Why Accurate Medical Coding Matters

Inaccurate coding not only affects your revenue cycle but also exposes you to audits and compliance risks. With constantly changing regulations and payer-specific requirements, ensuring precise coding is essential for seamless billing and reimbursement:

We specialize in

1 Assigning accurate codes for diagnoses, procedures, and services to reduce denials.
2 Staying updated on ICD, CPT, and HCPCS coding changes for compliance.
3 Enhancing revenue cycle performance with precise claim submissions.
4 Minimizing audit risks through consistent and compliant coding practices.
5 Streamlining workflows for quicker reimbursements and reduced AR days.

Tailored Solutions for Every Specialty

From general practice to specialty care, our coding services are customized to meet the unique needs of your practice. Whether you’re integrating new services, adapting to regulatory updates, or scaling operations, we provide coding expertise that evolves with you.

Complete Medical Coding Solutions

At Health Quest, we provide end-to-end support for all your coding needs. From initial coding assessments to ongoing accuracy reviews, our services ensure your practice remains compliant and profitable.

Code Assignment and Validation

Accurate code assignment is the backbone of efficient revenue cycles. Errors in code selection can result in claim denials and revenue losses. HealthQuest ensures every code is correctly assigned and validated according to current guidelines.

  • Accurate CPT, ICD-10, and HCPCS code selection for services rendered.
  • Validation of codes against payer-specific rules and medical documentation.
  • Regular updates to reflect the latest coding changes and guidelines.

Denial Management and Code Review

Denied claims can hinder cash flow and increase operational workload. Identifying and correcting coding-related denials is essential for a healthy revenue cycle. Health Quest specializes in thorough denial analysis and resolution.

  • Identification of coding errors leading to claim denials.
  • Revision and resubmission of denied claims with accurate codes.
  • Trend analysis to reduce recurring errors and future denials.

Specialty Coding Services

Specialized medical practices often face unique coding challenges. A lack of expertise in niche areas can lead to revenue gaps. HealthQuest’s coders are trained in a wide range of specialties to meet your specific needs.

  • Expertise in coding for areas like cardiology, orthopedics, oncology, and more.
  • Accurate application of specialty-specific modifiers and guidelines.
  • Enhanced coding efficiency for high-complexity procedures.

Auditing and Compliance Support

Staying compliant with constantly changing regulations can be overwhelming. Non-compliance can lead to penalties and audits. Health Quest ensures your coding practices are audit-ready and aligned with the latest regulations.

  • Internal coding audits to identify and resolve discrepancies.
  • Ongoing compliance checks with CMS and payer-specific policies.
  • Support during external audits to validate accurate coding practices.
AHIMA and AAPC Certified Coders

Optimize Revenue with Advanced Coding Expertise

Our experienced team of AAPC- and AHIMA-certified coders brings unparalleled expertise to your practice:

95% First-Pass Claim Approval Rate

99% Coding Accuracy Achieved Across Clients

E/M Coding

Simplify evaluation and management coding with precision.

DRG Assignments

Accurate inpatient coding ensures proper reimbursement under DRG systems.

Modifier Application

Eliminate underpayments caused by improper use of modifiers.

Procedure Coding

Ensure accurate procedure coding for complex surgeries and diagnostic services

MSO Solutions to Enhance Medical Coding Efficiency

As part of our Medical Services Organization (MSO) offerings, we integrate coding with practice management solutions to ensure a seamless workflow.

Our MSO Solutions Include :

  • Coding Technology Integration
  • Training and Education
  • Compliance Monitoring

Your Trusted Compliance Partner

When you choose Health Quest for medical coding, you’re investing in more than just accuracy. You’re gaining a compliance-focused strategy that protects your practice’s reputation, enhances efficiency, and secures financial health.

Why Choose Health Quest for Medical Coding?

Health Quest delivers beyond basic coding services. We empower healthcare providers to optimize their revenue cycle and maintain top-tier compliance through a proactive and comprehensive approach.

Certified Coders with Specialty Expertise

Benefit from industry-specific coding knowledge tailored to your practice.

Proficiency in Latest Coding Guidelines (ICD-10, CPT, HCPCS)

Stay updated with accurate coding in line with current regulations.

Customizable Solutions for Practice-Specific Needs

Enjoy coding services tailored to your unique operational requirements.

Actionable Insights for Better Decision-Making:

Leverage coding analysis to enhance financial and operational strategies.

Medical Specialties We Support

Cardiology

Health Quest ensures compliance with industry standards for complex procedures such as catheterizations, angioplasties, and stress tests. Our expertise in cardiology-specific modifiers and global periods minimizes coding errors, reducing the risk of claim denials. Providers benefit from streamlined revenue cycles and maximized reimbursements for high-value services.

Oncology

We specialize in coding chemotherapy, radiation therapy, and immunotherapy with utmost accuracy. HealthQuest ensures compliance with payor-specific guidelines, reducing denial rates for intricate cancer treatments. By aligning coding practices with evidence-based protocols, we enhance both financial outcomes and patient-focused care.

Dental Practices

Dental providers face frequent claim rejections due to procedural coding errors and documentation issues. HealthQuest performs in-depth reviews of CDT codes, ensures compliance for services like periodontal treatments, and resolves denial patterns. Our audits uncover overlooked billing opportunities for procedures such as implants, enhancing revenue flow while maintaining industry compliance.

Orthopedics

Health Quest supports accurate coding for joint replacements, fracture repairs, and physical therapy. Our audits ensure proper documentation and coding for bundled services, reducing revenue leakage. Providers can rely on us to navigate complex modifiers and payer requirements, enhancing claim acceptance rates.

Behavioral Health

Health Quest ensures precise coding for psychotherapy sessions, group therapy, and substance abuse treatments. We provide detailed reviews of session documentation to ensure compliance with Medicaid and Medicare standards. By addressing coding errors proactively, we help mental health providers secure timely reimbursements and focus on delivering quality care.

Coding Errors Can Slow Your RCM

Start Your Coding Journey Today

Don’t let coding complexities hold back your practice’s success. Health Quest’s expert services ensure you get paid accurately and on time.

Let’s Get Started