Our Services
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sigma@pulsercm.com
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Revenue Integrity and Coding
Tailored Solutions
Accurate coding and robust documentation are the backbone of revenue integrity. PulseRCM’s Revenue Integrity and Coding services ensure every service is correctly captured, coded, and documented to maximize reimbursement while maintaining compliance with evolving healthcare regulations. We safeguard your revenue and reduce compliance risks with precision and expertise.
We review clinical workflows to identify and recover missed charges, such as unbilled procedures or supplies. Our team implements automated charge capture tools and staff protocols to ensure nothing slips through the cracks.
Our certified coders audit charts for accuracy using standards like ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology). We also offer customized training to keep your staff updated on coding changes and best practices.
We collaborate with clinicians to refine documentation, ensuring it reflects the full scope of care provided. This includes training on specificity (e.g., documenting severity of conditions) to support coding and meet payer requirements.
✦ How We Deliver Results?
Result Oriented Approach 🤘🏽
Our process starts with a comprehensive audit of your coding and documentation practices, identifying discrepancies or areas of underpayment. We then deploy solutions like coding software with built-in compliance checks and provide ongoing monitoring to sustain accuracy. Regular feedback loops with your team ensure continuous improvement.
KEY BENEFITS
Why Collaborate with Us?
In today’s complex healthcare landscape, precision in documentation and coding is not just a necessity—it’s a competitive advantage. Our solution delivers tangible financial, regulatory, and clinical benefits, empowering organizations to operate with greater efficiency and confidence.
Revenue Growth
Clients typically see a 5-10% increase in captured revenue due to improved charge accuracy.
Compliance Confidence
Adherence to coding standards reduces audit risks and potential penalties from payers or regulators.
Better Care Insights
Enhanced documentation provides a clearer clinical record, supporting both billing and patient care continuity.
Why It Matters
Inaccurate coding can lead to lost revenue or compliance violations. Our expertise ensures you’re paid fairly for the care you provide while staying within regulatory boundaries.
Ready to get started?
Protect your revenue and compliance—reach out to optimize your coding today.
