(Patient Registration) Services

Accurate capture of patient details is perhaps one of the most under-rated processes in the revenue cycle process chain. Not only does the data captured in the demographic entry process form the base for the medical record, but it also affects insurance claims payment. Error-free capture of patient information is essential for clean claim submission and facilitates quick claims processing by Payers.

The front-office at the place of service should accurately capture the patient information, either via paper-based registration processes or via the scheduling system. Accurate information about the patient is critical to ascertain the patient’s eligibility and benefits, obtaining prior authorization, and error-free claims filing. Additionally, population health analytics is possible only by utilizing accurate patient information.

Demographics information

Patient’s legal name, age, gender, address, phone numbers

Patient’s social security number for identification

Healthcare Insurance Information

Payer information (name of the Payer, mailing address for claims, and group and policy numbers)
Details of secondary as well as primary Payers

Medicaid or Medicare card (if the patient receives federal or state assistance).

Update the hospital’s revenue cycle system or the patient’s practice management system with the details obtained from the payers.

Allergies if any

Special requirements (interpreter, assistance for physically disabled people, medications, Ambulance, stretcher access, etc.)

Name, address, and telephone number of the person who will be responsible for payments

Patient’s social security number for identification

Impact of inaccurate capture of patient information

Inaccurate capture of the Patient information could result in:

Increased claim denials and delayed payments. Incorrect details captured cause rework as the clearinghouse systems, and the payer claims adjudication platforms may reject the claims. As a result, delays in obtaining payment or losses on account of unpaid claims can occur.

Inaccuracies in Population Health Analytics. Identification of the right population segments based on demographics data is the anchor for Population health analytics

Medical Coding Services

What is Medical Coding?

Medical coding is the process of application of universal alphanumeric codes to the healthcare services rendered i.e., medical diagnosis, procedures, services, and equipment provided. A patient’s medical record i.e., documents such as physician’s notes, laboratory reports, and services lists, are used by a medical coder to ascribe the diagnosis and procedure codes. The process of medical coding involves abstraction of the medical information from the available documentation, assigning the right diagnosis & procedure codes, and enabling the process of creation of a claim to be submitted to payers.

Payers can understand the following information from the standardized codes:

Patient diagnosis

Medical necessity for treatments, services, or supplies the patient received

Accurate Medical Coding can reduce claim denials

High-quality medical coding is critical for accurate reimbursements. Medical Coding errors can be costly and result in claim denials, besides creating unwarranted compliance issues, which could be even more expensive.

Adrotack HCS employs a team of AAPC (American Academy of Professional Coders) certified medical coders and AHIMA certified medical coders. Armed with certifications such as CPC (Certified Professional Coders) & its variants such as CPC-H/CPC-I) and CCS (Certified Coding Specialist), our team can ensure the highest level of accuracy in medical coding.

Adrotack HCS provides the following medical coding services:

ICD-10-PM, CPT, HCPCS coding, and ICD-10-PCS coding
Chart Audits and Code Reviews
HCC coding
Offshore coding audits
Payer specific coding requirements

We perform Medical coding as per available clinical documentation in line with the processes defined by our customers through detailed work instructions. The work performed by a medical coder is Medical coding is performed as per available clinical documentation in line with the processes defined by our customers through detailed work instructions. The work performed by a medical coder is reviewed by a knowledgeable coding auditor who has the requisite experience and certification. We guarantee the industry’s best service levels for coding accuracy and turnaround time.