and responsive professionals who are available to answer your questions and address your concerns. We understand that medical coding can be complex, and we are here to provide the support you need to succeed.

Email : medtechacademy07@gmail.com

Ensure error-free payments with MedTech  medical coding services

The failure to translate even a single medical exam into a corresponding code can mess up your documentation and reimbursement. When this spills over into the billing stage, you risk being underpaid by the insurer or having to spend days resolving the issue. But if you had qualified medical coders to oversee your coding process, you could sidestep that.

MedTech is looking forward to serving as your remote team of coders. We’re like a one-stop medical coding center for private practices and hospitals. MedTech provides specialty-specific solutions to reduce denied claims and improper reimbursement cases in healthcare settings across more than 10 specialties. In other words, we can devote our attention to the services you offer, down to the minute procedural intricacies.

Our coders are experienced in CPT, ICD, and other coding systems and use the best NCCI and LCD practices. We are up to date on the latest guidelines and can help you meet them thanks to our profound knowledge of terminology and paperwork procedures. Despite being ever-changing, coding systems provide consistency for your practice’s revenue flow, and MedTech is here to keep it steady.

Benefits of professional medical coding with Medesun

When teaming up with MedTech for coding, you can benefit from:

• Hassle-free process. To get us to ensure accurate coding for your services, you only need to scan your documents. Our medical coders will then access them and match all procedures, exams, and treatments to their codes while verifying that your paperwork reads smoothly. Once done, your documents will be stored on your server – ready to go to billers.

• Reduced rejections. It’s impossible to avoid denied claims altogether, but Medesun can make sure you’re getting a handful of them. As we’re highly knowledgeable about the systems for medical coding in the USA and other countries, we can adhere to any regulations and provide nothing but well-coded documents for billers.

• Lightning-fast reimbursement. The faster you assign codes, the faster you can submit claims. All this can happen on the same day so that you’re paid quickly (depending on the insurer’s terms).

• More time, fewer expenses. Leave the coding process to coders, and you will never be distracted from caring for your patients. Turning to MedTech is also a cost-effective way of running your practice as you don’t need to hire new full-time employees. MedTech is a medical coding company you’ve been looking for. Tell us about your coding needs, and our team will work out an ideal workflow for you.

Claims Processing-CMS 1500

Claims submission: MedTech team assign the codes as per documentation and guidelines and submit medical claims electronically to insurance companies or payers on behalf of healthcare providers and ensuring that they are complete, accurate, and meet the requirements of the payer.

Claims follow-up: Follow up on denied or rejected claims, working with insurance companies or payers to resolve any issues and resubmit claims if necessary.

Payment posting: Services will post payments received from insurance companies or payers to the healthcare provider’s account and reconcile them against the original claims.

Patient billing: Generate patient bills for any co-pays, deductibles, or other patient responsibility amounts, and send them to the patient.

Denial management: Track denials, analyze trends, and identify areas for improvement to reduce future denials.

Revenue cycle management: Medical billing claims processing services will entire revenue cycle, from patient registration to claim submission to payment posting and patient billing.

Reporting and analytics: Regular reports to healthcare providers on key metrics such as claim denial rates, payment turnaround times, and revenue cycle performance.

Credentialing: Credentialing, including provider enrolment, re-credentialing, and ongoing maintenance.

Compliance: Ensure compliance with regulatory requirements, such as HIPAA and other privacy and security regulations.

Email :  medtechacademy07@gmail.com  for more details

MedTech Medical Coding Audit

MedTech team of Certified Coders assist you in every aspect of coding. Coding errors can cause significant loss of revenue. NHFAS team of coders works on the EM coding, documentation reviews, EMR documentation validation, Evaluation of the accuracy of your current coding, ICD-10 Documentation, Reimbursement patterns etc.

Common Coding Errors

• EM coding errors

• Modifiers

• LCDs

• Medical Documentation

• EMR documentation

Audits can be performed for any size organization from multi-site hospital facilities to stand-alone physician clinics

Evaluation and Management Coding and Auditing Services

EM coding is crucial for the appropriate reimbursing for physician services.

Common Coding Errors

If not documented, it’s not done

EM coding is more complex, as may factors need to be analysed. Medical Decision Making is the difficult part. Accurate coding of MDM level needs experience and expertise. It’s very difficult to get the experience EM coders.

