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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Medicare fraud by All Saints Anesthesiologists

October 23rd, 2018|Comments Off on Medicare fraud by All Saints Anesthesiologists

From 2011 to somewhere around 2014, Ascension All Saints Hospital’s contracted anesthesiology aggregate efficiently overbilled Medicare and Medicaid for many dollars, as indicated by a government claim. It was brought by an informant who trusts […]

Update: CMS’s Proposed Changes to the Physician Fee Schedule for 2019

October 17th, 2018|Comments Off on Update: CMS’s Proposed Changes to the Physician Fee Schedule for 2019

Following up on our September 4th, 2018 post “MGMA Opposes Proposal to Consolidate E/M Codes”, The Coding Network has been actively tracking the status of the sweeping changes to the Physician Fee Schedule for 2019 proposed […]

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Stuart Doctor Charged in Twenty-Six Count Federal Health Care Fraud Indictment

October 16th, 2018|Comments Off on Stuart Doctor Charged in Twenty-Six Count Federal Health Care Fraud Indictment

A specialist has been accused of submitting social insurance misrepresentation out of her training in Stuart, Florida. The U.S. Lawyer for the Southern District of Florida, Shimon R. Richmond, Special Agent in Charge, U.S. Division […]

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Medicaid and Medicare Telehealth Payments Fails to Meet Medicare Requirements

October 12th, 2018|Comments Off on Medicaid and Medicare Telehealth Payments Fails to Meet Medicare Requirements

OIG reviewed 191,118 Medicare paid distant-site telehealth claims, totaling $13.8 million, that did not have corresponding originating-site claims. The watchdog agency then reviewed provider supporting documentation to determine whether the services met Medicare’s requirements for […]