Specialty Coding & Comprehensive Audits

Realizing appropriate payment for services is a challenge for healthcare providers, and it is becoming increasingly difficult. With higher self-pay and compliance increasing exponentially, there is greater opportunity for risk. Medical coding is a key activity that impacts the financial health of your practice. Without specialized expertise, focus, and an infrastructure to support the process, you are only increasing your exposure to risk.

Our continuous efforts to improve our coding and compliance through education, audits, and industry updates separate us from the competition. With our dedicated team of experienced & certified medical coders, we can provide you with the highest quality professional and facility coding services.

 

Other Specialties: E/M, ICD10 PS, DRG (IPPS), OPPS & ASC

  • E/M Coding is done by certified CEMC coders
  • Usage of modifiers such as 25, 59 (XE, XP, XS,XU) and 91 is critical which we take into account to avoid POPA audits by MACs or RACs
  • ICD-10-PCS coding is done for inpatient facilities by certified ICD-10-PCS coders understanding that ICD-10-PCS code is required to be constructed and not to be assigned by looking into code manuals
  • All 34-Values (0-through-9 and A-through-Z, except alphabets I and O) of Multi-Axial PCS codes across all 7-Variables :- Section, Body System, Root Operation, Body Part, Access, Device and Qualifier respectively
  • IPPS and DRG Coding for hospitals for ensuring highest possible CMI through judicious use of DRG selection helps our client hospitals curb the DNFB ( Discharge but Not Finally Billed) patient basket
  • We also deal with OPPS for outpatient facility billing as well as Ambulatory Surgery Centers
  • All our coders are duly certified for respective speciality coding

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Coding Services

  • Our coders perform at a 95% or better accuracy rate across the organization

    Our coders perform at a 95% or better accuracy rate across the organization

  • CPT-4, ICD-9/10, HCPCS level II & DRG Coding

    CPT-4, ICD-9/10, HCPCS level II & DRG Coding

  • In-Patient/Out Patient & Emergency Room

    In-Patient/Out Patient & Emergency Room

  • Expertise in all Specialties, including Home Health and Hospice

    Expertise in all Specialties, including Home Health and Hospice

  • AAPC, AHIMA & BCHH-C (Home health & Hospice) certified coding resources

    AAPC, AHIMA & BCHH-C (Home health & Hospice) certified coding resources

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Comprehensive Audits

3Gen provides high-quality & cost-effective audits. The OIG recommends that healthcare providers and agencies perform periodic audits to verify that services coded are in compliance with ICD guidelines.

The basic challenges faced by healthcare professionals or agencies are Loss in Revenue, Loss in Case Mix points for Diagnosis & OASIS and Loss in Higher Star Ratings. We have Certified Professional Coders with vast expertise in Home Health, Hospice and Specialty Coding. Our audit process helps identify the gaps between current documentation & regulatory guidelines.

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