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External Medical Coding Services

Next RCM offers expert medical coding services to a broad range of clients, including physician practices, outpatient clinics, community hospitals, academic medical institutions, and trauma centers. Whether you seek complete outsourcing or need to address a specific coding deficiency, collaborate with Next RCM to unlock your maximum revenue potential while maintaining rigorous coding compliance.

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Expert Coding for Effortless Healthcare Operations

Next RCM delivers specialized medical coding services to a wide array of clients, including physician practices, outpatient clinics, community hospitals, academic medical institutions, and trauma centers. Whether you need full-service outsourcing or targeted support in specific areas, collaborating with Next RCM ensures you maximize revenue potential while upholding stringent coding standards.

Our team of certified medical coders, including those accredited by the AAPC with CPC and its variants (CPC-H/CPC-I) and AHIMA-certified coders with CCS, brings unparalleled accuracy and dependability to your medical coding needs.

Flawless Revenue Cycle Integration Services

We excel in providing flawless revenue cycle management services, meticulously refining financial workflows for businesses with exceptional precision and efficiency. Our all-encompassing RCM solution guarantees a fluid and integrated revenue cycle, optimizing every step from billing to reimbursement to boost financial performance.

Data Collection

RSmoothly onboard clients, grasp their coding requirements, and establish effective communication. Our streamlined onboarding process ensures a clear understanding of client expectations and sets the stage for a successful coding partnership. Gather crucial patient data and medical records, laying the foundation for accurate and comprehensive coding. Open channels of communication guarantee a collaborative approach, enabling us to meet and exceed client needs efficiently. Throughout the onboarding phase, we prioritize client input, ensuring a tailored coding strategy that aligns with their specific medical coding service requirements.


Chart Review and Code Assignment

Conduct an exhaustive review of patient charts and medical records, meticulously assigning diagnostic and procedural codes (ICD-10, CPT/HCPCS) in strict adherence to industry standards. Ensure precision and accuracy while navigating through complex medical documentation. Uphold compliance with specific coding guidelines provided by the client, fostering a seamless integration of coded data into downstream processes. This step is pivotal in guaranteeing not only billing accuracy but also in contributing to improved patient care through comprehensive and reliable medical coding practices.


Quality Assurance

Carefully go through the coded data, regularly checking for accuracy. Fix any mistakes quickly to make sure the coding is right. Stick to the rules set by regulators and the client, making sure everything is in line. This helps in being reliable, building trust with clients, and making sure the coded info is accurate and trustworthy. Regular checks play a big role in keeping things in order and making sure everyone can depend on the coded data.


Submitting Coded Data

Take all the carefully coded info and put it together into complete medical claims. Send these claims to insurance folks, making sure all needed paperwork is there for billing rules. Keep things smooth by always sticking to the coding rules and talking well with the payers. Stay on top of how the claims are doing, fix any issues fast, and help speed up getting paid. It all adds up to better money outcomes for our clients.


Follow-up and Resolution

Keep a close watch on the status of submitted claims and promptly address denials, rejections, or requests for additional information. Resolve any coding-related challenges swiftly, whether it involves correcting errors, supplying extra documentation, or appealing denied claims when necessary. Continuously update our coding practices based on valuable feedback, coding modifications, and changes in regulations to ensure our medical coding services remain efficient and compliant with industry standards.


Flawless Revenue Cycle Integration Services

We excel in providing flawless revenue cycle management services, meticulously refining financial workflows for businesses with exceptional precision and efficiency. Our all-encompassing RCM solution guarantees a fluid and integrated revenue cycle, optimizing every step from billing to reimbursement to boost financial performance.

Data Collection

RSmoothly onboard clients, grasp their coding requirements, and establish effective communication. Our streamlined onboarding process ensures a clear understanding of client expectations and sets the stage for a successful coding partnership. Gather crucial patient data and medical records, laying the foundation for accurate and comprehensive coding. Open channels of communication guarantee a collaborative approach, enabling us to meet and exceed client needs efficiently. Throughout the onboarding phase, we prioritize client input, ensuring a tailored coding strategy that aligns with their specific medical coding service requirements.


