Expert Medical Billing Solutions
Optimize revenue capture with our specialized coding and auditing services.
Expert Medical Coding
- Accurate assignment of medical codes (ICD-10, CPT, HCPCS) to diagnoses, procedures, and services.
- Review and analysis of clinical documentation to ensure proper code selection.
- Compliance with coding guidelines and regulations to facilitate accurate billing and reimbursement.
Thorough Auditing Services
- Comprehensive audits of medical coding and billing practices to identify errors, discrepancies, and areas for improvement.
- Compliance audits to assess adherence to regulatory requirements, payer policies, and industry standard.
- Recommendations for corrective action and implementation of best practices to enhae compliance and accuracy.
Denial Management
- Identification and analysis of claim denials to determine root causes and trends.
- Development of strategies to prevent claim denials and improve first-pass resolution rates.
- Appeals management to challenge denied claims and recover rightful reimbursement.
Claims Follow up
- Proactive monitoring and tracking of claim status to ensure timely resolution and payment.
- Follow-up with insurance companies and other payers to address outstanding claims and resolve payment issues.
- Escalation of unresolved claims and coordination with stakeholders to expedite resolution.
Ongoing Support and Training
- Training programs and workshops for healthcare providers, coders, billers, and administrative staff on topics related to coding, billing, and compliance.
- Educational resources and materials to promote ongoing learning and professional development.
- Customized training sessions based on specific needs and areas of interest within the healthcare organization.
Analysis Reporting
- We also offer Medical financial and operational reporting provides insights into revenue cycle performance, coding accuracy, billing efficiency, compliance, and denial trends.
- Benchmarking, KPI, and Aging reports
- Denial Management reports
- Coding and Audit finding
Staff Education & Training
Customized training sessions for billing and coding staff, providers and front desk staff on insurance verification and eligibility, recognize payer specific requirements, collection at time of service strategy, authorization and referral management, customer service/financial conversation script discussion, system training, documentation requirements, coding guidelines, and payer policies.
Maria Kuch – Founder
With over a decade of experience in healthcare revenue cycle management, I bring expertise as a certified medical coder and auditor. Throughout my career, I’ve had the privilege of working with multi-specialty clinics, where I’ve honed my skills in optimizing coding accuracy, ensuring compliance, and maximizing revenue capture.
My passion lies in leveraging my comprehensive understanding of medical coding guidelines and auditing principles to drive operational efficiency and financial success for healthcare organizations. I’m excited to collaborate with you and your team to navigate the complexities of revenue cycle management and achieve our shared goals.
Maria’s Experiences and Leadership includes:
Experience
20 years of Revenue Cycle leadership with multi-practice facilities
Education
Bachelor’s of Health Information Management graduate
Certification
AHIMA and AAPC Certified Coder – RHIT, CCS-P, CPEDC, CPA-RA
Certified Professional Medical Auditor – CPMA
Certified Professional Medical Auditor – CPMA
Affiliation
Member of American Medical Association, AAPC, AHIMA, AAP, and NAMAS