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Best Medical Coding Solutions: No Revenue Leakage, Get Paid On-Time

Medical coding services are essential for healthcare providers across the USA. At Total Medx, our expert clinical coders cater to the coding needs of every specialty by accurately assigning diagnosis and procedure codes, ensuring smooth claim creation and submission to payers.
  • Precise Coding for All Specialties: Ensuring compliance and accuracy in every claim.
  • Timely and Efficient Claim Processing: Reducing denials and accelerating reimbursements.
  • Expertise in ICD-10, CPT, and HCPCS Coding: Enhancing billing accuracy and payer acceptance.

Clinical Statement Analysis

At Total Medx, our expert coders analyze medical records and documentation, classifying information with standardized coding systems to ensure accuracy and compliance.

Medical Notes Coding

At Total Medx, our physician coders convert diagnoses and procedures into standardized codes, ensuring clarity for insurance companies and simplifying the process for healthcare providers.

Super-Bill Submission

At Total Medx, our coders work closely with the billing team to generate a detailed super bill, outlining the charges covered by the payer, the patient’s insurance coverage, and any applicable co-payments.

Claim Approval

Total Medx coders actively advocate for healthcare providers to secure claim approvals. They focus on recovering aged receivables and work tirelessly to ensure denied claims are reprocessed and promptly paid.

 

Why Choose Total Medx Coding ?

Accurate medical coding is more crucial than ever, particularly with ACA regulations requiring healthcare providers to clearly present patient services and their associated costs.

At Total Medx, our certified coders meticulously analyze medical records to assign the correct standardized codes, ensuring your claims are reimbursed quickly and in full. Say goodbye to long payment delays caused by coding errors.

We stay up to date with the latest coding guidelines and legislation, ensuring full compliance and protecting you from audit risks and overcharging patients due to unbundling. With Total Medx, you can count on timely and accurate reimbursements.

Our coders receive continuous training and education, equipping them to handle even the most complex cases. This helps reduce claim denials and minimizes revenue loss.

Let Total Medx streamline your practice with expert medical coding services. We deliver fast, accurate reimbursements in today’s highly regulated environment. Outsource your coding needs to us and rest assured that your claims are coded correctly the first time.

We customize our coding solutions to fit your practice’s unique needs, enhancing operational efficiency. With a focus on precision and speed, we help you navigate the complexities of medical coding.

Expert Medical Coding Services For Accurate Reimbursement

At Total Medx, we provide AHIMA and AAPC certified medical coding professionals who are dedicated to ensuring the highest level of accuracy in every coding assignment. Our team meticulously analyzes patient records and assigns the correct diagnosis and procedure codes to guarantee 99% accuracy. This precision in CPC coding helps healthcare providers receive proper reimbursement from insurance companies, minimizing delays and denials.

Our skilled coding managers conduct thorough chart reviews to ensure full compliance with ICD-10, CPT, and HCPCS standards. With Total Medx, you can trust that every diagnosis, treatment, and test is captured with the right codes to optimize revenue cycle management and ensure your practice is reimbursed promptly and correctly.

Medical Coding Process

 

Total Medx ICD-10 Medical Coding Services & Solutions

When it comes to medical coding, Total Medx is your trusted partner. Our advanced coding services are designed to ensure your practice receives accurate, compliant reimbursements every time. With years of experience in analyzing patient records and assigning the correct codes, we help you stay ahead in a complex healthcare environment.

Facility Coding Service

Getting facility services paid ain’t easy. Atleast, not without experts who know the codes. Total Medx medical coding department has the HCPCS know-how to get it right. We take all your inpatient services – the wheels, the rooms, the nursing – and code them properly. Contact us now to avail facility coding service.

Professional Fee Coding Service

The doctor sees the patient. The doctor does tests. The doctor prescribes medicine. But then what? That’s where Total Medx comes in. Our pro fee coders get the doctor paid right. We make sure the insurance company pays the doctor fair. The patient sees a correct bill too. No surprises. Contact us today for profee coding service.

Payer Specific Coding Service

Each payer has their own way of accepting codes. This can confuse doctors. But our coders know the rules of big payers. Like UnitedHealth, Cigna, and Humana. Our team works as per the guidelines for each payer’s codes. This way, claims process smoothly and doctors get paid without unfair cuts. Contact us today to avail coding solutions for your payer network.

Offshore Coding Service

Do you want to save your medical coding budget? With Total Medx offshore coding service, medics receive high-caliber coding at a lower price point. We identify and develop coding talent overseas, where pay standards are more affordable. Your coding gets done for a fraction of the cost, following all HIPAA rules. Contact us today for offshore coding solutions.

General Practitioner Visits Coding Service

Getting paid for seeing patients. That’s what GP visits coding does. We make sure your claims get approved. So the cash keeps flowing into your practice. Our expert coders know all the codes by heart. They get it right the first time, every time. Contact Total Medx now to learn more about our coding service for general practitioners.

