Benefits of managed IT services provided by Tecnologia
Our Vision is to be “The Best” leader and provider of choice for healthcare business and KPO services.
Skillcrafters infotech is committed to delivering medical coding and billing services and revenue cycle solutions that will help your healthcare facilities achieve the correct reimbursement in the quickest possible time while maintaining the most stringent HIPAA compliance with customer and patient data.
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98% Coding Accuracy
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Certified Coders Across Specialties from AAPC and AHIMA.
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HIPAA-Compliant Processes: Data security is our top priority.
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Cost Savings: Reduce in-house expenses by outsourcing.
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Scalable Solutions: From small practices to multi-specialty hospitals.
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Faster Turnaround: Quick coding assignments with quality checks.
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Continuously imparts professional training in medical coding to all our coders to ensure that they remain well-informed and updated with the latest developments.
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Skillcrafters infotech are powered by Artificial Intelligence (AI) and Natural Language Processing (NLP). This technology provides end-to-end solutions to payers and providers with robust data analytics. Our technology helps streamline workflows, perform real-time quality checks, and improve revenue cycle management.
Medical coding
We offer end-to-end medical coding solutions tailored to your practice needs ICD-10, CPT, PCS, HCPCS)
Denial Management
Identify errors, correct codes, and resubmit claims. Regular audits to ensure accuracy and avoid penalties.
Medical billing
Streamlined billing for faster claim approvals. An increase in efficiency and quality, Claim Adjudication, Recurring & Series Accts.
Our Team is Ready to Help
Part of what makes our managed services so exceptional is that we are always available, regardless of time or holiday.
About US & Our Mission
we provide outsourced medical coding services trusted by healthcare providers worldwide. Our certified coding specialists (CPC, CCS, CIC, CRC, COC) bring years of experience across multiple specialties, ensuring error-free claims and improved cash flow.
Medical coding
Hospital Inpatient and Outpatient Coding
We offer end-to-end medical coding solutions tailored to your practice needs:
• Medical Coding (ICD-10, CPT, PCS, HCPCS): Assigning accurate diagnosis & procedure codes.
• Chart Audits, Code Reviews and DRG validation
• Auditing & Compliance: Regular audits to ensure accuracy and avoid penalties.
• Payer specific coding requirements.
• Our medical coding specialities are Inpatient coding (MS-DRG and APR-DRG), Risk adjustment coding, E & M (Evaluation and Management) Levels, Emergency Department, Ambulatory Surgery, Ancillary Visits, Physician Office Visit, Homehealth, Rediology.
Skillcrafters infotech Coders have expertise, knowledge of medical terminology, anatomy and physiology, a basic knowledge of clinical procedures and diseases and injuries and other conditions, medical illustrations, clinical documentation (such as medical or surgical reports and patient charts), legal and ethical aspects of health information, health data standards, classification conventions, and computer- or paper-based data management, usually as obtained through formal education and/or on-the-job training.
Abstraction
The abstraction phase involves reading the entire record of the health encounter and analysing the information to determine what condition(s) the patient had, what caused it and how it was treated. The information comes from a variety of sources within the medical record, such as clinical notes, laboratory and radiology results, and operation notes.
Assignment
The assignment phase has two parts: finding the appropriate code(s) from the classification for the abstraction; and entering the code into the system being used to collect the coded data.
Review
Reviewing the code set produced from the assignment phase is very important. Clinical coder must ask themselves, “Does this code set fairly represent what happened to this patient in this health encounter at this facility?” By doing this, clinical coders are checking that they have covered everything that they must, but not used extraneous codes. For health encounters that are funded through a case mix mechanism, the clinical coder will also review the diagnosis-related group (DRG) to ensure that it does fairly represent the health encounter.
Payer Solutions Drive – Risk Adjustment
Our payer solutions allow both government payers and risk-bearing providers to improve their risk adjustment and quality initiatives. Using a single enterprise platform, we deliver intuitive, comprehensive solutions that improve productivity, increase accuracy, and provide real-time analytic reporting and control. We provide some of the highest results around risk adjustment coding, HEDIS abstraction, and retrieval.
Medical Billing
• Medical Billing Support: Streamlined billing for faster claim approvals.
• Having access to ready to launch staff makes it simple for End-to-end solutions in the healthcare space, Complete billing and patient cycle management, Significantly reduced costs, An increase in efficiency and quality, Claim Adjudication, Recurring & Series Accts.
• Skillcrafters infotech end-to-end RCM solution that improves the quality of the services and the financial outcomes. S.I.&.S is providing end-to-end RCM solutions to hospitals and physician groups. Our end-to-end RCM solution delivers an integrated and improved patient experience, increased revenue and decreases costs. We bring a partnership and outcomes- based approaches that help us align our goals with your goals; so a true partnership is formed and your patients received the best services possible. Three main components of End-to-End RCM.
Improves patient experience and generates insight into patient’s financial liability using a combination of staff in call centers with onsite processes and systems.
• Pre-Registration and Appointment Scheduling
• Insurance Verification and Eligibility
• Pre-Certification / Pre-Authorization
• Admissions, Inpatient, Outpatient and Emergency Department (ED) Registration
Improves the charge and case information capturing.
• Referral Management
• Continued-Stay Certification
• Charge Description Master (CDM) Maintenance
• Clinical Documentation
• Charge Capture
• Coding – ICD-10, Computer Assisted
Improves revenue through automated billing and collections processes along with improved denials and resubmissions.
• Billing
• Collections
• Cash Posting
• Denials and Resubmissions
• Third-Party Collections
Denial Management
- Denial Management: Identify errors, correct codes, and resubmit claims.
- Auditing & Compliance: Regular audits to ensure accuracy and avoid penalties.
Blog
Q1. What is medical coding?
Medical coding is the process of translating healthcare diagnoses, procedures, and services into standardized codes for billing and reimbursement.
Q2. How secure is my patient data?
We are HIPAA-compliant and use encrypted data transfer to ensure complete security.
Q3. Do you handle specialty coding?Item #3
Yes, our coders are experienced in multiple specialties including cardiology, orthopedics, dermatology, and radiology.
Q4. Why outsource medical coding?
Outsourcing helps reduce costs, minimize denials, and ensures compliance with coding regulations.