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Flexible Transmission |
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Certified Coders |
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Issue Resolution |
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Instant Submission |
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Accurate with
In-House Audits |
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Effective & Efficient |
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Comprehensive Reporting |
Coding - Perfecture's Medical Billing Service |
Call now, (805) 529-1056
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Coding compliance
is about preventing errors, negligence, fraud, and abuse; it is also about
continuing quality improvement and dedication to excellence.
Perfecture maintains expert staffing to help
with your most difficult coding issues. We provide electronic claim
submission as per client specifications with our medical billing system.
Perfecture provides accurate, complete, timely documentation and coding
practices. Correct coding is the #1 safeguard from an OIG audit.
We incorporate all laws and regulations governing coding. Complying with these
policies is key in preventing coding errors or reimbursement problems.
Expertise in maximizing reimbursement, while
remaining compliant:
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Coding to the highest level of specificity.
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Certified coders and highly educated medical billing specialists
provide billing management expertise.
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Perfecture makes every reasonable effort to
comply with Federal and State regulations, laws, and guidelines
applicable to the medical coding of medical information provided by
our clients.
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Coding guidelines utilized by Perfecture in determining coding policy include but are not limited to those
promulgated by: the ICD-9-CM Committee as published by the Coding Clinic (cooperatively produced by: AHA, AHIMA, CMS, NCHS), ICD-9-CM, HCPCS
Level II, CMS
Carriers and Intermediaries (LRMPs and memoranda), AMA/CPT 4, CCI, Medicare and
other applicable government agencies and industry standard bearers.
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Pre-submission review including E&M coding as
well as LOS. Perfecture utilizes proprietary medical necessity and
risk algorithms based on industry guidelines and an industry
accepted point methodology when determining Facility Level of
Service.
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Correct coding of procedures and modifiers with S&I
(supervision and interpretation). Interpretation of compliance
matters and medical coding guidelines are continually subject to review and Perfecture
maintains a library of industry and government rules, regulations, and
guidelines. Perfecture also consults various outside experts and is continually reviewed for compliance
using internal and external review processes for our online medical billing system.
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Constant monitoring resulting in minimal errors & faster issue
resolution!

Expert local oversight.
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