TechCare Global LLC

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Medical Coding Services

Quality-Driven Medical Coding Services

We prioritize accuracy in all claims coding to eliminate inaccuracies and enhance reimbursement outcomes. Our skilled clinical coders cater to the unique coding requirements of every specialty, ensuring seamless claim creation for timely payments. Providers experience prompt reimbursement, patients receive accurate billing, and payers accept claims without rejection

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Precision in Every Code, Exceptional Medical Coding Always

Get Ahead with TechCare Global’s Swift Practice,Our Medical Coding Services offers a successful blend of top-notch medical coding with your exceptional services. At TechCare Global, we have set new benchmarks for  accuracy and efficiency in medical coding services in USA, Our Goal is to make medical professionals work more focused on their work rather than worrying about getting paid for their services, Our Company’s advanced coding follows ACA rules precisely, minimizing claim and denials and revenue losses, our healthcare coding services are designed to ensure medical professionals get paid accurately, avoiding loopholes that could lead to fraud in accordance to changes in laws and regulations.

What Do Our Coders Do?

Clinical Statement Analysis

Our coders carefully analyze medical statements and documentation provided by healthcare providers. They classify this information using standardized classifications.

Super-Bill Submission

Our seasoned billing experts and meticulous scrubbing process ensure the submission of pristine claims. In case of rejections, we swiftly correct and resubmit on the same day for expedited processing.

Medical Notes Coding

Our coders convert diagnosis procedures into codes that are easily readable by insurance companies and hassle-free for medical providers.

Claim Approval

Our coders advocate for healthcare providers to secure claim approval, actively pursuing the recovery of aged receivables and facilitating the resolution of denied claims to ensure timely payment.

Medical Coding Process

Our Medical Coding Workflow

  • Abstraction

    Abstraction involves reviewing the patients record. Information is sourced from clinical notes, lab results and operation notes.

  • Assignment

    Assignment involves finding the relevant codes from the medical classification and entering it into the data collection system.

  • Review

    Clinical coders review medical codes to ensure accuracy, including the diagnosis-related group (DRG). If finance via a case mix prototype.

  • Advocacy

    Medical billing advocates work with payers to ensure fair reimbursement for healthcare providers, resolving any issue with denied claims.

  • Approvals

    Medical coding team ensures timely payment by closing ticket only after payment and claim acceptance.

Types of Medical Coding Services We Offer

Expert Medical Coders and Billers

Facility Coding Assistance

Facility coding refers to coding the services provided by a healthcare facility to an inpatient, such as the use of a wheelchair, hospital room, and nursing care. Our facility coders use their HCPCS coding knowledge to accurately code the facility’s services and help the facility receive the correct reimbursement.

Payer-Tailored Coding Solutions

Physician coding becomes more challenging due to varying coding guidelines from different payers. Our coders are proficient in the coding guidelines of major US payers, such as UnitedHealth Group, Cigna, and Humana. Additionally, our medical coders have crafted payer-specific Local Coverage Determination (LCD) guidelines, ensuring precise coding for physicians.

General Practitioner Visits Coding Service

We review internal processes and documentation to meet industry standards and offer performance improvement recommendations. Our expert physician coders handle General Practitioner Visits Coding, ensuring accurate reimbursements and claim approvals, optimizing practice efficiency.

HCC Coding Service

Hierarchical Condition Category (HCC) coding is a specialized area reliant on a risk-adjustment prediction model tied to over 10,000 ICD-10 diagnosis codes. Our skilled HCC coders are well-versed in the associated regulations and adeptly assign RAF scores to diagnosis codes for commercial and Medicare Advantage risk adjustment

Physician Fee Coding Assistance

Professional fee coding, or ProFee coding, involves assigning codes to patient checkups and treatment services rendered by a physician. Our seasoned professional fee coders adeptly translate a physician's services into billable codes, ensuring equitable compensation from the payer and accurate billing for the services received by the patient.

Overseas Coding Solutions

Offshore coding is the process of hiring coding professionals in other countries to perform medical coding tasks. This is a cost-effective way to obtain high-quality coding services, as wages in other countries are frequently lower than in the United States. We provide offshore coders for any healthcare organization, while guaranteeing HIPAA compliance

Outpatient Coding Service

Outpatient coding is a medical coding process used for patients who receive treatment but are not admitted to the hospital for an extended stay. Our medical coders are proficient in the latest documentation guidelines for outpatient evaluation and management (E/M) visit codes. They accurately use ICD-10-CM and HCPCS codes for smooth cash flow at the healthcare organization.

Inpatient Coding Service

Our CIC-certified coders excel in Inpatient Coding, adeptly abstracting medical records for accurate ICD-10-CM and ICD-10-PCS coding. Proficient in MS-DRGs and IPPS, they optimize providers' revenue cycles, reducing claim denials and ensuring prompt payments.
TechCare Global offers

Are you experiencing frustration due to medical coding errors, claim denials, or delays?

TechCare Global offers comprehensive medical coding solutions and services. Our team of certified coders manages coding projects across various areas including inpatient, outpatient, emergency, and specialty services. Don’t allow medical coding issues to impact your practice’s bottom line; our experts proactively detect and rectify them to ensure smooth operations.

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One Solution for All Your Medical Coding Needs

Complete Medical Coding Solutions Provider

TCG handles all the complex aspects of medical coding, such as assigning accurate and compliant
codes for various specialties, procedures, and diagnoses. We also help you optimize your revenue cycle by
focusing on key metrics and indicators, such as:

Managing Overlook for Coding (OFC)

We use our proprietary algorithm to monitor and manage our coding team's efficiency and accuracy. This tool tracks the coding process in real-time, identifies errors swiftly, and generates detailed reports and analytics. It ensures a smooth workflow, upholds quality standards, and boosts productivity while maintaining high-quality output.

