Healthcare > Medical Coding >
Process and Delivery Model
A hospital intake form or charge sheet is batched and arrives
on the desk of a coder who will abstract the following handwritten information,
convert it to code and get it in front of data entry. Episource coders are
certified by the AAPC (American Association of Professional Coders) and have a
minimum of 4 years hands on experience. They do coding for the handwritten
Physician's diagnosis on the charge sheet.
1. Pre-Sales Requirements Analysis:
This process commences once Episource receives Client approval to conduct
process study and to submit a presentation on the benefits of business process
management through outsourcing. During this process Episource will conduct the
Client Requirements Analysis Study. The study will involve specialties covered,
turn around time required, type of files, reports requirement, and formats to
be followed.
2. Receipt of Files from client:
Episource receives scanned clinical information or patient charts from the
client through a FTP site.
3. Download and Allocation of Files:
The files uploaded from the client using the FTP site will be downloaded by
Episource's Medical Coding Team and allocated to the appropriate Pre-Coders
and Coders.
4. Pre-Coding:
After the files are downloaded and allocated to the appropriate team, the
Pre-Coders enter details such as Place of Service, Physician Name, and any
price modifiers.
5. Coding:
Coding consists of two main divisions-Procedural and Diagnostic Coding.
Certified Coders (CPC) handle this process using references such as ICD-9-CM,
LMRP, CPT Assistant, HCPCS Level II. The Coding team checks the compatibility
of the diagnosis with the procedure code.
6. Uploading of Completed Files:
On successful completion of the Coding work, the files will be uploaded to
Episource's FTP site.
7. Quality Evaluation:
The coded files are forwarded to the client from Episource's FTP site.
These files will be checked for quality by the client.
8. Client Feedback:
On receiving Quality Feedback from the Client, Episource shall work towards
improvement and refinement in the Coding Process in order to provide the most
accurate and reliable services.
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