“We deliver complete medical coding solutions to reduce compliance risk and help to increase revenue opportunities.”

Medical coding is a critical consideration for healthcare organizations ranging from solo practices to clinics and hospitals. On the surface, the process seems so simple – it’s nothing more than applying universally-accepted alphanumeric codes to the services provided to patients, whether that’s an X-ray, a diagnosis, or equipment sent home with them.

However, that appearance is deceptive. Medical coding can be incredibly complex. It requires abstracting medical information from patient records and other sources of information, as well as a deep understanding of diagnosis and procedure codes. The result? Many healthcare businesses struggle due to incorrect medical coding, which costs them a significant amount of revenue.

Need access to specific information? No problem. You can customize our reports to meet specific needs, with detailed reports used to identify documentation insufficiency trends and to educate physicians.

At VirtuesIS, we deliver vital medical coding services to help stop the bleeding. There is no reason you should leave money on the table simply because of a basic coding error. We help ensure your coding is accurate so that payers can understand the diagnosis and medical necessity for treatments, procedures, equipment, and supplies provided to the patient.

How Does Our Medical Coding Process Work?

Our proven medical coding process is simple, expedient, and designed to ensure both speed and accuracy.

• Our clients securely transmit medical records from their EHR/PMS.
• We validate the accuracy of all information.
• We review the records and assign valid CPT/ICD codes.
• Our auditors validate the coded charts.
• We send the report back to our clients.

The entire process takes very little time and delivers the accurate medical coding our clients need to ensure profitability and success.

Why Does Medical Coding Accuracy Matter?

Inaccurate medical coding is a major source of lost revenue for healthcare organizations through claim denials. In addition to lost revenue, denied claims lead to other problems, including:

• A damaged relationship with the patient
• Compliance issues that can be costly to rectify

Our AAPC and AHIMA-certified team ensures that all coding is accurate, dramatically reducing the incidence of claim denial. That helps you avoid compliance related issues, build stronger relationships with your patients, and increase profitability.

VirtuesISMedical Coding Services

At VirtuesIS, we deliver a wide range of medical coding

services, including the following:

• Coding Audit (Offshore and Onshore
• Evaluation and Management Coding
• Surgery Coding (All Systems)
• HCC Coding
• Emergency Department Coding (ED) – Professional and Facility
• Radiology Coding
• Pathology Coding
• Anesthesia Coding
• Physical Therapy Coding
• Hospital Coding
• Interventional Cardiology
• Podiatry Coding
• Oncology Coding

Coding Denial Analysis

While accurate medical coding will dramatically reduce the number of denied claims you experience, it will not eliminate them. We provide coding denial analysis to drill down into each denied claim and determine the underlying reason. Based on our analysis, we are usually able to identify the code-related issue, re-code the claim, and re-submit it for approval once more.

Our approach is based on a proven workflow and expert actions taken by certified coding professionals with vast experience in multiple coding specialties. Our certified coders review each individual claim and EOB to determine the underlying reason for the denial and provide an effective denial resolution.

Our coders will also educate the clients/physicians on certain coding-related denials and alter the documentation or codes in the initial phase to eradicate coding denials in the future. At VirtuesIS, we take a structured approach to coding denials to deliver a cost-efficient solution and ensure that denials are resolved quickly so that payment can be received promptly.

Why Choose VirtuesIS for Your Medical Coding Needs?

Why work with VirtuesIS for medical coding and auditing? We

can deliver critical benefits, including the following:

• ICD-10 compliance
• Reduced claim denials
• Improved profitability and reimbursement rates
• More accurate documentation at your facility
• Reduced
• AR backlogs
• Access to certified, trained coding experts
• Physician education on accurate documentation
• Stop revenue leakage by coding audit