Quality Control

Thuriam is a leading medical coding consulting firm. Our Medical Coding service enables individuals and Hospitals to file a claim with the patient's health insurance provider, managed care organization, or government entities.

Our coding consists of combination of numbers and alphabets adhering to different coding standards. These codes help medical insurance and others to understand what was wrong with the patient, whether treatment was necessary and what services were administered.

All these coding helps the non-medical staff at the insurance and other health service providers to handle the claims and make payments on predetermined basis. Our specialty is ICD-9, CPT, HCPCS outpatient (physician) coding for the CMS-1500 form.

Our Medical Coders

AT Thuriam we convert notes written by physicians and other health care personnel that describe what type of treatment individual patients received into codes that insurance companies use to reimburse the health care provider.

Our Coders look at the medical record and determine the correct ICD-9-CM, CPT and HCPCS codes. Further medical coder's work consists of submitting proper documentation to a number of insurance companies and federal agencies for reimbursement.

Our team consists of experienced coders and senior technicians with several years of clinical experience in a vast array of medical specialties, and have their CCS-P and/or CCS credentials.

Our Service Offering

Medicare Reimbursement

	Resource-based relative value system
	Facility vs. non-facility payments
	Using the RBRVS for developing other fee schedules
	Evaluation & Management Codes

Preparing Medicare Claims

	The CMS-1500
	HIPAA-mandated Coding Systems
	CPT
	ICD-9
	HCPCS
	Modifiers
	Level I and Level II Codes
	Electronic claims submission
	Resources for coding and billing supplies

Medicare Compliance

	Understanding Fraud and Abuse
	Parameters
	Secondary Payer Rules
	Correct Coding Initiative for procedure bundling
	Medical Necessity and Local Coverage Decisions
	Utilizing Advance Beneficiary Notices (ABNs)

Denial Management

	Submission to other payers
	The Medicare Appeal Process

Compliance

We have taken extensive measures to meet all HIPAA regulations and have compliance plan in place. Our coders understand and adhere to compliance requirements for processing healthcare claims.

We do medical coding audits too. Our coding supervisors analyze medical records and previous coding to check for discrepancies and make appropriate changes.

In process helping doctors get faster and smoother reimbursement from insurance companies. Also our accurate coding service helps doctors avoid fines for incorrect billing. Doctors can be confident and assured.