Revenue Cycle Solutions

Amblitelís Back Office Services - Surgical Coding

Amblitel helps Ambulatory Surgery Centers (ASCs) optimize their revenue growth with complete and accurate coding that is fully HIPAA compliant with correct coding and local coverage determination. Our coding team is committed to providing the highest quality of service and is comprised of Certified Professional Coders that are proficient in code sets, modifiers, coding implants, and usage guidelines. Our coding professionals are based in the United States and are audited to ensure coding standards and methods are best of class.

Among the many parts of the outpatient surgery center revenue cycle, coding is perhaps the most complex and affects your ASCs bottom line more than any other component. There are a number of variables (surgical method, incision size, anesthesia, etc.) involved in assigning the correct codes to any procedure. These, in conjunction with AMA (American Medical Association) guidelines, CMS (Centers for Medicare and Medicaid Services) mandates, and other 3rd party contracts, can lead to a convoluted and confusing system that unless accurately and precisely followed will lead to lost revenue.

Our coding team understands and recognizes ASC and surgery specific terminology and clinical procedures in addition to the regulatory mandates from various governing entities. Our coders understand that while ICD-9 diagnosis code establishes medical necessity, CPT code determines reimbursement. Amblitelís certified coders are also cognizant of CMS coding and documentation guidelines and the conflict that may exist with the CMS issued CCI (correct coding initiative) edits and AMA guidelines for third party payors.

All Coders are US based

In summarizing the coding process - Amblitelís coders will read the complete operation report thoroughly. The coder will then follow all CMS and AMA guidelines to ensure all CPT codes are obtained and that supporting ICD-9 diagnosis codes are applied. Finally, the coders will apply the appropriate modifiers and coding implants. After following this thorough process, the documentation is complete and submitted for billing.