Medical Billing and Coding
As majority of US & UAE citizens are covered under some healthcare insurance plan, patients don’t pay the total bill amount to doctors. Hence doctors need to submit the claims for reimbursement to health insurance Company, for each encounter (Treatment provided to the patient).
A claim is required to be submitted in a prescribed format to carriers (Insurance Companies). Again, the duly approved codes need to be used for describing the diagnosis made and treatment given or procedures performed.
A busy practitioner chooses to outsource this activity to a professional billing and coding company. Bearing in mind the great volume of work and convenience as well the cost reduction along with the quick turn-around –time, Vedanti is most suitable option to outsource this services.
Medical coding is used for a variety of application in clinical care, research, education and billing medical insurance claims:
- statistical analysis and research of diseases and therapeutic actions
- reimbursement of insurance claims between providers and payers
- knowledge-based and decision support systems
- direct surveillance of epidemic or pandemic outbreaks
Our experienced coders are familiar with ICD 10 and CPT and validate procedure codes. Our teams also scrub procedure and diagnosis codes against correct coding initiatives and payer- specific edits to maximize the number of clean claims. We also provide charge capture audits and charge data reviews to ensure that all procedures, services, supplies and drugs have been captured.