Medical coding services software significantly reduces the coding errors that cause claim denials and payment recoupments during third party payer audits.
The medical codes used when submitting claims to insurance companies and government agencies are one of the main factors determining whether the third party payer reimburses the provider for services.
A simple mistake in a diagnostic or procedure code typically leads to the payer denying payment for a claim. Medical coding service software relies on databases of ICD-9, ICD-10, CPT, HCPCS, and other coding systems to ensure accuracy of encounter codes used in claims as well as in the patient record.
Many software vendors offer specialty specific medical coding service software, as well as packages that can integrate into electronic health records and medical practice management applications.