MedTech provides EM coding services, helps you to code appropriately and avoid the potential audits due to up coding.

MedTech team works on outpatient and inpatient visits, audit every record as per EM coding guidelines and educate the physician for the potential documentation errors.

MedTech team of certified coders will code your charts with 24-48 hours

Payments for Evaluation and Management Services – Update from Office of Inspector General – Fiscal Year 2011 Work Plan Medicare Part A and Part B – Page 1 -14

Payments for Evaluation and Management Services – Update from Office of Inspector General – Fiscal Year 2011 Work Plan Medicare Part A and Part B – Page 1 -14

We will review the extent of potentially inappropriate payments for E&M services and the consistency of E&M medical review determinations. CMS’s Medicare Claims Processing Manual, Pub. No. 100§04, ch. 12, § 30.6.1 instructs providers to “select the code for the service based upon the content of the service” and says that “documentation should support the level of service reported.” Medicare contractors have noted an increased frequency of medical records with identical documentation across services. We will also review multiple E&M services for the same providers and beneficiaries to identify electronic health records (EHR) documentation practices associated with potentially improper payments.

Evaluation and Management Curriculum is a comprehensive training program designed to prepare users to accurately assign procedure codes for evaluation and management (E/M) services.

Fundamental concepts of coding and documentation for E/M services, including procedures for

• assigning the E/M level based on physician documentation.

• Physician Office Services,

• Physician Hospital Services,

• Preventive Services, and

• Critical Care and Emergency Services.

• Code accurately and ethically, according to the latest HCFA and CCI guidelines

• Correctly document each level of E&M service, according to HCFA guidelines

• Properly use E&M modifiers

• Accurately select new, established, consultation, and hospital visit codes

• Use coding tools and resources to improve coding accuracy

Case Study Review – Peripheral Interventions with/without Cardiac Catheterization What you will learn

Module 1 : Evaluation and Management Overview

The Evaluation and Management Overview course is the first course in the Evaluation and Management (E/M) Curriculum. This course will introduce the user to the concept of evaluation and management services and will provide an orientation to the Coding Metrix E/M Curriculum.

Module 2 Evaluation and Management Principles

This Course teaches participants the basic principles of evaluation and management coding, including key concepts, definitions, and fundamentals of medical documentation.

This course is designed to familiarize users with the fundamental principles of evaluation and management (E/M) documentation and coding. Participants will learn the definitions of the key and contributory components of the E/M service as well as other important concepts such as encounter time and new versus established patient.

AMA’s Documentation Guidelines for Evaluation and Management Services. You will learn how to identify key medical record documentation that supports the E/M level of service.

You will also learn the differences between the 1995 and the 1997 versions of the Documentation Guidelines and the implications of these differences for E/M code assignment.

The mechanics of E/M code selection will be reviewed in detail, and users will gain confidence in code assignment through completion of multiple choice exercises and actual case studies (physician reports).

At the end of the Course, the user will complete a scored assessment that tests the key learning points and confirms comprehension.

Upon successful completion of this Course, You will be ready to begin a more in-depth study of the various E/M service categories, including physician office and hospital services, critical care, etc. These areas are covered in the other Courses of the Evaluation and Management Curriculum.

Module 3 Physician Office Services

The Evaluation and Management Physician Office Services Course is part of the Coding Metrix, Inc. Evaluation and Management Curriculum. This course is designed to prepare users to assign evaluation and management (E/M) codes for services provided in the physician office, including new patient visits, established patient visits, and office consultations.

You will learn key concepts associated with office E/M services, including new patient versus established patient, encounter time, counseling, etc. You will also learn to identify key medical record documentation that is required to support the various categories and levels of office E/M services. Criteria for distinguishing between consultations and office visits will be discussed in detail.

The mechanics of E/M coding for office services will be reviewed in depth, and users will gain confidence in code assignment through completion of multiple choice exercises and actual case studies (physician reports).

At the completion of the Course, You will complete a scored assessment that tests the key learning points and confirms comprehension.

Module 4 Physician Hospital Services

This course prepares You to accurately assign evaluation and management codes for physician services provided in the hospital setting.The Evaluation and Management Physician Hospital Services Course is part of the Coding Metrix, Inc. Evaluation and Management Curriculum.

