How TotalMedX Ensures Coding Compliance and Accuracy

ICD-10 Code Accuracy:

• ICD-10 codes are critical for diagnosis reporting and play a significant role in determining reimbursement. Incorrect coding can result in denials or improper reimbursement. Our experienced coders at TotalMedX ensure that the most accurate and up-to-date ICD-10 codes are used to match the patient’s medical condition.
• We take into account all the nuances of ICD-10 coding guidelines, ensuring that every diagnosis is thoroughly documented and coded to avoid ambiguity or mismatched claims.

CPT Code Compliance:

• CPT codes represent the services or procedures provided during patient care. Proper coding of CPT codes ensures that healthcare providers are reimbursed fairly for their services. At TotalMedX, we meticulously review each patient’s treatment plan and ensure the most accurate CPT codes are selected to reflect the exact procedures performed.
• Whether it’s a routine office visit, a specialized procedure, or a complex surgery, we ensure that the CPT codes used are compliant with payer-specific requirements and align with the healthcare provider’s documentation.

Comprehensive Coding Reviews and Audits:

• To ensure coding accuracy, TotalMedX conducts regular internal reviews and audits. Our team of certified coders and compliance experts regularly audits claims to identify potential errors, discrepancies, or missed codes.
• Our auditing process includes verifying the appropriateness of the codes used, cross-checking them with the documentation, and ensuring that all claims are compliant with the latest ICD-10 and CPT coding standards.