Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers receive accurate compensation for their services and that patient records are maintained with precision. At IOTICUS, we offer comprehensive medical billing and coding services designed to streamline administrative processes, reduce errors, and enhance revenue cycles for healthcare providers. Our expertise in this domain helps healthcare facilities focus on delivering quality care while we handle the complexities of billing and coding.

Comprehensive Medical Billing Services

• Accurate Claim Submission: Our team ensures that all claims are accurately prepared and submitted to insurance companies promptly. We meticulously verify patient information, coding accuracy, and compliance with payer requirements to minimize claim rejections and denials.
  
  
• Revenue Cycle Management: Effective revenue cycle management is essential for maintaining the financial health of healthcare providers. We manage the entire revenue cycle, from patient registration and insurance verification to claim submission, payment posting, and denial management.
  
  
• Insurance Verification and Authorization: We handle the verification of patient insurance coverage and obtain necessary authorizations for procedures, ensuring that services are covered and reducing the risk of denied claims.
  
  
• Denial Management:: Denied claims can significantly impact revenue. Our team investigates and resolves denied claims efficiently, identifying root causes and implementing strategies to prevent future denials.
  
  
• Compliance and Regulatory Adherence: We stay updated with the latest regulations and coding guidelines, ensuring that all billing practices comply with federal and state laws, including HIPAA and CMS guidelines.

Expert Medical Coding Services

• ICD, CPT, and HCPCS Coding: Our certified coders are proficient in using the latest International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes. We ensure that all diagnoses, procedures, and medical services are coded accurately for appropriate reimbursement.
  
  
• Code Auditing and Optimization: We perform regular audits of medical records and coding practices to identify discrepancies and optimize coding accuracy. Our goal is to maximize reimbursement while ensuring compliance with coding standards.
  
  
• Specialty-Specific Coding: Different medical specialties require specific coding expertise. Our team is experienced in handling coding for various specialties, including cardiology, oncology, orthopedics, radiology, and more. This ensures that complex procedures and treatments are coded correctly.
  
  
• Clinical Documentation Improvement (CDI): Accurate clinical documentation is crucial for appropriate coding. Our CDI specialists work with healthcare providers to improve the quality and specificity of clinical documentation, ensuring that it accurately reflects patient diagnoses and treatments.
  
  
• Automated Coding Tools: Our use of automated coding tools and software enhances the speed and accuracy of the coding process. These tools assist in identifying the correct codes based on clinical documentation, reducing the likelihood of errors.