Medical billing and coding are the backbone of the healthcare revenue cycle, ensuring payers and patients reimburse providers for services delivered.

Medical billing and coding translate a patient encounter into the languages used for claims submission and reimbursement.

Billing and coding are separate processes, but both are crucial to receiving payment for healthcare services.

Medical coding involves extracting billable information from the medical record and clinical documentation, while medical billing uses those codes to create insurance claims and bills for patients. Creating claims is where medical billing and coding intersect to form the backbone of the healthcare revenue cycle.

The process starts with patient registration and ends when the provider receives full payment for all services delivered to patients.

The medical billing and coding cycle can take anywhere from a few days to several months, depending on the complexity of services rendered, management of any claim denials, and how organizations collect a patient’s financial responsibility.

Ensuring provider organizations understand the fundamentals of medical billing and coding can help providers and other staff operate a smooth revenue cycle and recoup all of the reimbursement allowable for the delivery of quality care.

Learn more about Coding

Learn more about Billing

As you understand the whole process of Billing and Coding, it becomes obvious that the nature of Medical Revenue Cycle is inbred with many hand-offs. Thereby, making it prone to errors of omission and many other errors.

As a strategic partner, the first step in our on-boarding process of new clients is to Evaluate the practice processes through the lens of Revenue Cycle Management and make it as seamless as possible with the use of tested and proven modern technology to fit several needs. We hire independent consultants from Pacton Global which is our IT partner.

We strive to eliminate all the creases in the process flow and avoid leaks in revenue cycle at its start.

As best as a revenue cycle can be at its start, it is of utmost important to follow-up, from one end to another on case-by-case and patient-by-patient basis and update the providers and insurance companies promptly and proactively. Here is where our competitive edge plays a major role with our seamless process flow design to accommodate various environments that healthcare providers work in.