Medical Billing - Coding

 

Physician’s Current Procedure Terminology, Forth Edition, or CPT-4 contains over 7,000 codes and descriptions used to report medical procedures and services. These codes give standardized descriptions for medical, surgical, and diagnostic services.  CPT code and descriptions function for both clinical and administrative purpose.


Medical developments occur rapidly. As new procedures are developed, old ones deprecated and yet other updated and/or modified it is critical that your practice stay current. A comprehensive knowledge of CPT is significantly important to your reimbursement.


Practice Provider constantly stays abreast of coding changes and updates. We have the proficiency to ensure that your practice is using the most accurate up-to-date coding to ensure the maximum levels of reimbursement.

 

 

Unlisted Procedures and Services

 

Practice Provider works with physicians to understand their practices and specialties. We work with some of the most pioneering specialists in their fields and are experts in procedures and services that may not be listed in the CPT. We work with carriers to ensure that requirements are met for a smooth reimbursement cycle for these practices.

 

 

Supporting Documentation

 

Having the supporting medical record documentation for procedures, services and supplies can often mean the difference to getting paid on your claims.  

  • Are your medical records maintained in an EMR system? Is the data structured?
  • Do you capture medical history, review of systems, chief complaint, clinical findings, diagnosis, medications prescribed, procedures and instructions to the patient?
  • Are your medical records signed?
  • Are your phone encounters documented?
  • Do your procedures have diagnosis that plainly support the procedures rendered?  

Practice Provider can help practice get ahead of these issues so that your claims go through cleaner and faster – getting your reimbursement quickly.