Medical Coding – Medical Billing Services in USA

Accurate Medical Coding Services:

TOP MEDICAL CODING SERVICES.

MAXIMUM BILLING, FASTER REIMBURSEMENTS.

Quality medical coding is essential for healthcare providers throughout the United States. At Revenex, our team of specialized medical coders addresses the coding requirements for all medical specialties and taxonomies, accurately assigning diagnosis and procedure codes to facilitate seamless claim submissions.

Who we serve

For individual physicians and small group practices, navigating the complexities of medical billing and coding can be a daunting task. Revenex RCM, a leader among medical billing companies in USA, provides specialized medical billing services tailored to the unique needs of practices. Our comprehensive medical billing and coding services streamline the revenue cycle, ensuring compliance with insurance requirements and reducing administrative burdens. With our expert support, practices can focus on delivering top-notch patient care while we handle their medical billing and revenue cycle management with precision and efficiency.

Clinics

Clinics, whether general or specialized, require efficient and effective billing solutions to manage high patient volumes and diverse services. As one of the top medical billing companies in USA, Revenex RCM offers customized medical billing services designed to optimize revenue and improve operational efficiency. Our advanced medical billing and coding services reduce claim denials and enhance cash flow, allowing clinics to maintain a seamless workflow. Choose Revenex RCM for reliable, professional medical billing and coding support that empowers your clinic to thrive.

Labs

Laboratories in the USA, handling a high volume of tests and diagnostic procedures, require precise and timely medical billing and coding services to secure accurate reimbursements. As one of the top medical billing companies in USA, Revenex RCM specializes in laboratory billing and coding, offering comprehensive medical billing services that include accurate claim submissions, denial management, and revenue optimization. Our expertise in medical billing and coding for labs ensures financial stability, allowing laboratories to focus on delivering high-quality diagnostic services without financial concerns.

Urgent care centers

Urgent care centers face unique challenges in managing a fast-paced medical billing environment with diverse patient needs and varying insurance policies. Among the leading medical billing companies in USA, Revenex RCM delivers efficient medical billing and coding services tailored for urgent care centers. Our specialized medical billing services streamline claim processing, manage patient accounts, and handle the complexities of urgent care billing, ensuring that urgent care centers maintain seamless operations and robust financial health.

Specialty groups

Specialty groups, such as cardiology, orthopedics, or oncology, require specialized medical billing and coding services due to the complexity of their services and procedures. Revenex RCM stands out among medical billing companies in USA, providing tailored medical billing and coding services that address the unique needs of specialty groups. Our expertise ensures accurate coding, compliance, and optimized revenue for specialty practices, making us a preferred choice among medical billing companies in USA.

Hospitals

Hospitals, with their extensive range of services and departments, demand a robust billing and revenue cycle management system. Revenex RCM offers comprehensive medical billing services for hospitals, including claims processing, denial management, and financial reporting. As one of the leading medical billing companies in USA, we manage the scale and complexity of hospital operations, enhancing revenue cycle efficiency and overall financial performance through expert medical billing and coding services.

Healthcare systems across U.S.

Healthcare systems, which encompass multiple facilities and diverse services, benefit from Revenex RCM's integrated medical billing and coding services. We provide scalable solutions that cater to the needs of large healthcare networks, offering consistent billing practices and centralized revenue cycle management. As a top option among medical billing companies in USA, our comprehensive support helps healthcare systems streamline operations, enhance financial performance, and maintain high standards of patient care across their entire network.

Our Medical Coding Services
Come With 100% Audit.

What We Offer

At Revenex, our Medical Coding Services are meticulously designed to meet the diverse needs of healthcare providers, emphasizing accuracy, compliance, and timely coding. These attributes are crucial for maximizing revenue and minimizing claim rejections resulting from coding errors. Here’s a detailed overview of what our Medical Coding Services provide:

Expert Medical Coding and Compliance Assurance

Our medical coding services ensure precise and compliant coding by accurately translating clinical documentation into the latest coding standards established by the American Medical Association (AMA) for Current Procedural Terminology (CPT) codes. These codes are essential for reporting services and procedures in both inpatient and outpatient settings. Revenex RCM’s Medical Coding Division utilizes comprehensive CPT code sets, which include various types of codes such as Category I, Category II, Category III, and Proprietary Laboratory Analyses (PLA) codes, as well as ICD-10 and HCPCS codes. We ensure the proper application of modifiers while incorporating payor-specific requirements for our clients.

