Coding Services
CodeXpress is a premier provider of medical coding services to providers, Hospitals and Medical Billing Companies across every medical specialty.
What ever your needs are, we have
credentialed coders ready to handle your needs. . We assist in optimizing your organizations revenue cycle. "We specialize in optimizing your revenue".
Using our web-based coding system
Our coding system handles paper or electronic medical records or any
combination of both. Medical documentation and patient information is accessed
through our web-based system and is instantly available to our credentialed
coders assigned to your account by medical specialty. Coding is validated real
time by our coders using our "Coding Analyzer & Rules Engine" (CARE™) which
checks coding against all national and local coding rules as well your specific
organizational coding policies and guidelines you wish to have setup. All coding
receives a final review on an on-going basis by our QA department to measure
individual coder performance and overall customer quality. Coding results are
complete within 48-hours (many specialties within 24-hours) and coding is
available in real time reports in our reporting system or uploaded securely and
automatically into any HIM billing system. Documentation is securely hosted in a
HIPAA compliant data center for a minimum of 2 years as part of our basic
service.
Using VPN into your system
CodeXpress has extensive
experienced coding over a VPN connection working with all of the leading HIM
documentation systems and hospital based Encoders. CodeXpress technology
department is uniquely qualified to support the often complex and delicate VPN
connections for the coders.CodeXpress can deliver AHIMA credentialed coders to handle any aspect of your
facility coding needs with a secure VPN connection.
Audit Services
CodeXpress can provide a comprehensive review of the accuracy of your coding,
billing and reimbursement practices. Let us help you identify areas of potential risk for
your organization in the coding and documentation processes. We can help you
identify the corrective actions needed and provide the support and training to
make it happen.
Chart Audits can be performed for any size organization from multi-site
hospital facilities to stand-alone physician clinics.
Chargemaster Reviews
CodeXpress performs chargemaster review and audit services to evaluate the
accuracy and overall effectiveness of your charge description master (CDM) and
the associated codes for accuracy and completeness. CodeXpress will provide a
complete review of your CDM and identify coding errors, omissions or use of
outdated codes.
Our CDM audits are guaranteed to improve compliance and
enhance your revenue opportunities.
Recovery Audit Contract (RAC)
We can provide a Baseline RAC Audit.
Our Clients are prepared for the RAC.
Our clients can securely download any requested claim information that is hosted securely in our HIPAA compliant web based application.
The documentation is available 24/7 and is offered on a free basis to our clients.
Documentation can be pulled directly from our server where additional information is needed to adjudicate a claim
Although most errors are not intentional, the bottom line for providers are affected. Even with unintentional errors assessed fines and penalties are real
Recovery audit contractors (RACs) detect and correct past improper payments
so CMS and the MACs can prevent such problems in the future
RACs are hired as contractors by the government, and they can can collect
“contingency fees,” which means that they get a percentage of the amount that
they recover from providers who were paid inappropriately The maximum RAC
lookback period is three years, and they cannot review claims paid prior to Oct.
1, 2007
Between 2005 and 2008, RACs involved in the original demonstration project
recovered over $1.03 billion in Medicare improper payments, but referred only
two cases of potential fraud to CMS, according to a February OIG report on the
topic, which noted that “because RACs do not receive their contingency fees for
cases they refer that are determined to be fraud, there may be a disincentive
for RACs to refer potential cases of fraud.”
Unlike RACs, the OIG is a government entity. Although the OIG also performs
reviews and audits and seeks improper payments, the OIG does not collect
contingency fees.
For more on the RAC program, visit www.cms.gov/rac.
Documentation Services
On-Site or Web-Based Training
Our system has a proprietary method for collecting notes and mark-up during
the coding process that identifies documentation deficiencies on an individual
provider basis. This unique and valuable process enables effective documentation
improvements to occur by having individualized on-site or web-based
documentation training. Documentation training has proven to be a significant
opportunity for every type of provider or billing company.
