Medical Records Handling

• Secure retrieval, storage, release, and transcription of patient records in compliance with HIPAA.

• Interfaces with electronic medical record (EMR) systems such as Epic, Cerner, eClinicalWorks.

1. Medical Coding

   • Translation of clinical documentation into standardized codes (ICD‑10‑CM, CPT, HCPCS).

   • Ensuring accurate diagnosis and procedure codes for billing, reimbursement, and regulatory reporting.

2. Billing and Claims Submission

   • Creation of insurance claims using appropriate coding and patient/insurance data.

   • Submission to payors (commercial insurers, Medicare, Medicaid), with follow‑up on denials and appeals.

   • Revenue Cycle Management (RCM) services including patient statements, payment processing, and collections.

3. Consulting Services

   • Audits of coding accuracy and compliance.

   • Training staff in billing/coding changes, regulation updates, payer policies.

   • Denial management strategy, credentialing, and payer enrollment support.

4. Compliance and Security

   • Robust privacy controls, authorization handling, and audit-ready record keeping.

   • Minimizing risk through internal workflows aligned with HIPAA and billing regulations