Medical coding services are essential for healthcare providers in the USA. Our expert coders handle all specialties, assigning accurate diagnosis and procedure codes to enable smooth claim submissions.
Accurate medical coding is essential, especially since the ACA requires healthcare providers to give patients detailed information about the services they receive and the corresponding costs.
At NSMD, our certified coders meticulously analyze medical records to assign the appropriate standardized codes. This clinical coding expertise guarantees your claims are reimbursed fully and promptly, eliminating the months of waiting due to coding errors.
We adhere to the latest medical coding guidelines and regulations to ensure your claims remain compliant, safeguarding you from audit risks and preventing overcharging patients due to unbundling. With NSMD, your reimbursements will be timely and precise.
Our coders undergo rigorous training and ongoing education, giving them the skills to identify the correct codes for even the most complicated cases. This clinical coding solution helps prevent claim denials, which can lead to revenue loss.
Let NSMD handle your medical coding needs. Our clinical coding services provide fast and accurate reimbursements, ensuring your practice thrives in today’s complex regulatory environment. Outsource your coding and gain peace of mind, knowing your claims are correctly coded from the start.
Our medical coding and auditing recover revenue you’re missing. The higher reimbursements will easily offset our reasonable fees.
NSMD medical coding experts review patient records and assign diagnosis and procedure codes with 99% accuracy. This CPC coding ensures healthcare providers receive appropriate reimbursement from insurance companies. Our experienced coding managers meticulously check all charts to ensure compliance with ICD-10, CPT, and HCPCS standards. With NSMD, you can rely on accurate coding for every diagnosis, test, and treatment, maximizing your revenue cycle management.
Medical coding is crucial for payment and compliance, but not all facilities have the same needs. Whether it’s ICD-10-CM codes for oncology, CPT codes for orthopedics, or HCPCS Level II codes for DME, NSMD offers dedicated coding experts for every medical specialty. We pair skilled coders and auditors with your specific caseload. For accurate medical coding, our custom solutions make all the difference.
NSMD medical coding service uses specialized software to scan medical records and suggest initial codes. Our medical coders then review the records, assess the suggestions, and finalize the codes based on their thorough knowledge of coding rules. This process ensures highly accurate coding, converting health records into the correct billable codes required by insurance companies.
Our certified coders are skilled at ethically optimizing billing codes and documentation, identifying billable codes, and ensuring you capture every dollar earned from payers.
Here’s our structured approach to accurately represent patient diagnosis documentation within the codes.
Clinical coders translate medical charts into numerical and alphanumeric code sequences.
The assignment process involves selecting the relevant codes from the medical classification and inputting them into the data collection system.
For medical coding, NSMD’s advanced service is the solution you need. With years of experience analyzing records and assigning compliant codes, we ensure you receive the reimbursements you deserve. Whether you need temporary assistance or long-term outsourcing, our dedication to high-quality coding at scale makes us the ideal partner.
Getting facility services paid is no easy task—at least not without experts who understand the codes. NSMD’s medical coding department has the HCPCS expertise to ensure accuracy. We handle all your inpatient services—equipment, rooms, nursing—and code them correctly. Contact us today to access our facility coding service.
The doctor sees the patient, conducts tests, and prescribes medicine. But then what? That’s where NSMD steps in. Our pro fee coders ensure the doctor gets paid fairly. We make sure the insurance company reimburses the doctor correctly, and the patient receives an accurate bill—no surprises. Contact us today for pro fee coding services.
Each payer has their own method for accepting codes, which can confuse doctors. But our coders are well-versed in the rules of major payers like UnitedHealth, Cigna, and Humana. Our team follows each payer’s specific guidelines to ensure smooth claim processing and fair payment for doctors. Contact us today for coding solutions tailored to your payer network.
Want to save on your medical coding budget? With NSMD’s offshore coding service, you get high-quality coding at a lower cost. We source and train coding talent overseas, where pay standards are more affordable. Your coding is completed at a fraction of the price while strictly adhering to HIPAA regulations. Contact us today for offshore coding solutions.
Getting paid for seeing patients is what GP visits coding is all about. We ensure your claims are approved, keeping cash flowing into your practice. Our expert coders know all the codes inside and out, getting it right the first time, every time. Contact NSMD today to learn more about our coding services for general practitioners.
Outpatient coding is a process used for patients who receive treatment without being admitted to the hospital for an extended stay. Our medical coders are skilled in the latest documentation guidelines for outpatient evaluation and management (E/M) visit codes. They accurately apply ICD-10-CM and HCPCS codes to ensure smooth cash flow for healthcare organizations.
Hierarchical condition category (HCC) coding is a specialized field that relies on a risk-adjustment prediction model and is linked to over 10,000 ICD-10 diagnosis codes. Our trained HCC coders are experts in the regulations surrounding this risk adjustment model and use their expertise to ensure that diagnosis codes have assigned RAF scores for both commercial risk adjustment and Medicare Advantage risk adjustment.