This course is designed to prepare users to assign evaluation and management (E/M) codes for services provided in the hospital setting, including initial hospital care, subsequent hospital care, observation care, and hospital discharge day management.

You will learn key concepts associated with hospital E/M services, including the distinction between inpatient and observation care, the definition of an interval history, and the guidelines for patients admitted and discharged on the same date. They will also learn to identify key medical record documentation that is required to support the various categories and levels of hospital E/M services.

The mechanics of E/M coding for hospital services will be reviewed in depth, and users will gain confidence in code assignment through completion of multiple choice exercises and actual case studies (physician reports).

Module 5 Critical Care and Emergency Services

This Course prepares You to accurately assign evaluation and management codes for services performed in the critical care, emergency department and neonatal intensive care arenas.

The Evaluation and Management Critical Care and Emergency Services Course is part of the Coding Metrix, Inc. Evaluation and Management Curriculum.

This course is designed to prepare You to assign evaluation and management (E/M) codes for services provided in the critical care, emergency department, and neonatal intensive care settings, including emergency department visits, adult critical care, neonatal critical care, and pediatric critical care

You will learn key concepts associated with these services, including the definition of critical illness or injury, age categories for critical care, and services that are included in critical care. They will learn the unique rules for assigning the E/M level in the emergency department, including the definition of a complete past/family/social history for an emergency department service, and the special instructions for a Level 5 emergency department service.

The mechanics of E/M coding for critical care and emergency department services will be reviewed in depth, and users will gain confidence in code assignment through completion of multiple choice exercises and actual case studies (physician reports).

At the completion of the Course, You will complete a scored assessment that tests the key learning points and confirms comprehension.

Module 6 Preventative Medicine Services

This Course prepares You to accurately assign evaluation and management codes for preventive medicine services.

The Evaluation and Management Preventive Services Course is part of the Coding Metrix, Inc. Evaluation and Management Curriculum. This course is designed to prepare You to assign evaluation and management (E/M) codes for preventive services such as well child visits and well adult visits.

You will learn key concepts associated with preventive services, including patient age categories and initial versus periodic preventive services. They will also learn to identify key medical record documentation that is required to support the various categories and levels of preventive services. Criteria for distinguishing between a “sick” visit and a preventive visit will also be discussed.

The mechanics of preventive service E/M coding will be reviewed in detail, and users will gain confidence in code assignment through completion of multiple choice exercises and actual case studies (physician reports).

At the completion of the Course, You will complete a scored assessment that tests the key learning points and confirms comprehension.

MedTech – Clinical Documentation Improvement Services: Improving Patient Care, Compliance, and Reimbursement

Clinical documentation is a critical component of healthcare delivery, providing the basis for patient care, compliance, and reimbursement. Accurate and complete documentation is essential to ensure that patients receive the care they need, healthcare organizations remain compliant with regulatory requirements, and providers receive appropriate reimbursement for the services they provide.

Our Clinical Documentation Improvement (CDI) services are designed to help healthcare organizations improve the accuracy and completeness of medical documentation, enabling better patient care, reduced compliance risk, and optimized revenue cycle performance. Our CDI services include:

Chart Review and Analysis: Our experienced CDI specialists will review patient charts and analyze the medical documentation to identify opportunities for improvement.

Physician Education and Training: We provide physician education and training to help them understand the importance of accurate and complete documentation, and to help them improve their documentation skills.

Clinical Documentation Technology: We offer access to technology solutions that can help automate and streamline the documentation process, improving accuracy and efficiency.

Medical Coding Support:We work closely with medical coders to ensure that the documentation accurately reflects the care provided, reducing the risk of coding errors and denials.

Documentation Improvement Initiatives: We help healthcare organizations develop and implement documentation improvement initiatives, such as standardized documentation templates and guidelines.

Regulatory Compliance: We ensure that healthcare organizations are in compliance with regulatory requirements related to documentation, such as HIPAA and other privacy and security regulations.

Quality Reporting: We help healthcare organizations improve the accuracy of quality reporting by ensuring that the documentation accurately reflects the care provided.

Email : medtechacademy@gmail.com