Trusted Medical Billing Company & Medical Practice Consultants

Core One Med provides comprehensive medical coding services, including:

• Reviewing patient charts to extract billable data
• Translating medical documentation into standardized ICD, CPT, and HCPCS codes
• Ensuring coding accuracy and compliance with regulations
• Optimizing codes for maximum reimbursement

Accurate and optimized medical coding is essential for maximizing reimbursement. Core One Med’s certified coding professionals ensure:

• All billable services are captured and coded
• Codes are as specific as possible to justify higher reimbursement
• Claims are “clean” and less likely to be denied

Core One Med has experience providing coding services for a wide range of specialties, including:

• Ambulatory Surgery Centers
• Anesthesia
• Cardiology
• Dermatology
• Gastroenterology
• OB/GYN
• Orthopedics
• Pain Management
• Radiology
• Urgent Care

Core One Med’s streamlined coding process includes:

1. Securely transmitting patient encounter documentation to Core One Med
2. Review of charts by certified coders to abstract billable information
3. Translation of data into appropriate ICD, CPT, and HCPCS codes
4. Quality assurance review to verify accuracy and optimize specificity
5. Transmission of coded data back to the practice for claim submission

Outsourcing coding to Core One Med offers several advantages:

• Access to certified, experienced coders without the overhead of in-house staff
• Increased coding accuracy and specificity for optimal reimbursement
• Scalability to accommodate fluctuations in patient volume
• Reduced risk of coding errors and non-compliance

1. Register patient
2. Verify insurance
3. Record services with codes
4. Create claim/superbill
5. Submit claim
6. Monitor claim adjudication
7. Generate patient statement

CPT (Current Procedural Terminology) is a set of standardized codes used to describe medical services and procedures on claims to bill payers for reimbursement.

A medical billing summary, or superbill, lists all services provided to a patient, along with the corresponding CPT and ICD-10 codes, so the information can be used to create an insurance claim.

AR (accounts receivable) in medical billing refers to the money owed to a practice by payers and patients for services rendered.

Medical billing software automates tasks like creating claims, checking for errors, submitting claims electronically, and generating patient statements to streamline the billing process.

Medical coding involves reviewing clinical documentation, identifying billable services, and assigning the appropriate CPT, HCPCS, and ICD-10 codes so claims can be submitted to payers.