Est. 2014 Bridging Healthcare & Revenue
✉ info@carebridgercmsolution.com 📞 022-39482200
OPERATIONAL METHODOLOGY

Specialized Execution Built for Healthcare Organizations

Accurate clinical coding is the foundation of appropriate medical reimbursement and healthcare regulatory compliance. CareBridge provides credentialed AAPC (CPC) and AHIMA (CCS) coders with multi-specialty mastery in ICD-10-CM, CPT, HCPCS Level II, and modifier selection.

Our coding methodology integrates clinical documentation improvement (CDI) audits to capture medical necessity accurately while preventing both under-coding (revenue loss) and over-coding (audit risk). Every chart passes thorough checks for National Correct Coding Initiative (NCCI) edits, medically unlikely edits (MUEs), and LCD/NCD coverage determinations.

MEASURABLE PRACTICE OUTCOMES
  • ✓ Mitigates payer audit risk and compliance penalties
  • ✓ Captures appropriate reimbursement for high-complexity patient encounters
  • ✓ Eliminates coding-related clearinghouse rejections and medical necessity denials
  • ✓ Accelerates surgical and outpatient chart completion turnaround times
STRUCTURED WORKFLOW

Execution Stages

01 Provider clinical note and operative chart retrieval from EHR
02 Comprehensive review of clinical indicators, diagnoses, and rendered procedures
03 Accurate code assignment with appropriate modifiers and diagnosis linkage
04 Independent dual-tier QA audit before charge entry transmission
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TECHNICAL SCOPE

Comprehensive Workflow Capabilities

Detailed operational deliverables included in our Medical Coding Services engagement models.

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Specialty-specific ICD-10-CM diagnosis and CPT/HCPCS procedural code assignment
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Evaluation and Management (E/M) medical decision-making (MDM) level determination
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Operative report, surgical chart, and pathology note extraction and verification
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NCCI bundle edits, modifier appropriateness audits (-25, -59, -X{EPSU})
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Clinical Documentation Improvement (CDI) query generation for attending providers
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Continuous coding quality assurance (QA) audits ensuring 98%+ accuracy
SEAMLESS TECHNICAL INTEGRATION

Compatible with Leading Healthcare EHR & Practice Management Platforms

Epic Systems Cerner / Oracle Health Athenahealth eClinicalWorks (eCW) Kareo / Tebra NextGen Healthcare AdvancedMD DrChrono Allscripts / Veradigm
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