Medical Coding   Medical Billing   Account Receivables Management   HIPAA


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.





Medical Coding

  - Service
  - Process and
    Delivery Model
  - Resources
  - Infrastructure
  - Episource Advantage

Services

  - Healthcare
  - Print and Publishing
  - Finance & Accounting