We Handle Your
Medical Billing and Coding
If you want to experience the most accurate medical billing available, then outsourcing to MD Compliance Solutions will boost revenue and reduce denials while maintaining a 95% ongoing accuracy rate.
Certified, Professional Medical Coders
Our coding specialists work to deliver polished medical code for building and documentation storage, limiting claim denial and eliminating compliance worries.
With the medical industry constantly changing, it is necessary to have a team of coding professionals that are able to keep up. To keep your practice running smoothly, it is imperative that you have the latest medical coding procedures in place to remain compliant.
Major inaccuracies or out-of-date coding can lead to everything from claim denials to failed audits, resulting in serious fines and a wide range of negative consequences for your practice.
MD Compliance Solutions features an experienced team of medical coding specialists that meticulously code and conduct quality assurance practices to ensure that all procedures within your organization are both compliant and efficient.
Medical Coding and Analysis Solutions
Our group of certified medical coders have comprehensive knowledge of the ICD-10, CPT and HCPCS languages, allowing them to analyze sequences and validate codes based on your medical documentation.
To provide the highest level of service to all practices, our coding team works cohesively to audit medical codes, identify any processes that can be improved and deliver premium coding solutions that keep you compliant and profitable.
Medical Billing
Eliminate the resources needed for in-house billing such as staffing, training, and operational costs by outsourcing your medical billing to MD Compliance Solutions.
We allow you to focus on patient care and daily operations by taking care of:
Billing
We ensure that you efficiently receive payment for all services rendered, as well as manage appeals for denied claims on your behalf.
Financial Reporting
Keep all your financial data in order with customized reports that offer a wealth of information about billing and financial progress.
Claim Denials
When you receive a negative determination on a claim, an appeal must be filed. The MD Compliance team can quickly determine the reason, then resubmit an appeal to have the claim reconsidered.
Medical Coding
Backed by our Certified Professional Coders, we will review all medical documentation to determine and assign diagnoses, procedures, level codes and modifiers.
This assures specific and accurate claim filing, maintaining compliance and providing an accuracy rate above 95%.
Claim Submission
Don’t spend countless hours determining why your claim was denied. Our experts will assess billing claims and work hard to reach a resolution.
Claim Rejection
If your claims have been rejected due to missing crucial data, our professional coders will determine the solution in order to process your claim as rapidly as possible.
Code Consultation
Let the coding specialists at MD Compliance guide you through the complicated world of medical coding and billing with consultation from experienced CPC professionals.
Medical Compliance
Our team includes Certified Professional Medical Auditors that have an in-depth knowledge of medical documentation, fraud, billing abuse and penalties for violations based on government guidelines.
The best way to ensure compliance in your practice is to have a customized strategy developed by those who understand regulatory laws, keeping your facility and staff adhering to the laws at all times.
Voluntary Compliance
We use a Seven-Step Strategy as outlined by the Office of Inspector General to develop tailor-made compliance plans that:
● Increase documentation accuracy
● Optimize payment of claims
● Minimize billing mistakes
● Reduce audit possibilities from regulatory authorities
● Avoid conflict with self-referral and anti-kickback statutes
HIPAA Compliance
As HIPAA and HITECH regulation become more complex, our experts help you avoid costly penalties as regulations continue to change by:
Developing Procedures For:
● Review of records of information
● Terminating access
● Monitoring Login discrepancies
● Protecting e-PHI while in emergency mode of operation
● Encrypting and decrypting implementation procedures
● Technical security measure to guard against unauthorized access of e-PHI
Creating Policies Around:
● Preventing malicious software
● Emergencies and other unforeseen occurrences
● Risk analysis scheduling