Specialty-based medical coding to help your practice deliver clean claims
Accurate medical coding is a crucial component of submitting clean claims. Your practice management solution should provide automation and expert-driven processes to enhance coding and decrease the time spent reviewing codes by your staff.
What to look for in a practice management solution
Coding automation tools
Tools such as claims scrubbing technology, in-line edits, and a rules engine can help to analyze charges and claims and automate edits for accurate coding.
Full compliance support
Your practice management software should support your staff in staying up to date on current coding and compliance requirements, such as ICD 10 updates.
An integrated approach
Your EHR and PM system should operate as one unified platform and incorporate coding optimization features. Charge entry, coding, documentation, and billing should work together seamlessly.
Mobile medical coding
With NextGen Mobile Plus, you can enter diagnosis codes and complete charge capture on your smartphone. Search and find a diagnosis or CPT-4 code by description or by code.
Benefits of effective medical coding support
Clear view with change control
A coding solution should offer built-in steps to provide feedback and make reporting available on changes to medical coding. Charge control features, such as a log of changes made and why, give you instant visibility into medical coding corrections.
Increased accuracy with a certified coder
Medical coding standards are increasingly complex. A certified medical coder is trained in these regulations and requirements and is better prepared to translate physicians’ reports into accurate medical codes. Coders should also be experienced in your practice’s medical specialty.
Automated edits for clean claims
NextGen In-line Edits provide enables quick correction of coding errors and reduces claim denials via automated real-time edits at the encounter level. It reduces denials significantly by editing billing before claims creation.
Automated charge review
A rules engine that uses custom and specialty-specific rules along with automation can review and correct charge data before it enters the PM system—eliminating 75% of the need for coding review. This improves accuracy and speeds up payments.
Staff training for coding excellence
A top-rated practice management solution mean little if your staff isn’t able to use it. Your staff should be trained in coding, regulatory mandates, and coding best practices to ensure they get the most out of your solution.
Coding compliance audits
Our AAPC, AHIMA, and specialty certified coding specialists can help reduce worry about coding compliance with a thorough audit of your coding process, ensuring that it meets all regulatory requirements.
Practice Management and Medical Billing Guide
Boost practice efficiency, enhance patient convenience, and optimize practice revenue with this simple guide. Gain insights into best practices and learn how you can strengthen your revenue cycle with better billing systems.
The results speak for themselves
Our award-winning healthcare IT solutions become better each year thanks to the tireless efforts and ingenuity of our diverse team and insightful feedback from medical practices like yours.