Outpatient Coding Service

Outpatient coding is a medical coding process used for patients who receive treatment but are not admitted to the hospital for an extended stay. Our medical coders are proficient in the latest documentation guidelines for outpatient evaluation and management (E/M) visit codes. They accurately use ICD-10-CM and HCPCS codes for smooth cash flow at the healthcare organization.

HCC Coding Service

Hierarchical condition category (HCC) coding is a specialized field that relies on a risk-adjustment prediction model and is linked to over 10,000 ICD-10 diagnosis codes. Our trained HCC coders are experts in the regulations surrounding this risk adjustment model and use their expertise to ensure that diagnosis codes have assigned RAF scores for both commercial risk adjustment and Medicare Advantage risk adjustment.

Inpatient Coding Service

Inpatient coding is used for patients who require hospitalization and must be admitted for an extended stay. Our coders are certified with the Certified Inpatient Coder (CIC) credential, which validates mastery in abstracting information from the medical record for ICD-10-CM and ICD-10-PCS coding. We also have experience with Medicare Severity Diagnosis Related Groups (MS-DRGs) and the Inpatient Prospective Payment System (IPPS).

Total Medx Coding By The Numbers

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Inpatient Quality Score

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Outpatient Quality Score

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Profee Quality Score

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Overall Score

Compliance & HIPAA-HITEC

Medical Coding Solutions That Meet Compliance Needs

Total Medx adheres strictly to HIPAA -HITECH regulations to ensure the secure handling of Protected Health Information (PHI). Our processes for data collection, storage, transmission, and disposal align with the highest standards of privacy and security, safeguarding sensitive healthcare information. Additionally, we prioritize compliance with U.S. healthcare regulations and provide ongoing training to our staff on the latest updates in HIPAA-HITECH, and data security best practices to protect against evolving threats.

Get Advanced Help With Medical Coding

0% Staffing Burden

Streamline your operations with Total Medx expert coding solutions. Our service accurately analyzes records and assigns precise codes, eliminating the need to hire, train, and manage in-house coders. By outsourcing to us, you can reduce staffing burdens, save time, and focus on delivering quality care. Let us handle the complexities of coding while you concentrate on what matters most

Complete Denial Assistance

Stop losing your well-deserved income. Our expert coders meticulously identify deficiencies that lead to claim denials. We optimize your records to ensure you receive full payment for all your services. Say goodbye to lost revenue and hello to maximized earnings.

Reduction In DNFB And Backlogs

A backlog represents the number of cases waiting to be coded after patient discharge, while DNFB (Discharged Not Final Billed) refers to the percentage of accounts delayed due to incomplete or inaccurate coding or documentation. Total Medx streamlines your processes by eliminating uncoded case backlogs and significantly reducing the DNFB ratio.

Total Medx Coding Audits & Consultancy Solutions

For healthcare leaders seeking transparency and accuracy in their financial data, Total Medx offers comprehensive medical coding audits and consultancy services. We meticulously review patient records to extract valuable insights, ensuring each code is assigned correctly for maximum reimbursement.The benefits of our coding audits and consultancy are clear: reduced operational costs, optimized reimbursement, and a focus on evidence-based care. With our expertise, your organization will experience sustainable growth and be better equipped to achieve its mission through more efficient and compliant coding practices.

Managing Overlook For Coding (OFC)

At Total Medx, we utilize a proprietary algorithm to measure and manage the productivity and quality of our coding team. This advanced tool enables real-time monitoring of the coding process, quick identification and correction of errors, and the generation of detailed reports and analytics to ensure optimal performance.

Calculating Risk Adjustment Factor (RAF) Score

The Risk Adjustment Factor (RAF) score estimates a patient’s expected healthcare costs based on their diagnoses and demographic factors. A higher RAF score reflects greater risk and condition complexity. At Total Medx, we leverage our expertise in coding and documentation to ensure your RAF scores accurately represent the severity of your patient population, helping you maximize reimbursements from Medicare Advantage plans.

Improving Discharged Not Final Billed (DNFB) Rate

At Total Medx, we use a proprietary algorithm to assess and manage the productivity and quality of our coding team. This advanced system enables us to monitor the coding process in real-time, swiftly identify and correct errors, and generate comprehensive reports and analytics to ensure the highest level of accuracy and efficiency.

Optimizing Diagnosis-Related Group (DRG)

At Total Medx, we specialize in optimizing your DRG (Diagnosis-Related Group) assignments. DRGs classify hospital cases into groups with similar clinical characteristics and resource utilization, with each group assigned a relative weight that reflects the average cost of treatment. Used by Medicare and other payers to set payment rates for inpatient hospital services, we leverage our expertise in the MS-DRG system, coding rules, and documentation requirements to ensure accurate DRG assignments and maximize reimbursement.