Managing Discharged Not Finally Coded (DNFC) Cases

DNFC (Days Not Final Coded) refers to the duration a case remains uncoded post-discharge. A high DNFC can impede claim submission, delay reimbursement, and elevate coding backlog and workload. We assist in reducing your DNFC by delivering swift and precise coding services, leveraging our OFC software and proficient coders.

Calculating Risk Adjustment Factor (RAF) Score

Risk Adjustment Factor (RAF), a vital metric, predicts healthcare costs based on patient data. A raised score signals heightened complexity in their condition. With our coding proficiency, we ensure precise RAF scoring, maximizing reimbursement from Medicare Advantage plans by accurately representing patient severity.

Diagnosis-Related Group (DRG)

The Diagnosis Related Group (DRG) system categorizes hospital cases by clinical traits and resource usage, assigning each a weight reflecting average treatment costs. Medicare and other payers use DRGs to set inpatient payment rates. We optimize DRG assignment using MS-DRG expertise, coding rules, and documentation criteria to maximize reimbursement accuracy.

Improving Discharged Not Final Billed (DNFB) Rate

Our algorithm serves as a cornerstone in enhancing the productivity and quality of our coding team. It empowers us to conduct real-time monitoring of the coding process, swiftly identify and rectify errors, and generate reports ensuring efficiency, accuracy, and transparency in our coding operations.

Increasing Case Mix Index (CMI)

CMI (Case Mix Index) is the average relative weight of DRGs for all treated patients. A higher CMI indicates managing more complex cases, potentially leading to increased reimbursement. We aid in improving CMI by accurately assigning appropriate DRGs based on ICD-10-CM/PCS codes and the MS-DRG system.

Why Choose TechCare Global for Medical Coding Services?

Selecting the right medical coding company is pivotal for your revenue cycle and compliance. Choose TechCare Global for your medical coding services due to

Elevate Your Revenue Cycle with TCG's cutting-edge medical coding services. Our advanced tools ensure swift reimbursements and increased collection rates, offering simplicity and precision in coding diagnoses. Say goodbye to claim denials and welcome optimized revenue streams. Join us for a transformative financial efficiency boost
Outsource your medical coding to our certified AHIMA and AAPC coders, reducing the challenges of hiring and training. Our specialists handle any specialty and volume, letting you focus on your core business. Partnering with us leads to a remarkable decrease in claim denials, as our experts leverage top coding tools for accuracy and compliance. Entrust your project to our specialists for a substantial reduction in claim denials and a smoother, more efficient process

Nephrology, radiology, orthopedics, and pediatrics demand intricate codes. Opt for our medical coding services to access specialty-specific expertise. Our nosologists ensure compliant codes for every medical case, providing physicians with precision and efficiency

Medical coding faces constant regulatory changes, encompassing new, deleted, revised codes, updated guidelines, and modified policies. Opt for our medical coding solutions to keep your practice seamlessly updated with the latest regulatory changes

Backlog denotes pending cases post-discharge, while DNFB reflects accounts awaiting final billing due to coding or documentation issues. Opt for our 5-star medical coding services to swiftly clear backlogs and minimize DNFB, ensuring efficient and accurate billing processes.

Our distinctive approach includes regular coding audits, providing continuous oversight and compliance at no extra cost. Scheduled and on-demand audits ensure efficiency for our clients, identifying reimbursement opportunities and addressing insurance challenges to safeguard your practice's financial health

TCG hosts meetings and educational webinars dedicated to identifying revenue gaps, delivering the latest coding updates, and ensuring compliance with industry standards. Join us to stay ahead and maximize your revenue potential.

TechCare Global Billing by the Numbers

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Safeguarding Patient Data:

At TechCare Global, safeguarding patient information’s security and confidentiality is paramount. We strictly adhere to HIPAA standards and utilize state-of-the-art technologies, including encryption and firewalls, to thwart unauthorized access. Our certifications, including SOC 2 Type 2, ISO 27001, ISO 9001, and KLAS/Censinet Cybersecurity Transparency, underscore our steadfast dedication to ensuring security, quality, and transparency in our medical coding services.

Ensuring Compliance and HIPAA Adherence

TechCare Global’s Medical Coding Solutions adhere rigorously to HIPAA Privacy and Security Rules, ensuring the secure handling of protected health information (PHI). We align closely with US government healthcare data regulations, including MACRA, MIPS, MSSP, CPC+, and QPP. Our staff undergoes regular training to remain abreast of the latest updates in HIPAA, GDPR, CMS Fraud, Waste, and Abuse, ISO 27001, and Social Engineering topics, ensuring compliance and data security at all times.

Maximize Revenue with TCG Medical Coding

At TCG, we prioritize coding accuracy to maximize your reimbursement potential. Our seasoned team, each with a minimum of five years’ experience, diligently safeguards against up-coding and down-coding errors. Certified in CPC, ICD-10-CM, LMRP, CPT Assistant, and HCPCS Level II, our coders meticulously cross-verify diagnoses with procedural codes and apply modifiers as necessary. Senior coding staff conduct audits for precision, while our quality assurance team ensures error-free coding, ultimately aiming for maximum reimbursement and minimizing claim denials. Trust TCG for revenue optimization through unwavering coding accuracy

Safeguard Your Revenue from Medical Coding Errors.

Count on TechCare Global’s Medical Coders for Exceptional Service

TechCare Global provides unparalleled solutions for all medical coding challenges. Our clinical coders adeptly manage coding across all specialties and volumes. Leveraging the latest EHR technology, we ensure compliance with industry standards. Additionally, we offer transparent reports to physicians, facilitating monitoring of coding performance and revenue cycle.

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