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Services: Healthcare Outsourcing
The ITH Advantage
ITH has the expertise to offer integrated, efficient, accurate and cost-saving services in the following areas:
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Service
Coding is done by a team of coders who are certified coders (CPC). We have a specialized team experienced in areas like ER, anesthesia, pediatric, podiatry and radiology. Our coding team consists of coders from various backgrounds like Dentists, Physiotherapists, Nurses, Pharmacists, Microbiologists and many other Life Science graduates. The team is headed by a Physician, who is also a certified Coder (CPC, CPC-H).
- Client Requirement Analysis Study:
This process commences once a Client approved to conduct process study and to submit a presentation on the benefits of business process outsourcing. The study will determine the specialties covered, required cycle time, type of files, type of reports and formats required.
- Transfer of Files from Client:
Client sends scanned clinical information or patient charts to ITH through FTP site.
- Downloading and Allocation of Files:
he files received from Clients are downloaded by Medical Coding Team and assigned to appropriate Pre-Coders and Coders.
- Pre-Coding:
Once the downloaded files are assigned to designated team, the Pre-Coders enter details that include Place of Service, Name of Physician, Medical Record Number, Admission and Discharge, Referring Physicians and any price modifiers.
- Coding:
Coding is done with the help of CPT Encoder Pro software. Using references such as ICD-9-CM and HCPCS Level II, certified Coders enter the details and these are further checked by the Coding Team for compatibility of diagnosis with the procedure code, usage of Modifier, linking correct diagnosis for the procedures performed which involves CCI edit.
In Patient Coding |
Out Patient Coding |
Anesthesia |
Radiology |
Evaluation & Management |
Physiotherapy |
General Surgery |
Opthalmology |
Ambulatory Surgery |
Pediatrics |
Orthopedic Surgery |
Geriatrics |
Emergency Medicine |
Medi-cal |
Intervinal Radiology |
Pharmacy |
Cardio Vascular Surgery |
Medicare |
- Quality Assurance
Quality analyses are done at two levels. The first level quality assurance will be conducted by the Team Leaders who will do a 100% check while a random check will be conducted at the second level. Close working relationship and constant interaction with the billing team also ensures that coding is done accurately.
- Uploading completed Files:
Upon completion of coding process, the files that have been checked by the Coding Team are then uploaded to Client's FTP site.
- Quality Assessment:
The coded files that are forwarded to Clients through ITH's FTP site will be checked for quality by the Clients that includes CPT, ICD and Modifiers.
- Client Feedback & Continuous Improvement:
Client feedback is an integral part of continuous improvement process at ITH. ITH seeks to continuously improve and refine its coding processes to ensure Clients receive the most accurate and reliable service. We have regular training sessions to update the Coders on various coding issues.
- Clarification & Teleconference:
Any clarifications that are required are noted and documented and sent to Client for answers. Teleconference is conducted periodically to obtain updates from Clients.
- Data Security & Maintenance:
All scanned files are stored for a period of 3 months. All printouts are shredded once CD back-up is done. No record can be taken out from the premise and all employees are subjected to confidentiality agreement.
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