Medical coding is translating detailed medical reports into a specific type of short code (CPT or CDT codes) recognized throughout the healthcare industry. Medical coding aims to convert complicated healthcare reports into efficient, easy-to-interpret codes to file claims to send to payers. Medical coding software is used to generate codes automatically from clinical reports. It accelerates the entire coding process and uses automation to minimize human intervention, thus minimizing the chances of errors. Software for medical billing and coding helps increase revenues for providers.
OSP can develop medical billing and coding software to digitize activities that would otherwise have been carried out through paperwork. This type of software also automates most of the repetitive, manual activities to increase the speed and accuracy of the coding process. This leads to fewer errors, which eventually results in faster and more accurate claims being filed. So, reduced paperwork and fewer errors eventually increase efficiency and productivity.
The billing and coding software that we can build makes tracking the status of submitted claims simple and fast. The software sends notifications and alerts in case of denied or rejected claims and also highlights the procedure and deadlines for re-submissions. In addition, our clinical coding solutions also highlight problems in coding and any anomalies in patients’ medical files. As a result, providers can take the necessary steps to avoid denials and rejections.
Medical coder software makes it easy to apply standardized medical codes for filing insurance claims. OSP can develop such software with features for rapid and automated conversion of medical reports into codes and minimizes the chances of mistakes by minimizing the need for human intervention. This goes on to streamline the entire coding process and enables a single person to code the clinical visits of numerous patients.
We’ve reached out and found companies like OSP to create our technology. This is my first time working with a company that has been so thorough. These guys are amazing. If you really are looking for someone for a technology solution, these guys are the real deal.-- Stephen Carter
We reached out to OSP to provide an estimate on a technology solution we were interested in developing. From the initial conversation, the team was professional, courteous, and thorough. We were able to make a quick decision to move forward with OSP because we were confident that our requirements were accurately captured and the development deliverables and associated costs were clear.
The OSP development team stayed on schedule and within budget throughout the build phase and provided weekly communications to keep our team informed along the way. If we require application development in the future, OSP will be the first call we make.-- Selita Jansen
We have worked closely with OSP for two years, meeting twice a week to work through development requirements, strategy, design, progress, and support. OSP has become an integral part of our business, and our mutual teams work together as one team. OSP tackles problems that arise with integrity and operate with respect for budgeting.-- Charlie Langdon
Yes, I would certainly recommend their services because they were diligent and the offered price was very reasonable which is a challenge these days to get a great product at excellent pricing.-- Bert Lurch
We built a tailored RPM solution with telehealth features.
We built a platform to connect home care agencies with experienced clinicians and provide house calls.
We developed a website for efficient senior care and which connects doctors, patients, and families of patients.
We built a custom medical billing, credentialing, practice management suite.
OSP developed a web-based application to streamline the process of diagnosing diabetic retinopathy.
We built a technology solution to address the shortage of Maternal Fetal Medicine experts.
A Complete Guide on Medical Coding Systems for 2022Read More Hear
7 Essential Principles For Growing Your Medical Coding & Billing Business in 2018Read More Hear
How to Choose the Best Clinical Coding Solutions To Accelerate BillingRead More Hear
Automated Medical Coding: The Best Solution to Avoid Denials and Plug Revenue LeakageRead More Hear
The process of medical coding and billing is often tedious. Software platforms for these processes replace pen and paper-based activities with digital ones. These solutions also introduce automation into the workflows, accelerating them significantly. In short, software for medical billing and coding allows medical staffers to carry out operations with a few clicks and have them verified in a fraction of the time it would take to do it manually. To sum it up, technology has improved the speed, accuracy, and efficiency of medical coding and billing, benefitting all stakeholders involved.
Medical coding translates medical reports into universal medical alphanumeric codes standardized in the healthcare industry. Coding summarizes all the medical services provided to patients for generating claims to be sent to payers for reimbursement to providers. Laboratory tests, radiology scans, physician notes, and prescriptions are coded. Every patient’s clinical visit is documented and then converted into codes.
Medical coding systems are groups of codes corresponding to medical procedures, diagnoses, and other patient-relevant information. There are multiple medical coding classification systems –
1. ICD-11 is the latest revision of the International Classification of Diseases (ICD-11) and replaces the ICD-10 system. It recodifies the categorization of some diseases and includes new codes for some of the latest diagnoses and diseases.
2. ICD – 10 – This is sub-divided into two further coding systems – ICD-10-CM and ICD-10-PCS
3. CPT – The Current Procedural Terminology (CPT) describes the medical procedures that doctors and other providers perform on patients.
4. HCPCS Level II – The Health Common Procedure Coding System Level II is based on the CPT but is used for non-physician healthcare services. These might include prosthetics and ambulance services.
The process of medical coding is integral to the overall billing operation. A patient’s clinical visit is coded using standardized industry codes for generating claims to be sent to payers. Medical coding has three main steps –
1. Code the diagnoses
2. Code the Procedure(s)
3. Verify the medical necessity of all services
However, additional stages to the coding process come before and after these three steps.
Medical coding is carried out with dedicated software solutions. The latest prevailing coding system is used by dedicated staff to transcribe patients’ medical reports into relevant codes. These codes accurately describe all the billable medical services rendered to patients to generate claims sent to insurance payers. The insurance payers then analyze the claims to check if everything is done as per policy and will approve if so or deny if there are discrepancies.
Medical coding and billing processes are integral to the broader revenue cycle management activities at healthcare organizations. Medical coding translates a patient’s clinical visit into standardized alphanumeric codes to generate claims. These codes describe all the services rendered by the provider to the patients so they can be billed. There are thousands upon thousands of codes describing an equal number of diseases, tests, scans, procedures, etc. Medical billing is obtaining the coded clinical visit and converting it into a claim to be sent to payers for reimbursements. In other words, it is nothing but presenting the actual bill for care services.
Software technology for medical coding increases the speed and efficiency of the entire coding process. It replaces manual, paper-based workflows with digital ones, so things that would otherwise require handling physical documentation can be done with a few clicks on a screen.
Medical coding solutions streamline the process of capturing data about patients’ clinical visits, referencing health records, and converting them into relevant codes. This process is significantly automated, with the solution handling repetitive parts. As a result, there are very few chances of errors in medical coding since human involvement is reduced.
Furthermore, many coding and billing software solutions also include a feature for scrubbing claims. This feature will assess the claims to verify if all codes are proper. So, fewer insurer denials lead to efficient revenue cycles from payers. To sum it up, technology streamlines and optimizes the coding processes significantly, enabling hospitals and clinics to boost productivity.