Claim Coding & Submissions
Accurate and timely entry of CPT, ICD, and modifier codes, strictly following NCCI guidelines to ensure clean claims, faster payments, and full regulatory compliance.
What We Do for Your Practice
- We submit all claims with accurate ICD-10 codes, CPT codes, and the correct modifiers
- Our team carefully reviews each claim against clinical documentation to ensure proper and compliant coding
- We consistently maintain a 98% first-pass clean claim rate
- We submit claims within 24 hours of the patient's appointment to avoid delays
- Before submission, we scrub every claim using advanced tools to catch and fix any potential errors
- We handle claim submissions for all payer types — commercial, government, workers' comp, and auto
- We ensure all coding is HIPAA-compliant and aligned with current payer guidelines
- ✓Application of correct CPT, ICD-10, and HCPCS codes
- ✓Adherence to NCCI (National Correct Coding Initiative) edits
- ✓Reduction of coding-related denials and compliance risks
- ✓Electronic and paper claim submission support
Coding Systems We Use
Our coding specialists are proficient in all major coding systems required for accurate medical billing across every specialty.
99202–99215 — Office visits, hospital visits, consultations for all complexity levels.
10000s–69999s — All surgical specialties from minor excisions to complex operations.
70000s–79999s — X-rays, CT, MRI, ultrasound, and nuclear medicine coding.
80000s–89999s — Blood panels, urinalysis, cultures, biopsies, and molecular tests.
90000s–99999s — Immunizations, psychiatry, physical therapy, cardiology, and more.
Correct modifiers (25, 50, 51, 59, 76, GT) applied to avoid bundling denials and ensure accurate reimbursement.
Accurate coding for bacterial, viral, parasitic, and fungal conditions across all body systems.
Diabetes (E10–E13), thyroid, obesity, and metabolic disorders with appropriate specificity.
Hypertension, heart disease, stroke, and vascular conditions coded to highest specificity.
Arthritis, back pain, fractures, and joint disorders with laterality and specificity coding.
Depression, anxiety, ADHD, substance use disorders coded per DSM-5 aligned ICD-10 guidelines.
Z-codes for wellness visits, screenings, vaccination encounters, and personal history coding.
Durable medical equipment, orthotics, prosthetics, and medical supply billing codes.
Nutrition therapy codes for enteral feeding and parenteral nutrition administration.
Wheelchairs, walkers, oxygen equipment, hospital beds, and CPAP device billing.
Injectable drug codes for chemotherapy, biologics, and infusion therapy administration.
Medicare-specific G-codes for screening, preventive services, and functional reporting.
Miscellaneous services including drug codes, cast supplies, and biologics for Medicare.
Our Claim Coding Process
A rigorous, proven workflow that ensures every claim is coded correctly, submitted on time, and followed through to payment.
Our certified coders review patient charts, superbills, and clinical documentation to identify all billable services and confirm that documentation supports the planned codes before submission.
We assign the most accurate and specific codes — CPT for procedures, ICD-10 for diagnoses, and HCPCS for supplies and drugs — ensuring proper code linkage and medical necessity documentation.
Every claim is run through our claim scrubbing engine to catch NCCI bundling conflicts, modifier errors, duplicate charges, and missing information before submission — preventing avoidable denials.
Clean claims are submitted electronically within 24 hours via EDI clearinghouses, or as paper claims when required by the payer, with full tracking and confirmation of receipt.
Submitted claims are actively tracked. Any rejections or denials are immediately addressed — recoded if necessary, appealed with supporting documentation, and resubmitted to maximize recovery.
Why Accurate Coding Matters
A single coding error can delay payment for weeks or result in a full denial. Our precision coding protects your revenue at every step.
Accurate codes and clean claims reduce rejection chances, meaning fewer delays, less rework, and faster payments for your practice.
Claims submitted within 24 hours with correct codes are processed faster by payers, keeping your cash flow healthy and predictable.
Strict adherence to NCCI, HIPAA, and payer-specific guidelines protects your practice from audits, penalties, and compliance risks.
Every billable service is properly coded and captured — preventing underbilling that silently erodes your practice's revenue over time.
Detailed coding reports give you full visibility into what was submitted, what was paid, and where opportunities for improvement exist.