Coding:
Medilexis specializes in Medical Coding Services to healthcare providers. Our experienced coding consultants will provide your organization with the highest level of quality medical coding services available. You will receive accurate and complete coding that is fully compliant with all of the Correct Coding Initiatives and Local Medical Review Policies. Using Medilexis' services will ensure that you are receiving all of the reimbursement to which you are entitled while improving your organizations compliance objectives.

Do you realize that approximately one forth of all medical practice income is lost due to under coding and wrong coding? Hundreds of millions of dollars are lost annually due to medical coding errors.

• Are coding errors wasting your resources, time and money?
• Are you facing a shortage of trained and experienced coders?
• Are high labor costs and high turnover draining your resources?

Our medical coding services enable individuals and hospitals to reduce labor costs, improve accuracy through our high quality operations.

Our coders are highly professional and skilled in international coding practice with:

• CPT, ICD-9- CM, HCPCS coding across various specialties
• Insurance and government regulatory requirements<
• Payer specific coding requirements

Coding Process:

• Coding of the diagnosis and procedures with reference to ICD, CPT and HCPCS.
• Checking the compatibility of the diagnosis with the procedure codes.
• Checking for the modifiers in relation to the procedures.
• Sending files for QC (Quality Control)
• The quality control rechecks the complete coding with all the references available.
• In case of any confusion, a problem list is sent to the practice/hospital for clarification.

Billing:

Billing interface to the insurance carriers is seamless. Eligibility, submission and follow-ups are continuous and done electronically. Medilexis is a leader in electronic medical billing and insurance claims processing services for the healthcare and insurance industry. We offer professional services at competitive rates. Our unique outsourcing model offers a highly cost-effective and reliable solution to the medical billing service providers targeting higher growth rates, larger capacities and better return on investments (ROI)

We process claims for all healthcare agencies that use the HCFA 1500 form, and dental practices that use the standard American Dental Association form and can also process hospital out-patient UB-92 forms.

• Electronic claims submission
• HCFA forms processing
• Patient information and charge entries
• CPT, ICD- 9 and HCPCS coding
• Online Web based Customized Management Information Reports
• Scheduling
• Information coordination
• Patient demographics/insurance entry
• Code checking and analysis
• Posting of charges
• Claims submission (electronically & manually)
• Posting of payments-EOBs
• Sending patient statements
• Follow up (Third Party, Patient & Provider) Comprehensive reporting & analysis

Imagine eliminating those costly interruptions - the biller called in sick, paying for sick leave, training new employees, figuring out what happened to your claim, etc. Leave the headaches of bill processing to us! We operate 6 days a week. You will never have to worry about your claims not being processed and followed up on a timely basis.

Medical Practice Benefits

• More time to provide superior health care services.
• More time for treatment plans and necessary paperwork pertaining to patients.
• More time to develop in-house marketing efforts.

Expedite Cash Flow

• Insurance payments in 7 to 14 days.
• Up to 50% faster reimbursement compared to mailed claims.
• Claim submission error reduction.
• Secure online bill tracking.
• Increased percentage of collected claims, fewer rejected claims.
• Challenge of all rejected claims.
• Reduction of medical practice overhead.
• Free consultation.
• Analysis reports to assist your Practice Management.