Medical Billing and Coding Services
Medical Billing and Coding Services
Medical billing and coding are pivotal processes in the healthcare ecosystem, ensuring healthcare providers receive timely and accurate reimbursements for their services. These processes serve as the critical link between healthcare providers and insurance companies, ensuring seamless financial transactions and regulatory compliance.
Medical Billing:
Involves the creation, submission, and follow-up of claims with insurance companies to secure payment for healthcare services. It ensures accurate invoicing, efficient claims management, and prompt handling of payments.
Medical Coding:
Translates medical diagnoses, procedures, and treatments into standardized alphanumeric codes (e.g., ICD, CPT, HCPCS). These codes form the foundation of billing, facilitating error-free claims and regulatory adherence.
Why Are Medical Billing and Coding Important?
1.Revenue Optimization: Ensures healthcare providers are reimbursed fully and promptly, maximizing their financial performance.
2.Regulatory Compliance: Guarantees adherence to healthcare laws, such as HIPAA, Medicare, and Medicaid requirements, safeguarding providers from penalties.
3.Operational Efficiency: Streamlines billing processes, minimizes errors, and reduces claim denials, thereby improving cash flow.
4.Data Integrity: Maintains accurate and secure records, enhancing transparency for providers, payers, and patients.
Revan’s Expertise in Medical Billing and Coding Services
At Revan Technology Services, we combine cutting-edge technology with in-depth industry knowledge to deliver unparalleled medical billing and coding solutions.
Advanced Software Proficiency: Expertise in leading billing and coding platforms like Kareo, AthenaHealth, and Practice Fusion for efficient operations.
Electronic Health Records (EHR) Management: Comprehensive handling of EHR systems to ensure accurate and accessible patient data.
Regulatory Expertise: In-depth knowledge of HIPAA, Medicare, Medicaid, and private insurance regulations, ensuring full compliance and security
Secure IT Infrastructure: Robust, HIPAA-compliant systems to protect sensitive patient data and ensure data privacy.
Certified Professionals: A team of certified and highly trained experts in medical billing and coding (CPC, CCS certifications) with proficiency in ICD-10, CPT, and HCPCS standards.
End-to-End Services:
1.Patient demographics entry.
2.Insurance verification and pre-authorization.
3.Accurate coding of diagnoses and procedures.
4.Claim submission and follow-up.
5.Resolution of denied claims and resubmissions.
6.Payment posting and reconciliation.
Quality Metrics and Performance Tracking: Regularly monitor clean claim rates, days in accounts receivable (AR), and denial rates to maintain high service standards.
Transparent Client Communication: Maintain clear, consistent updates and transparent communication to build trust and reliability.
Why Partner with Revan?
Our medical billing and coding expertise empowers healthcare providers by relieving them of administrative burdens, enabling them to focus on patient care. With state-of-the-art technology, skilled professionals, and a commitment to excellence, Revan ensures smooth financial operations, improved cash flow, and superior service quality. By partnering with Revan Technology Services, healthcare providers gain a trusted ally committed to simplifying revenue cycle management and driving operational success.
