Revenue Cycle Services

Overview Eligibility and Benefits Verification, and Prior Authorization Patient Scheduling Patient Registration Medical Coding Claim Submission & Rejection Management Payment Posting Accounts Receivables Management Denial Management Credit Balance and Refunds Processing Revenue Cycle Analytics Provider Credentialing and Enrollment

Our expert team of AAPC certified coders complies with CCI coding edits to ensure accurate application of procedure and diagnosis codes to the patient’s medical records. We adhere to the guidelines of Local Coverage Determination (LCD) and match the right Current Procedural Terminology (CPT-4) with the ICD-10 CM codes, to prevent coding denials and prove medical necessity to the payer making sure clients don’t suffer a revenue loss.

We believe in constantly evolving to stay ahead in today’s competitive RCM service market and are currently ICD-10 compliant. This transition will help our clients experience higher quality processes and productivity gains. Clarus uses high-end quality tools and prevents the unethical ‘upcoding’. What’s more, certified professional coding auditors monitor and quality control the coding process, vigilantly for impeccable results.

Specialties supported

  • Allergy and Immunology

  • Anesthesiology

  • Anesthesia Pain Medicine

  • Cardiology

  • Cardiovascular Surgery

  • Chronic Pain

  • Dermatology

  • DME

  • Dental

  • Emergency Medicine

  • Endocrinology

  • Internal Medicine

  • Interventional Radiology

  • Nephrology

  • Neurological Surgery

  • Obstetrics and Gynecology

  • Pediatrics

  • Physical Therapy

  • Plastic Surgery

  • Podiatry

  • Psychiatry

  • Radiology

  • Rehabilitation

  • Urgent Care

  • Urology

  • Wound Care

  • Ophthalmology

  • Orthopedics and Orthopedic Surgery

  • Otolaryngology (ENT)

  • Pathology and Lab

Components of our Medical Coding Services

We focus on eliminating coding errors by strictly adhering to the ICD-10-CM and CPT-4 standards. As our team members have a great understanding of the medical procedures, they understand the requirements of each procedure. A critical component of coding is how well do clinicians understand the reimbursement rules. Often, they don’t, and this causes revenue leakage as they leave a lot of potentially billable procedures unbilled. Our coding team members work with the physicians to understand the procedures, the reimbursements possible and reduce the cases of DNFB (Discharges not fully billed). Our services include:

  • Coding for Professional Services

  • Evaluation and management coding

  • Coding for Emergency Departments

  • Inpatient Coding

  • DRG validation and audit services

  • Coding Denial Management

  • Provider Audit & Education

Benefits of our Medical Coding Services

Medical Coding is the lifeline of your revenue cycle. The quality of coding clearly determines the reimbursements you receive, and we specialize in ensuring that you get the reimbursements that is appropriate.

  • Improved turnaround time (24-48 hours), productivity, and accuracy

  • Reduction in claim denials due to coding errors

  • Reduction in revenue leakage due to DNFB cases

  • Strong Coding Compliance

  • Documentation of all business rules

  • Daily account support calls to address any issues

  • Reduce costs by as much as 50% through offshore delivery

Connect with Us

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