Medical Coding Infrastructure Built for High-Performing Revenue Cycle Management
At Pyramids Global, our medical coding services support high-performance revenue cycle management for medical practices. We have a robust and scalable infrastructure that enables us to apply CPT, ICD-10, and HCPCS codes effectively. This allows practices to keep accurate, up-to-date medical records, expedite claims processing, and accelerate reimbursement, which supports stronger cash flow.
Pyramids Global employs certified medical coders trained in proper coding for all significant specialties, including outpatient coding, inpatient coding, and specialty-specific coding (cardiology, psychiatry, orthopedics, etc.). We thoroughly review all claims and make all necessary CPT and ICD-10 amendments prior to submission, ensuring clean claims on first submission.
Pyramids Global offers medical coding solutions that are accurate, flexible, and scalable for practices of all sizes. Our coding services ensure accurate medical documentation, error-free claim confirmations, and streamlined practice workflow. As a result, you can focus more on providing quality care coordination to your patients while we handle all coding complexities.
Pyramids Global’s coding team is certified in CPT, ICD-10, HCPCS, and specialty-specific coding standards. We are available to provide medical practices with accurate diagnosis and procedural codes necessary for proper reimbursement. With over 12 years of industry experience and expertise across 20+ specialties, we know exactly how to navigate the complex healthcare billing and coding landscape.
CPT and HCPCS
Coding
Pyramids Global assigns accurate CPT (Current Procedural Terminology) and HCPCS codes for procedures and services performed. Our certified coders understand payer-specific coding requirements and ensure maximum reimbursement for every service billed.
Diagnosis Coding
(ICD-10)
Pyramids Global assigns accurate ICD-10 diagnosis codes that reflect the complete clinical picture of the patient encounter. Proper diagnosis coding is essential for claim approval, we ensure all codes are specific, accurate, and compliant with current coding standards.
Appending
Modifiers
Pyramids Global correctly appends modifiers to CPT codes when required by payer specifications. Proper modifier usage ensures accurate claim reimbursement and reduces claim denials due to coding errors or incomplete code information.
NCCI
Edits Verification
Pyramids Global verifies all claims against National Correct Coding Initiative (NCCI) edits to prevent unbundling and coding errors. This verification process helps claims pass payer edits on first submission, reducing denials and improving first-time claim acceptance rates.
Charts Review For
Coding Compliance
Pyramids Global conducts thorough medical record and chart reviews to help make sure all documented services are captured and coded accurately. Our compliance audits catch missing codes, identify unbilled services, and recover lost revenue, helping practices strengthen their collections.
Improving Medical Coding Accuracy and Revenue
Quality medical coding is essential for practices. Improved billing accuracy and a streamlined revenue cycle lead to financially sound practices. Many billing issues are attributed to unbilled treatments and coding errors. Pyramids Global’s medical coding services help practices submit precise, clean claims that reduce denials and improve collections.
This helps handle denials and enhance revenue cycle management. The benefits include increased billing efficiency, higher cash flow, improved bottom line, and faster reimbursement. Across our client accounts, practices typically see stronger collections within 90 days.
Pyramids Global employs certified professional coders trained in the latest coding standards. They enhance medical practice consistency and accuracy using validated coding procedures, regular audits, and continuous compliance reviews, ensuring every code submitted meets payer requirements.
This is done in strict accordance with existing medical records and current coding guidelines. This ensures the highest coding service levels and accuracy. As a result, practices experience improved claim acceptance, reduced denials, and smoother revenue cycle transitions from billing to collections.
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Pyramids Global Medical Coding Integrity Reduces Claim Denials
Pyramids Global’s medical coding outsourcing service helps medical practices reduce claim denials by ensuring their medical documentation is complete and consistent. Our system validates patient medical records against payer requirements before claim submission. We provide a robust infrastructure that ensures all coding and claims are fully compliant with insurance company standards, maintaining a claim denial rate under 2% for coding-related issues.
Pyramids Global’s medical coding specialists ensure all codes and treatments are accurate and specific. They verify that all services provided by physicians are properly documented and coded to meet payer-specific standards. This thorough review process ensures full compliance and prevents claim denials due to missing, incorrect, or non-compliant codes.
Pyramids Global’s team of professional coders assigns correct codes for all coding scenarios – CPT, ICD-10, Modifiers, and HCPCS codes. This meticulous attention ensures NCCI compliance improvements, reduces billing and coding errors, and makes the audit process less stressful for your practice. Result: cleaner claims, fewer denials, faster reimbursement.
Medical Coding Infrastructure Built for High-Performing Revenue Cycle Management
At Pyramids Global, our medical coding services support high-performance revenue cycle management for medical practices. We have a robust and scalable infrastructure that enables us to apply CPT, ICD-10, and HCPCS codes effectively. This allows practices to keep accurate, up-to-date medical records, expedite claims processing, and accelerate reimbursement, which supports stronger cash flow.
Pyramids Global’s medical coding infrastructure helps practices reduce claim errors and increase revenue. It speeds up the billing process and streamlines workflow by encouraging efficient submission of procedural documentation. This enables healthcare providers to focus entirely on providing quality care coordination and improving patient satisfaction, resulting in enhanced practice productivity and profitability.
Services That Work With Medical Coding
Accurate codes are the starting point of a clean claim. Pyramids Global connects coding with the rest of your revenue cycle:
- Medical billing services that submit coded claims, follow up with payers, and work denials
- Prior authorization services with requests initiated within 30 minutes of receiving the order
- Premium Practice Audit to review your coding accuracy and denial patterns
- Specialty coding for cardiology and mental health practices, along with more than 20 other specialties
Medical Coding Services FAQs
What is included in Pyramids Global’s medical coding services?
Our medical coding services cover CPT and HCPCS procedure coding, ICD-10-CM diagnosis coding, modifier application, NCCI edit verification, and chart reviews for coding compliance.
Who codes our claims?
Every claim is coded by certified medical coders who work with current CPT, ICD-10-CM, and HCPCS code sets and review the clinical documentation before assigning codes.
How do you keep up with annual code changes?
CPT code changes take effect each January and ICD-10-CM updates take effect each October. Our coders apply each update on its effective date and follow payer policy changes throughout the year, so your claims are not denied for outdated codes.
How does accurate coding reduce claim denials?
Most coding denials come from missing modifiers, unspecified diagnosis codes, and NCCI bundling conflicts. Pyramids Global checks each of these before submission, which helps keep claim denial rates under 2%.
Do you work inside our existing EHR?
Yes. Our coders work inside your existing EHR or practice management system, so your providers and staff do not need to change their workflow. Pyramids Global follows HIPAA-compliant workflows and signs a Business Associate Agreement with every client practice.
Can you review our current coding before we switch?
Yes. Pyramids Global’s Premium Practice Audit reviews your coding accuracy, denial patterns, and missed revenue, so you can see where your claims are losing money before you outsource.