Medical coding

Medical coding is the backbone of your healthcare practice's financial health. It's the art of translating medical diagnoses and procedures into standardized codes used for insurance billing and data analysis. But getting it right requires expertise and meticulous attention to detail.

That's where Framesphere comes in. Our team of certified coders possesses the knowledge and experience to accurately translate your medical records into the right codes, ensuring you receive the maximum reimbursement for your services. We adhere to the latest coding standards (ICD-10-CM, CPT, HCPCS) and stay up-to-date on industry changes, ensuring compliance and minimizing costly errors.

With Framesphere's medical coding services, you can expect:

• Increased accuracy: Our meticulous coders ensure accurate coding, minimizing denials and maximizing reimbursements.

• Improved efficiency: We handle the entire coding process, freeing your staff to focus on patient care.

• Reduced risk: Our compliance expertise protects you from potential audits and penalties.

• Enhanced transparency: Gain clear insights into your coding practices with our detailed reports.

• Dedicated support: Our team is always available to answer your questions and address your concerns.

Don't let inaccurate coding hinder your practice's financial success. Partner with Framesphere and experience the difference precision coding and powerful results can make.

Contact us today for a free consultation and discover how we can optimize your revenue cycle.

HCC Medical coding

your trusted partner for accurate and efficient Hierarchical Condition Category (HCC) coding services. Our team of certified coders and healthcare professionals is dedicated to ensuring that your organization receives the highest level of precision in HCC coding, optimizing reimbursement and promoting compliance.

Our HCC Coding Services:

Experienced Coding Team:

• Our seasoned team of certified coders possesses extensive experience in HCC coding across various healthcare specialties. We stay abreast of the latest coding guidelines and updates to provide you with reliable and compliant coding services.

Comprehensive HCC Review:

• We conduct a thorough review of medical records to identify and capture all relevant HCC codes. Our meticulous approach ensures that your organization maximizes its risk-adjusted reimbursement while maintaining compliance with industry regulations.

Risk Adjustment Optimization:

• Our HCC coding services are designed to optimize risk adjustment methodologies, allowing your organization to accurately reflect the severity of patient conditions. This, in turn, enhances the accuracy of risk scores and ensures fair reimbursement for the level of care provided.

Customized Solutions:

• We understand that each healthcare organization is unique. Our HCC coding services are tailored to meet your specific needs, whether you are a hospital, clinic, or healthcare network. We work closely with your team to develop customized solutions that align with your goals and objectives.

Quality Assurance:

• Quality is at the core of our HCC coding services. Our dedicated quality assurance team conducts regular audits to guarantee the accuracy and completeness of our coding processes. This commitment to quality ensures that your organization is well-positioned for success in risk adjustment and reimbursement.

Educational Support:

• Stay informed and empowered with our educational support services. We offer training sessions, webinars, and resources to keep your staff updated on the latest HCC coding guidelines and best practices. Our goal is to foster a collaborative partnership where knowledge-sharing leads to enhanced coding proficiency.

Secure and Compliant Practices:

• We prioritize the confidentiality and security of your patient data. Our coding processes adhere to all relevant healthcare privacy and security regulations, including HIPAA, ensuring that your organization remains in compliance.

Choose Framesphere for reliable, accurate, and compliant HCC coding services. Partner with us to unlock the full potential of risk adjustment, drive financial success, and enhance the overall efficiency of your healthcare organization.

Contact us today to discuss how our HCC coding services can benefit your organization.

Denial Management

Denied claims can be a frustrating and costly hurdle for any healthcare practice. At Framesphere, we don't just process claims, we fight for your rightful reimbursements with our comprehensive denial management services.

Our denial management experts:

• Identify and analyze denied claims: We pinpoint the root cause of denials, from coding errors to missing information.

• Craft persuasive appeals: Our team prepares well-organized appeals supported by accurate documentation and industry regulations.

• Negotiate with payers: We advocate on your behalf, ensuring you receive the compensation you deserve.

• Track and monitor progress: We keep you informed every step of the way, maximizing your chances of success.

Enjoy the Framesphere advantage:

• Increased Reimbursement: We recover lost revenue from denied claims, boosting your bottom line.

• Reduced Stress: Let us handle the complexities of denial management while you focus on patient care.

• Improved Efficiency: Streamlined processes minimize future denials, saving you time and resources.

• Enhanced Compliance: We ensure your claims adhere to all regulations, preventing potential denials upfront.

• Proactive Approach: We identify trends and implement strategies to minimize future denials.

Don't settle for lost revenue due to denied claims. Partner with Framesphere and experience the peace of mind that comes with expert denial management.

Contact us today for a free consultation and discover how we can optimize your revenue cycle.

Payment posting

Ensuring timely and accurate payment posting is crucial for the financial health of your practice. But manual processes can be prone to errors and delays. Framesphere takes the hassle out of payment posting with our efficient and reliable solution.

Our team of experts:

• Accurately post payments: We meticulously record all incoming payments, ensuring your financial records are up-to-date.

