Remote Medical Coding

All physicians, surgeons, hospitals and ambulatory surgical centers need accurate medical coding and surgical coding for proper payment, but specialists are most acutely in need of precise coding to optimize their collections. Unfortunately, physicians themselves are often suboptimal coders. Coding is an entirely separate fund of knowledge from knowing how to deliver complex medical services. Expertise in one has nothing to do with the other. Our coding analyses have demonstrated this time and time again.

Secretaries and billing clerks are often assigned the additional task of surgical coding, yet they rarely have formal training in the clinical issues and complex rules regulations that accurate coding demands. Is it wise to delegate this crucial function to someone who is under trained, undersupervised and overworked? What other business delegates the most important financial and legal functions to the employee with the least formal training?

Medical school faculty practice plans, hospitals, ambulatory surgery centers, billing companies, and private medical practices of all sizes are among the many clients of THE CODING NETWORK, LLC. These organizations realize that proper medical coding and surgical coding directly relates to increases in their own bottom lines and compliance with the law.

Latest Blog Posts:

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Under Michigan’s New Medicare RAC Regime, Physician Services Are the Initial Primary Target

September 5th, 2017|Comments Off on Under Michigan’s New Medicare RAC Regime, Physician Services Are the Initial Primary Target

An announcement came back in back in October 2016 from the Centers for Medicare & Medicaid Services (CMS). It announced that it had awarded to various entities the next round of contracts to serve as […]

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Civil Fraud Case Settlement from Fredericksburg Hospitalist Group amounts to $4.2 Million

September 1st, 2017|Comments Off on Civil Fraud Case Settlement from Fredericksburg Hospitalist Group amounts to $4.2 Million

Along with 14 of its member shareholders, Fredericksburg Hospitalist Group has agreed to pay nearly $4.2 million to settle a federal False Claims Act case brought under the qui tam whistleblower provisions of the FCA.

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Medical Practice Agrees To Resolve Allegations Of Overbilling Medicare

August 28th, 2017|Comments Off on Medical Practice Agrees To Resolve Allegations Of Overbilling Medicare

St. Agnes Healthcare in Baltimore, Maryland has agreed to pay the United States a sum of $122,928 to resolve issues under the False Claims Act. These allegations allege that they submitted false claims to Medicare […]

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Due to Improper Billing, Healey Returns $500,000 in Settlement With a Springfield Dentist

August 25th, 2017|Comments Off on Due to Improper Billing, Healey Returns $500,000 in Settlement With a Springfield Dentist

Massachusetts Attorney General Maura Healey announced today a settlement with a pediatric dentist in Springfield. Healey’s office returned $500,000 to MassHealth, the state’s Medicaid program, resolving claims that improper billing for services occurred.

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