Service Overview

Enable specialized services with certified Medical Coding services offered by Pena4 that translate the diagnoses, medical procedures, and treatments with alphanumeric codes. Reinvent accuracy and efficiency with our innovative medical coding services with guidelines ensuring reimbursement and compliances.

The procedures and medical diagnoses are derived from medical record documentation, including physician notes transcriptions, radiology, and laboratory results. Our medical coding experts ensure the appropriate application of medical billing processes which determine the information provided via assigned codes, documentation, and creating a claim paid by insurance carriers. Every visit to your healthcare provider enables medical coding implementation, which are reviewed by the providers to make expert assessments, align treatment methods, and document every visit.

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Pena4’s structured medical coding services offers:

  • Diagnostic Coding Accurately assign proper coding to describe the diagnoses of patient, ensure appropriate billing, and documentation for every healthcare encounter with our expertise.
  • Procedure Coding We enable and assign standardized codes for medical procedures for precise treatment documentation and billing within your healthcare setting.
  • Pharmaceutical Coding Ensure classification of medication with accuracy for recording, billing, and compliance with regulatory coding standards.
  • Inpatient Coding For diagnoses of patients admitted to hospitals and for coding medical procedures we ensure accuracy for claims and billing submissions for inpatient services.
  • Outpatient Coding We help establish proper code assigned for diagnoses of patients receiving any healthcare services without hospital stays to facilitate proper documentation and billing.
  • Professional Fee Coding Efficiently code expert medical services with our medical coding services by rendering accurate reimbursements for healthcare providers, physicians, and healthcare staff.
  • Evaluation and Management (E/M) Coding Assign codes accurately on the complexity and nature of patients encounters with healthcare providers for efficient billing.
  • Medical Billing and Claims We ensure management and submission of billing claims to insurance providers for timely reimbursements for healthcare services provided.
  • Auditing and Compliance Our experts conduct efficient audits to ensure coding accuracy for compliance with healthcare regulations to identify and rectify any discrepancies in maintaining integrity.
  • Research and Analysis Enable coding and billing data analysis, determine trends and patterns, support decision-making processes, optimize revenue cycles, and improve healthcare practice with our support.

Incorporate professional medical coders with Pena4 to ensure proficiency and adherence to your coding standards and guidelines for billing purposes, insurance claims processing, healthcare data analysis, and more.

Our Offerings

Health Information Management

Revenue Cycle Management

Medical Coding Audits & Assessments

Compliance

Medical Billing

Virtual Assistant

C.O.R.I.S.

H.I.M. & Revenue Cycle Consulting

Medical Coding

Continuing Education

H.I.M. & Revenue Cycle Staffing

C.D.I. Services

C.D.M. Audits & Maintenance

Central Learning (CL 1.0)

Sales Central - ROI Calculator

Guru Auditor

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