BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM CARC
🟢 Hospital Coding Services
Trusted Hospital Coding Services for Accurate and Compliant Claims
Engage with a provider that offers back‑office expertise to enhance your financial outcomes and streamline coding operations
Schedule a Call42,300
Total Charts Coded
96%
Coding Accuracy Rate
7.8%
Coding-Related Denial Rate
Overview
Hospital Medical Coding Services
ASP-RCM Solutions offers top-tier remote medical coding services, using certified coders to ensure compliance, minimize denials, and expedite reimbursement. They integrate technology and professional expertise for seamless integration into HIM department workflows
Expert Facility‑Specific Medical Coding
Our coding solutions are tailored to specific facilities, including: • Academic Medical Centers • Critical Access Hospitals • PPS Hospitals • Ambulatory Surgery Centers • Independent Emergency Departments We ensure that all coding aligns with facility-specific procedures, payer regulations, and compliance requirements.
Comprehensive Coding Services
We offer a full suite of coding services to support every aspect of your hospital’s revenue cycle management (RCM): • Certified ICD‑10 coders and trained trainers. • Corporate Coding Quality Programs to ensure compliance. • Direct communication with project managers for operational clarity. • Secure coding with access to IT systems or secure ASP environments. • Flexible staffing for weekends, holidays, or urgent needs. • Real-time DNFB/DNFC reporting to reduce backlogs.
Measurable Outcomes with ASP‑RCM Solutions
Partnering with ASP‑RCM delivers quantifiable improvements: • Lower DNFB/DNFC rates with streamlined billing • Higher CMI for better DRG reimbursements • Optimized cash flow via real-time coding audits • Reduced risks from payer rules and coder shortages.
Increased Coding Accuracy & Compliance
Our approach focuses on precision and accountability to: • Enhance coding accuracy for better reimbursement. • Minimize compliance risks and audit exposure. • Identify coding gaps to reduce denied claims. • Boost productivity through continuous audits.
Technology‑Driven Coding Management
Leverage our technology stack for seamless coding and reporting: • AI-powered claim checks and coding validation • EHR integration for real-time updates • HIPAA-compliant encryption • Analytics dashboards for KPIs
Operations
Efficient Coding Operations: Driving Financial Succes
Our end-to-end coding operations are built on a foundation of cutting-edge tools, skilled coders, and strict compliance with regulatory mandates. From pre-submission audits to denial resolution, we handle every step with precision and transparency
Tailored Coding Solutions
We tailor HIM coding services to meet the specific needs of your facility, ensuring accurate documentation, seamless payer submissions, and minimized coding rejections
Secure Coding Environments
Our secure IT platforms allow remote coders to work within your system safely, maintaining data privacy and preventing unauthorized access, in compliance with HIPAA
Real-Time DNFB/DNFC Management
We track outstanding claims, focusing on discharged-not-final-billed (DNFB) accounts to reduce backlog and maintain healthy cash flow for your facility
Denial Management & Resolution
By analyzing denial trends, our experts quickly address the root causes of rejected claims, such as incorrect codes or incomplete documentation, to maximize reimbursements
Continuous Improvement Programs
Our team conducts ongoing coding audits and performance assessments, ensuring your operations remain adaptable to ICD‑10 changes, payer rule updates, and compliance mandates
EHR & Technology Integration
We seamlessly integrate coding workflows with your EHR systems via HL7 interfaces or APIs, streamlining front- and back-office processes for enhanced efficiency
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have safely received your patient and encounter data, we code, review, and send claims to payers. We also manage appeals and denials, track payments, and provide frequent updates. Our procedure is designed to be effective and open.
Our qualified coders and billing specialists evaluate every claim stringently. We employ quality control procedures, coding audits, and cross-referencing with payer requirements to guarantee accuracy and lower the possibility of denials.
Our denial management team examines every refused claim to identify the underlying reason. We quickly fix any problems and submit claims again, and where needed, we collaborate with payers on appeals to ensure you get the most money back.
Our pricing policy is adaptable and customized to meet every customer's demands. Usually, we charge a set fee based on volume or a portion of collections. Contact us for a quote tailored to your clinic's particular needs.
Indeed. Our specialty is smooth transfers from internal procedures or other billing businesses. To guarantee that all data is moved safely, our staff will collaborate closely with you and offer training as required.
Resources
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