How TCN 's outsourced medical coding and surgical coding works.

The ICD9 coding system is an international disease classification system which groups related disease entities and conditions for the purpose of reporting statistical information. The system is essential for medical billing, research, and public health.

CPT coding system describes medical and surgical procedures and services performed by physicians and other health providers. The system was developed by the AMA and serves a number of purposes, and is also essential to billing for patient care services. The Federal government’s Center for Medicare and Medicaid Services (CMS) used the CPT system to then develop the Resource Based Relative Value System (RBRVS) to assist in the determination of the amounts paid to doctors and other medical providers for services to Medicare and Medicaid patients. A growing number of managed care and other insurance companies, however, base their reimbursements on the values established by CMS.

How TCN's Ongoing, Temporary, and Backlog Resolution Services Work:

Clients send us copies of their medical or operative reports via fax, overnight delivery or online through encrypted services. Our coders for that particular specialty read the entire report, select the various separately billable procedures without unbundling, in order for them to optimize reimbursement. In addition to the proper CPT codes, modifiers and diagnostic codes are identified and appropriately linked. We then send the coded cases to your billing department within 2 to 3 business days. If there is ever a coding question, or judgment call, our coders will call or email the physician to discuss the case. All of our coders are certified and carry one of the following designations, CPC, CCS, RCC, RHIA, RHIT., Everyone has a miminum of 3 years of coding experience within a clinical specialty. We also provide our clients with back-up coding coverage for vacations, sick leave and other absences to avoid bottlenecks and to ensure your cash flow is steady and predictable.

Who Needs TCN?
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.

Audits and Coding Quality Reviews
The implementation and operation of this program is quite simple. Periodically (monthly, quarterly, semi-annually, or annually) participating practices send us a representative sample of their visit notes, procedure reports and claim forms. We perform a government-style audit of the coding, using all available screens and regulations. We then send you a case-by-case analysis of our findings. Our medical coding and surgical coding accuracy evaluations are designed to be part of a continuous quality improvement program. It gives our clients’ medical coders and surgical coders the feedback they need to more accurately code the patient-care services.

Have you been the target of a compliance audit? If you think you're being treated unfairly, let us "audit the auditors." Our findings can be your best defense!

Physician Documentation Training
Our training programs are designed to provide physicians with the information they need to use on a daily basis to optimize reimbursement, reduce fraud-and-abuse risks, and properly document patient care. We provide separate sessions, by specialty, with a text specific to that specialty, complete with documentation guidelines and examples from actual surgical and medical practices. At academic institutions, we strongly suggest residents and fellows attend, as they often play a key role in documenting the faculty's clinical activities. Our proprietary syllabus and teaching materials cover supervisory and regulatory issues pertinent to academic and private practices.

Free Coding Analysis
To get a Free Coding Accuracy Analysis, just send us copies of a sample of your medical or operative reports, along with copies of your claims for those cases. Our coder for your specialty will evaluate them and prepare a comparative analysis of your coding. Then, if you are satisfied with our knowledge of your specialty, you can send us your ongoing cases.

Please call us toll-free at (888) CODE-MED for details, or click here to request your free coding accuracy analysis now!

Pricing Requests
We are so confident that our clients will be impressed and satisfied with our bottom-line results that we do not require long term contracts. Our improved coding elevates our clients level of compliance while providing improved cash flow.

Our fees are per-case and we do not require any minimums; call us toll-free at (888) CODE-MED for price information, or send us mail at info@codingnetwork.com. All fees are determined by volume, specialty and contract terms.

Click here to order service.