With a commitment to accuracy and compliance, Health X-RCM delivers medical coding services to optimize claim submissions and reimbursements. Our team of certified coders is highly proficient in the latest coding standards, including ICD-10-CM, CPT, and HCPCS, ensuring your practice adheres to payer regulations and industry requirements.
Classify diagnoses and conditions accurately with our ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical Modification) coding expertise. Reduce claim denials and enhance reimbursement rates while keeping your operations seamless.
We document medical procedures with precision using CPT coding, adhering to AMA guidelines. This proactive approach helps us minimize errors like undercoding or overcoding, ensuring optimal billing for all specialties.
Accurately report medical supplies, services, and medications with our HCPCS Level II coding services. We help you stay ahead of payer requirements, particularly for Medicare and Medicaid claims.
Our team of AAPC- and AHIMA-certified coders ensures accuracy, compliance, and reduced claim rejections.
We stay updated on coding guidelines, including changes to ICD-10-CM, CPT, and HCPCS, and ensure adherence to HIPAA, CMS, and payer-specific regulations.
We tailor our services to meet the specific needs of your speciality, including cardiology, radiology, internal medicine, pediatrics, urgent care, and more.
With minimal to no coding error we proactively manage denial codes, and resubmit corrected claims promptly.
Accurate coding minimizes denials, speeds up reimbursements, so your practice receives the full compensation it deserves.
Enhance the quality of patient records through proper code assignment, supporting better clinical outcomes and audit preparedness.
Achieve faster payouts with high first-pass resolution rates without the need for claim rework.
Avoid penalties and audits with coding that aligns with the latest ICD-10-CM, CPT, HCPCS, and payer guidelines.
We provide credentialing solutions for a diverse array of healthcare professionals and specialties, including but not limited to:
Psychologists, licensed counselors, social workers, and other mental health professionals with expertise in DSM-5 and CPT coding, ensuring seamless enrollment and compliance.
Physicians and nurse practitioners delivering primary care services, with credentialing tailored to the diverse needs of general and family practice.
Pediatricians and specialists focused on child healthcare, ensuring accurate credentialing to support coding for developmental and preventative care.
Diagnostic and interventional radiologists, with credentialing aligned to imaging-specific coding and payer requirements for optimized reimbursement.
Cardiologists and subspecialists, including electrophysiologists and interventional cardiologists, with precise credentialing to address coding for advanced cardiac procedures
Physical therapists, occupational therapists, and speech-language pathologists, with credentialing tailored to meet therapy-specific coding and payer compliance standards.
Credentialing support for chiropractic care providers, ensuring compliance with payer-specific chiropractic codes and streamlining panel applications.
Dentists and dental specialists, with services focused on ADA-compliant credentialing for comprehensive insurance network participation.
Individual practitioners and home health agencies, with credentialing aligned to state and federal regulations for Medicare, Medicaid, and commercial payer enrollment.
Managing patient interactions effectively is crucial for any healthcare provider. Our dedicated Patient Help Desk ensures smooth communication, handling appointment scheduling, rescheduling, and cancellations with precision. We also assist with insurance verification, eligibility checks, prior authorizations, prescription refill requests, and patient follow-ups all while providing a compassionate, patient-centric approach. By reducing call wait times and ensuring prompt query resolution, we enhance patient satisfaction and free up valuable time for your in-house team.
Credentialing delays can result in revenue loss and operational bottlenecks. Our expert credentialing specialists handle the end-to-end provider enrollment process, re-credentialing, contract negotiations, and payer applications with accuracy and efficiency. We manage CAQH profile updates, NPI registration, Medicare & Medicaid enrollments, commercial payer credentialing, and license verifications to ensure full compliance with healthcare regulations. Our proactive follow-ups and meticulous documentation help eliminate delays, ensuring that providers get credentialed quickly and start billing sooner.
Our highly trained virtual assistants take care of time-consuming administrative tasks, allowing you to focus on delivering quality care. We provide comprehensive back-office support, including medical records management, data entry, claims processing, billing assistance, insurance follow-ups, denial management, EHR/EMR updates, and HIPAA-compliant documentation. Whether you need ongoing support or temporary assistance, our virtual team integrates seamlessly with your existing workflow to ensure smooth operations without the overhead costs of an in-house team.
At Health X-RCM, we deliver end-to-end medical billing and coding solutions designed to maximize your practice’s revenue, ensure compliance, and improve workflows. Our services deliver industry-leading practices and adhere strictly to current healthcare regulations, including ICD-10, CPT, and HCPCS coding standards.
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