Currently, reimbursement of hospital and physician claims for Medicare patients depends entirely on the assignment of codes to describe diagnoses, services, and procedures provided. As the basis for reimbursement, appropriate medical coding has become crucial as healthcare providers seek to assure compliance with official coding guidelines. There are many demands for accurately coded data from the medical record. In addition to their use on claims for reimbursement, codes are included on data sets used to evaluate the processes and outcomes of healthcare.

Superior Health Care Management Coding Specialists are well trained in evaluating and interpreting health records and reports in order to accurately code diagnoses and procedures according to recognized classification systems.

• Read and interpret medical record documentation to identify diagnoses and    procedures for data capture and billing
• Accurately assign related diagnostic and procedure codes for reimbursement and    statistical purposes
• Apply knowledge of official coding guidelines to correctly sequence diagnostic and    procedure codes
• Abstract information from patient records to complete insurance claims
• Have knowledge of various reimbursement methodologies and fee schedules
• Linkage of diagnostic codes to the proper procedure codes to ensure accurate    claims submission

Our Certified Coders provide many services, including:

• CPT, ICD-9 and HCPCS Coding
• Short term coding projects
• Analysis of claim denials
• Code utilization reports
• Fee schedule developments

Superior Health Care Management can be customized for any type of medical facility. Some of the medical establishments that we have the expertise to support are:

• Individual physicians
• Physician groups
• Multi specialty groups
• Surgical centers
• Clinics
• Free standing diagnostic facilities
• Long term care facilities
• Acute care facilities
• Hospitals