Custom Coding Audits and Insights

We provide comprehensive coding audits and customized reporting tools that provide a clear overview of your practice's coding performance. Our audits identify areas where errors or inconsistencies may affect reimbursement, while our reports deliver insights into coding trends, payor requirements, and reasons for denials. Revenex RCM’s detailed reporting enables you to enhance coding processes, minimize audit risks, and make informed, data-driven decisions to boost revenue and streamline operations.

Flexible Staffing with Certified Coders

We provide flexible staffing solutions through our team of certified coding specialists at a flat hourly rate. By outsourcing your coding needs, you gain access to experienced and credentialed coders without the necessity for in-house training, contracts, or overhead expenses. This adaptable staffing model enables you to scale coding support according to demand and helps ensure accuracy and compliance across various specialties, ranging from primary care to highly specialized fields.

Revenex’s certified coders meticulously review each patient record to ensure all diagnoses, procedures, & services are accurately coded.
We minimize claim rejections, enhance compliance, and secure maximum reimbursement on each claim for our clients.

Partner with Revenex for accurate, compliant, timely medical coding services.

Reduce denials, maximize reimbursements, and grow your revenue cycle today.

How Revenex RCM Enhances Medical Coding Services:

Clinical Statement Evaluation

Our medical coding experts conduct a detailed review of the documentation from healthcare providers, categorizing the information according to standardized classifications for accurate medical coding.

Coding of Medical Notes

Our medical coding professionals efficiently convert diagnosis and procedure details into standardized codes, ensuring that the information is clear and easily understandable for insurance companies and straightforward for healthcare providers.

Super-Bill Creation and Submission

We collaborate closely with the billing team to generate a superbill that accurately captures all relevant charges covered by the patient’s insurance, as well as any applicable co-payments, thereby facilitating a smooth submission process.

Claim Advocacy and Approval

Our medical coders actively assist healthcare providers in securing claim approvals. We focus on recovering aged accounts receivable and ensuring that denied claims are resolved promptly, facilitating timely reimbursement for your providers.

Why Partner with Revenex RCM for Medical Coding?

Precise medical coding is more crucial than ever, especially with regulations like the ACA requiring healthcare providers to give patients a clear breakdown of the services provided and their related costs.

Medical Coding Precision

At Revenex, our certified professionals meticulously review medical records to apply the correct standardized codes. With our medical coding services, your claims are submitted swiftly and accurately, eliminating unnecessary delays due to coding errors.

Medical Coding Compliance

We adhere to the most current medical coding regulations, ensuring full compliance with industry standards. This helps protect your practice from audits and prevents errors like overcharging patients through incorrect bundling. At Revenex, you can expect timely and accurate reimbursements.

Medical Coding Expertise

Our expert coders undergo continuous education, giving them the skills needed to manage even the most complex cases. With top medical coding services, we help prevent claim denials that can negatively impact your revenue stream.

Medical Coding Efficiency

Let Revenex RCM’s medical coding services enhance your practice’s medical coding performance at a fixed hourly rate to supplement your existing staff. Our medical coding solutions ensure fast and accurate reimbursements, even as industry regulations tighten. By outsourcing your medical coding to us, you can be confident that your claims are processed right the first time.

Step 1: Sign BAA & Kick-Off Call

We sign a Business Associate Agreement (BAA) for HIPAA compliance, followed by a KICK-OFF CALL to introduce your Strategic Accounts Manager. Clients will provide PMS and EHR login details on this call, and Revenex will assess the quantum of medical billing and coding work required.

Step 2: Set Service Agreement

We set the service agreement to align on medical billing services, pricing, and scope of work, ensuring both parties are clear on service requirements and goals.

Step 3: Merge & Support Period

This phase focuses on organizing the necessary workflows and resources to meet your unique medical billing and coding requirements. We conduct a few process discovery calls with you to trace, establish, and implement strong workflows that mirror your medical billing service requirements. This ensures smooth, efficient alignment with zero downtime to your business.

Step 4: Go Live

We launch medical billing and coding services. Revenex takes over managing the client’s specific medical billing and/or coding needs, delivering effective consultation, progress reports, and support.

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