Medical Coding Services
As a physician or medical practitioner, your first and foremost goal is connecting with your patients and delivering the care they deserve. In light of that, administrative tasks can often fall by the wayside — even important ones that affect the future of your business, such as medical billing and coding. At ProMD Medical Billing, we recommend every health care provider invest in medical billing and coding services to bridge that gap.
With more than 20 years of nationwide service, ProMD Medical Billing understands the unique complexities of medical coding and excels in developing personalized solutions for practices large and small. Give your staff the chance to spend more one-on-one time with your patients and watch your revenue possibilities skyrocket with an industry-leading team ready to have your back.
What Do Medical Coding Companies Do?
Medical coding service providers have an important role that impacts insurance claim acceptance, patient billing and even future care opportunities. As medical coders, we analyze patient diagnoses and the services rendered and apply the proper codes to the patient’s chart. This process often involves registering a number of codes. For example, a patient with a sports injury will have one or multiple ICD-10 codes detailing their condition and other CPT codes regarding care provided, including X-rays, casts and administered pain medications.
Even one specialty can have hundreds of potential codes, and it is up to the medical coder to determine which ones are most accurate for every patient. From there, the codes are filed with insurance company claims and used by medical billers to determine patient payment amounts.
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Finding the Best Medical Coding Services for Your Practice
When searching for medical coding companies, you want an established, trustworthy practice with proven results. ProMD Medical Billing is happy to oblige. Our U.S.-based staff has spent decades working with health care facilities like yours across dozens of specialties. Our 99% first-pass rate for claim acceptance and commitment to complete denial management have helped us improve revenue collections by 20% in just 90 days. You can also look forward to:
- Enhanced compliance: Our coders are AAPC-certified, meaning they’ve proven their expertise and are prepared to code any situation. We also stay up to date on the latest CPT, ICD-10 and HCPCS coding guidelines so we can apply them to your submissions right away.
- Comprehensive support: Our highly skilled coders are also highly skilled billers and experts in revenue cycle management (RCM). We are happy to offer support in collections management, claims denials, and insurance credentialing.
- System integration: If you don’t have the time or money to invest in new software, ProMD Medical Billing is the choice for you. We work with your existing setup to ease the transition and keep your operations intuitive throughout our partnership.
Request Medical Coding Consulting Services Today
Take your practice to new levels of success with dedicated support from ProMD Medical Billing. Our decades of service translate to higher collection rates, administrative optimization and comprehensive revenue cycle management. As your medical coding service partner, your financial well-being is our utmost priority. Schedule a consultation today and discover our full range of administrative services.
Frequently Asked Questions About Medical Coding Services
ProMD states that its medical coders are certified by the American Academy of Professional Coders, commonly known as AAPC. Certification demonstrates training in coding principles, terminology, guidelines, and compliance. Specialty experience and ongoing education are also important because coding requirements change over time.
Accurate coding can help reduce preventable denials related to invalid codes, missing modifiers, coding inconsistencies, lack of specificity, and payer edits. However, claims may also be denied because of eligibility, prior authorization, timely filing, medical necessity, coordination of benefits, or other noncoding issues. ProMD can combine coding support with denial analysis and follow-up.
No. Codes should be supported by the information documented in the medical record. A coder should not assume an undocumented diagnosis, procedure, severity level, or clinical relationship. When the documentation is unclear or incomplete, the appropriate step may be to send a compliant query to the provider for clarification.
Accurate coding can help a practice submit claims that properly reflect the documented services provided. It may also help identify missed charges, incorrect code combinations, and coding errors that cause underpayments or denials. Coding cannot guarantee payment, and codes should never be selected solely to increase reimbursement.
Yes. ProMD offers medical coding, physician billing, denial management, payment posting, insurance follow-up, credentialing support, practice assessments, and broader revenue cycle management services. A practice may request comprehensive support or discuss services tailored to a specific operational need.
In many cases, yes. ProMD can work within a practice’s existing EHR, EMR, billing, or practice-management platform. System compatibility, access permissions, workflow requirements, and implementation needs are reviewed during the consultation process.
Yes. ProMD is based in Pinecrest, Florida, and serves healthcare practices across the United States. Because medical coding can be performed through compatible electronic health record and practice-management systems, a practice does not need to be located in Florida to request services.
ProMD offers practice assessments that can help identify problems within a practice’s billing and revenue cycle workflow. Depending on the agreed scope, the review may evaluate documentation, coding patterns, denial trends, claim processing, and other areas affecting financial performance. The exact assessment should be confirmed during the consultation.
Yes. ProMD works with small physician practices as well as larger medical groups and healthcare organizations. The service can be adjusted according to the practice’s specialty, coding volume, staffing structure, technology, payer mix, and internal workflow.
Yes. ProMD works with practices across more than three dozen medical specialties. Its experience includes cardiology, OB/GYN, maternal-fetal medicine, gastroenterology, endocrinology, infectious disease, family medicine, orthopedics, pediatrics, podiatry, dermatology, otolaryngology, and sleep medicine. Coding support is tailored to the documentation and procedural requirements of each specialty.
The process begins with a consultation about the practice’s specialty, coding volume, current workflow, software, documentation challenges, and revenue cycle needs. ProMD can then recommend an appropriate medical coding service plan. Call (866) 509-8389 or submit the online contact form to speak with an expert.
The cost depends on factors such as specialty, encounter volume, coding complexity, service scope, technology requirements, and whether the practice also needs billing or revenue cycle management support. ProMD can review the practice’s requirements and provide customized pricing during a consultation.
Professional medical coding services convert documented diagnoses, procedures, supplies, and healthcare services into standardized codes used for claims, reporting, and reimbursement. Medical coders review the provider’s documentation and assign applicable ICD-10-CM, CPT, and HCPCS codes according to current coding guidelines and payer requirements.
Medical coding translates documented diagnoses and services into standardized codes. Medical billing uses those codes, along with patient, provider, and insurance information, to prepare claims, submit them to payers, post payments, address denials, and manage balances. Coding and billing are connected but involve different functions within the revenue cycle.
ProMD’s medical coding professionals work with current coding resources, including ICD-10-CM diagnosis codes, CPT procedure and service codes, and HCPCS Level II codes for applicable supplies, products, medications, and services. The code set used depends on the documented service, care setting, payer, and claim requirements.
Accurate coding helps claims represent the services documented in the patient’s medical record. Coding errors can contribute to claim rejections, denials, payment delays, underpayments, overpayments, compliance concerns, and inaccurate patient balances. Coding accuracy also depends on complete and specific clinical documentation from the provider.