• Reconcile deposits: We carefully match payments received with deposited funds, guaranteeing transparency and accountability.

• Manage patient payments: Simplify patient billing and track payments efficiently.

• Provide detailed reports: Gain valuable insights into your revenue cycle with comprehensive payment reports.

Enjoy the Framesphere advantage:

• Improved Cash Flow: Faster and accurate posting ensures timely access to your earned revenue.

• Reduced Errors: Our meticulous processes minimize human error and streamline your finances.

• Enhanced Efficiency: Free up your staff to focus on other critical tasks.

• Increased Transparency: Gain a clear picture of your financial health with detailed reports.

• Seamless Integration: Our solution integrates seamlessly with your existing practice management system.

Don't let inefficient payment posting impede your cash flow. Partner with Framesphere and experience the benefits of accurate and streamlined payment management.

Contact us today for a free consultation and discover how we can optimize your revenue cycle.

Streamline Your Revenue Cycle with Accurate Payment Posting

Compliance & audits

Navigating the ever-changing healthcare compliance landscape can be overwhelming. Let Framesphere be your trusted guide. We offer comprehensive compliance & audit support to ensure peace of mind and minimize risk.

Our team of compliance experts:

• Stay ahead of regulations: We keep you informed of evolving HIPAA, Medicare, and other regulations.

• Conduct internal audits: We proactively identify potential weaknesses and recommend corrective actions.

• Prepare for external audits: We guide you through the audit process with confidence and expertise.

• Develop and maintain compliance programs: We tailor solutions to your specific needs and risk profile.

Enjoy the Framesphere advantage:

• Reduced Risk: Mitigate the risk of penalties and reputational damage with proactive compliance.

• Efficient Audits: Our support minimizes disruption and ensures a smooth audit experience.

• Peace of Mind: Focus on patient care knowing your practice adheres to all regulations.

• Scalable Solutions: Our compliance services grow with your practice, adapting to your evolving needs.

• Dedicated Support: Our team is always available to answer your questions and address your concerns.

Don't let compliance concerns hinder your practice's success. Partner with Framesphere and experience the peace of mind that comes with expert compliance management and audit preparedness.

Contact us today for a free consultation and discover how we can ensure your practice operates with confidence and compliance.

Navigate Compliance with Confidence, Conquer Audits with Ease

Medical Billing

Streamline your medical billing process and maximize your reimbursements with Framesphere's expert solutions. We handle the complexities of medical billing, allowing you to focus on what matters most - patient care.

Our team of billing specialists:

• Accurate claim submission: We meticulously prepare and submit claims to ensure timely and accurate reimbursements.

• Efficient follow-up: We proactively track claims and address any issues promptly, minimizing denials.

• Payment posting and reconciliation: We meticulously manage incoming payments and keep your financial records up-to-date.

• Compliance expertise: We ensure your billing practices adhere to all regulations and coding standards.

Enjoy the Framesphere advantage:

• Increased Revenue: Receive reimbursements faster and minimize lost revenue due to errors or denials.

• Reduced Costs: Streamlined processes and accurate billing minimize errors and rework.

• Improved Efficiency: Free up your staff to focus on patient care, not paperwork.

• Enhanced Transparency: Gain clear insights into your billing practices and revenue cycle.

• Dedicated Support: Our team is always available to answer your questions and address your concerns.

Don't let inefficient medical billing hold you back. Partner with Framesphere and experience the benefits of seamless billing, optimized revenue, and increased efficiency.

Contact us today for a free consultation and discover how we can transform your medical billing into a powerful revenue engine.

Transform Medical Billing into a Revenue-Boosting Stream

AR Calling

Framesphere empowers healthcare practices to maximize reimbursements and minimize outstanding balances with our efficient and professional Account Receivable (AR) calling services. Our dedicated team seamlessly integrates with your existing workflow, ensuring timely collections and improved cash flow.

Our AR Specialists:

• Proactively contact patients: We reach out to patients with outstanding balances promptly and courteously.

• Offer flexible payment options: We work with patients to find payment plans that fit their budget.

• Resolve billing inquiries: We answer patient questions and address any concerns efficiently.

• Verify insurance information: We ensure accurate insurance information for smooth claims processing.

Enjoy the Framesphere advantage:

• Increased Reimbursements: Collect outstanding payments faster and reduce lost revenue.

• Improved Cash Flow: Enjoy consistent cash flow to support your practice's operations.

• Reduced Administrative Burden: Free up your staff to focus on patient care, not collections.

• Enhanced Patient Satisfaction: We provide a positive and personalized experience for your patients.

• Compliance-Focused Approach: We adhere to all HIPAA and industry regulations during interactions.

Don't let outstanding receivables hinder your practice's financial health. Partner with Framesphere and experience the benefits of expert AR calling and improved cash flow.

Contact us today for a free consultation and discover how we can optimize your revenue cycle.

Streamline Your Revenue Cycle with Expert AR Calling