Chart Review and Code Assignment

Conduct an exhaustive review of patient charts and medical records, meticulously assigning diagnostic and procedural codes (ICD-10, CPT/HCPCS) in strict adherence to industry standards. Ensure precision and accuracy while navigating through complex medical documentation. Uphold compliance with specific coding guidelines provided by the client, fostering a seamless integration of coded data into downstream processes. This step is pivotal in guaranteeing not only billing accuracy but also in contributing to improved patient care through comprehensive and reliable medical coding practices.


Quality Assurance

Carefully go through the coded data, regularly checking for accuracy. Fix any mistakes quickly to make sure the coding is right. Stick to the rules set by regulators and the client, making sure everything is in line. This helps in being reliable, building trust with clients, and making sure the coded info is accurate and trustworthy. Regular checks play a big role in keeping things in order and making sure everyone can depend on the coded data.


Submitting Coded Data

Take all the carefully coded info and put it together into complete medical claims. Send these claims to insurance folks, making sure all needed paperwork is there for billing rules. Keep things smooth by always sticking to the coding rules and talking well with the payers. Stay on top of how the claims are doing, fix any issues fast, and help speed up getting paid. It all adds up to better money outcomes for our clients.


Follow-up and Resolution

Keep a close watch on the status of submitted claims and promptly address denials, rejections, or requests for additional information. Resolve any coding-related challenges swiftly, whether it involves correcting errors, supplying extra documentation, or appealing denied claims when necessary. Continuously update our coding practices based on valuable feedback, coding modifications, and changes in regulations to ensure our medical coding services remain efficient and compliant with industry standards.


Why Choose RCM Matter for Medical Coding Outsourcing?

Next RCM provides a comprehensive solution for all your revenue cycle management needs. As specialists in medical billing and coding, we offer a streamlined and efficient process for your healthcare organization. Our HIPAA-compliant practices ensure complete data and document security. Additionally, by choosing Next RCM, you can achieve potential savings of up to 40% on operating costs per employee without compromising quality.

With over 100 highly skilled support personnel, real-time reporting, and innovative systems, we guarantee timely claims filing, strict quality control, and strong information security policies. This leads to a significant reduction in turnaround time. Next RCM ensures consistent and accurate coding across various specialties, offering 100% transparency in data and processing.

Customized Medical Coding Solutions For Your Practice

Three Types Of Medical Codes

CPT Codes

CPT codes are divided into three categories. The first category consists of numeric codes that correspond to different medical specialties, such as radiology, surgery, and anesthesia. The second category includes alphanumeric codes that identify performance measurements and laboratory or radiology test results. The third category is reserved for codes related to emerging medical technology.

ICD Codes

ICD codes are a system used to describe the cause of a patient’s illness, injury, or death. Established by the World Health Organization (WHO) in the 1940s, each update to the system adds a numeral to indicate the version. For example, ICD-10 refers to the 10th version. These codes are periodically updated to incorporate clinical changes, allowing for more detailed recording of a wide range of illnesses, injuries, and causes of death.

HCPCS Codes

The HCPCS coding system is used to document medical services, equipment, and procedures not covered by CPT codes. It is the official coding system for Medicare and Medicaid, making it essential for medical coders to understand. Like CPT codes, HCPCS accurately records medical procedures to ensure patients receive the appropriate level of care.

  • Next RCM is the best billing company I've ever used for my billing. They are very supportive and work hard on claims to help collect highest payments. I will certainly continue to work with RCM Matter.

    Kristin Watson

    Marketing Coordinator

  • Next RCM is the best billing company I've ever used for my billing. They are very supportive and work hard on claims to help collect highest payments. I will certainly continue to work with RCM Matter.

    Kristin Watson

    Marketing Coordinator

  • Next RCM is the best billing company I've ever used for my billing. They are very supportive and work hard on claims to help collect highest payments. I will certainly continue to work with RCM Matter.

    Kristin Watson

    Marketing Coordinator