Inpatient coding is used for patients who require hospitalization and an extended stay. Our coders are certified with the Certified Inpatient Coder (CIC) credential, validating their expertise in abstracting information from medical records for ICD-10-CM and ICD-10-PCS coding. We also have experience with Medicare Severity Diagnosis Related Groups (MS-DRGs) and the Inpatient Prospective Payment System (IPPS). This enhances the revenue cycle for providers by reducing claim denials and ensuring timely payments.
NSMD offers comprehensive medical coding solutions and services. Our certified coders manage all coding projects, including inpatient, outpatient, emergency, and specialty services. Don’t let medical coding issues impact your bottom line—our experts will identify and fix them before they harm your practice.
For healthcare leaders looking for reliable insights, our medical coding services are the key. We carefully examine records to uncover valuable information and actionable direction. This approach leads to numerous advantages: cost reduction, maximized reimbursements, and enhanced evidence-based care. The result is long-term growth and success in fulfilling your mission.
Trust our coding auditors to verify your records, maximize revenue, and ensure compliance. We identify issues, correct errors, and optimize your codes.
Documentation is key to coding. Our review ensures accuracy, capturing every dollar of revenue and minimizing audit risks.
Our coding consultants thoroughly analyze patient charts to assign accurate codes, ensuring proper reimbursement and providing a clear picture of population health.
Our skilled medical coding experts carefully extract insights from patient data to optimize your reimbursements.
NSMD is a trusted medical coding solutions provider committed to the security and confidentiality of your patient data. We follow HIPAA standards and implement advanced encryption, firewalls, antivirus protection, and other security technologies to safeguard against unauthorized access, use, or disclosure. With certifications such as SOC 2 Type 2, ISO 27001, ISO 9001, and KLAS/Censinet Cybersecurity Transparency, we demonstrate our dedication to security, quality, and transparency in our medical coding services.
NSMD Medical Coding Solutions adhere to the HIPAA Privacy and Security Rules for the collection, storage, transmission, and disposal of protected health information (PHI). We comply with US healthcare regulations, including MACRA, MIPS, MSSP, CPC+, and QPP. Our team undergoes ongoing training on the latest updates in HIPAA, GDPR, CMS Fraud, Waste and Abuse, ISO 27001, and Social Engineering to ensure compliance and security.
Don’t overburden your staff with coding. Our service reviews records and assigns accurate codes for you. Skip the hassle of hiring, training, and managing in-house coders—outsource to us and lighten your staffing load.
Stop losing income. Our expert coders identify deficiencies that lead to denials and optimize records to ensure you get paid for everything you do. No more revenue lost.
Backlog refers to pending cases awaiting coding after discharge, while DNFB measures accounts not finalized due to incomplete or inaccurate coding or documentation. NSMD eliminates the coding backlog and reduces the DNFB ratio.
We use a proprietary algorithm to measure and manage the productivity and quality of our coding team. It enables real-time monitoring of the coding process, error identification and correction, and the generation of detailed reports and analytics.
This measures the anticipated healthcare costs for a patient based on their diagnoses and demographic factors. A higher RAF score signifies greater risk and complexity in the patient’s condition. With our coding and documentation expertise, we ensure your RAF scores accurately reflect your patient population’s severity, maximizing reimbursement from Medicare Advantage plans.
We use a proprietary algorithm to measure and manage the productivity and quality of our coding team. This system allows us to track the coding process in real-time, detect and fix errors promptly, and generate detailed reports and analytics to ensure optimal performance.
DNFC refers to the number of days a case remains unfinalized after discharge. A high DNFC can cause delays in claim submissions and reimbursements, while also increasing your coding backlog and workload. We help reduce your DNFC by offering fast and cost-effective coding services, utilizing our OFC software and experienced coders to streamline the process.
A DRG (Diagnosis-Related Group) system categorizes hospital cases based on similar clinical characteristics and resource usage. Each DRG has a relative weight that represents the average cost of treating a patient within that group. Medicare and other insurers use DRGs to set payment rates for inpatient hospital services. We assist in optimizing your DRG assignments by leveraging our expertise in the MS-DRG system, coding rules, and documentation standards.
The Case Mix Index (CMI) reflects the average relative weight of the DRGs for all patients treated at your facility. A higher CMI indicates that your facility has treated more complex and resource-intensive cases, potentially leading to higher reimbursement rates from Medicare and other payers. We help enhance your CMI by ensuring the correct DRGs are assigned to your cases, based on ICD-10-CM and PCS codes, as well as the MS-DRG system.
SMD delivers expert solutions for every medical coding challenge. Our clinical coders skillfully manage all specialties and volumes, leveraging advanced EHR systems to maintain full compliance. We also equip physicians with clear, actionable reports to track coding accuracy and strengthen their revenue cycle.
