Achieve Your Clean Claim Goals With The Best Medical Coding Service Provider
Ensure a streamlined revenue cycle management process with the industry’s best medical billing company
Benefits of outsourcing your medical billing services to WellMed
Wellmed aims to minimize healthcare providers’ stress while submitting claims for their services. Our team of AAPC-certified coders knows all the techniques for generating maximum revenue from the claims. With 15+ years of experience in the healthcare industry, Plutus Health knows all the coding compliance and guidelines for each healthcare specialty. We analyze medical records and abstract valid CPT codes, HCPCS codes, Modifiers, ICD codes, and DRG codes as per coding standard guidelines like CPT, ICD 10, APC, CMS, ASC, and HCC for effective reimbursement.
- Verifies the healthcare status of patient membership and uses it to determine the risk score of the patients to prevent revenue loss.
- Understand the resources used by the healthcare providers while offering the services and code accordingly to submit claims without errors
- Review all the procedure codes, revenue codes, and diagnoses and match them with official coding guidelines to avoid claim rejections.
- Thoroughly understand this combination of physician and hospital billing which is prime necessary for ASC coding and delivering results.
Interpret and review data to meet compliant rules
Having a team of highly qualified and experienced medical coders enables enables to collaborate with distinct specialty providers and aid them in solving medical coding challenges. Our strength is to observe clinical documents and ensure they meet coding compliance minutely. We are a tech-enabled medical coding service providers that analyze data electronically before it is sent to the payers.
- Constantly identify industry medical coding and billing changes and modify the clinical documents to meet the coding guidelines
- Customization of clinical data and medical records according to the constantly changing regulatory environment and needs of clients
- Defense audit support and litigation for providers accused of improper coding or billing
Why partner with Wellmed?
WellMed commits to excellence and guarantees results. Medical coding and billing are governed and controlled by strict guidelines and compliance. Submitting claims and getting maximum revenue demands attention to minute details. Plutus Health’s team of AAPC-certified medical coders ensures 98% accuracy and compliance. We are a HIPPA-compliant organization. We use proper CPT, ICD, HCPCS codes &modifiers to reduce denials and increase accuracy.
- Leverage artificial intelligence and robotic process automation to eliminate
- Perform internal and external audits to detect errors and eradicate compliant risks
- Monitor and evaluate coding levels to improve clinical documents via coding consultation
- Track KPI and monitor every minute of the day via KPI analytics engine and work force management