Services
Insurance eligibility verification process at CodeitRyte :
Medical Coding :
We have a team of CPC and CPC-H certified coders experienced in multi specialties. CodeitRyte’s AAPC certified coding team is proficient with CPT, ICD-9, ICD-10, HCPCS level II and DRG codes across various specialties, PQRS Measures and Functional Limitation codes. We have a separate team of certified HCC Coders and HEDIS auditors. Verify patients’ insurance coverage with primary and secondary payers by making calls to the payers and checking through their authorized online insurance portals. We also contact patients for additional information, if required • Our Coders will review each charge and will check LCD to prevent medical necessity denials, append appropriate modifiers by checking the NCCI edit. • Our Coding team insures that the coding of diagnoses and procedures complies with all official coding rules and guidelines. • Proven record of consistent deliverables with minimum 98% and above accuracy.
Payment posting:
Whether you have hundreds or thousands of EOB's/ERA’s daily, all the payments will be posted to the corresponding patient's account within 24hrs of receiving. Adjustments or denials will be adjudicated promptly to insure that patients understand their payment responsibilities. CodeitRyte will handle the final adjudication of a claim based upon parameters provided our clients. Each Patient bill will be mailed out by us after a confirmation with the Client.
Medical Coding :
CodeitRyte understands that as a practice every $ not billed and every $ not collected impacts your bottom line directly. Based on our experience, we have aligned our resources and our delivery model to maximize revenues and speed up the collections.Our AR Callers will call insurance companies to get the claim status of all claims above 30 days and will update you whenever you ask for a particular claim status. The priority of the claims follow-up will be based on the following: • High Dollar high age - These claims would be processed on priority as the claims need to be followed up before we exceed the filing limit. • High Dollar low age - Next focus would be on high dollar claims with low age as the chances of collection are higher. • Low Dollar low age - These claims have higher probability of collection. However, need many more resources to follow-up • Low Dollar high age - These claims are given last priority as these claims have less chances of collection and need high number of resources to follow-up. CodeitRyte would deploy enough resources to allow follow-up on all the above 4 categories simultaneously.
Denial Management:
Our denial management process reports and measures all claims that are being denied by your payers. Our Denial Management specialists will fix the issues that are leading to the denials (whether it be issues with the claims or issues with the payers) and stop the torrent of unpaid claims into your medical billing process. • Our denial management team will capture the denials, analyze, call insurance companies and take action faster. • We will ensure that every denied claim is resubmitted within 3 working days. • Our Denial management team will collect information on denial appeals, including status, escalation, correspondence with payers, and the disposition of denial appeals to increase recovery amounts.