Medical Coding Solutions
Route to Success
Regular coding updates, complex coding guidelines, a gap in clinical documentation, and a higher DNFB rate impact the overall coding accuracy leading to a significant decrease in the first pass rate and triggering increased operating costs for healthcare providers.
Overview

Sterling offers specialized coding services across multi-specialty medical practices. Our tailored coding solution fit any facility, hospitals, clinic, or physician group and enable our partners/clients sustainable coding accuracy and optimized revenue.

Highlights

Coding accuracy @ 98%

Reduced DNFB rate by 30%

Reduced cycle time

time from treatment to reimbursement

Compliant coding

to ensure successful payments (First pass)

Certified coders

AHIMA , AAPC and NAC

Quality and Consistency

Audits to maintain quality and consistency to meet and exceed client requirements

In-House Development

In-house developed coding tools and workflow management solutions designed with highest standards in the industry.

CDAI

Clinical documentation analysis and improvement

Improved case mix index

MIPS reporting

Acuity analysis

Specialties covered for RCM

Acute Care Inpatient(DRG)
Ancillary coding
Anesthesia
Burn/Trauma
Emergency Medicine
EMS
Family Practice
General Surgery
HCC coding
Interventional Radiology
Obstetrics & Gynaecology
Ophthalmology
Orthopaedics
Pain Management
Palliative Care
Pathology
Paediatrics
Psychiatry
Radiology
Same day surgery
Surgical & Radiation Oncology
Vascular Surgery
Wound Care
Podiatric Surgery
Chiropractic management
Home healthcare
Long-term acute care
Nursing care
Physical Therapy
Urgent care

Coding audit and review

To overcome day –to- day challenges with coding accuracies, clinical documentation gap, Medicare and federal audits, Sterling offer strategically coding review and analysis to our clients. Our highly skilled and certified coders, focused methodology ensure to enhance coding accuracy, provider documentations, and adherence to compliance.

Focused audits

For RCM companies
  • Perform to analyse the coding quality for enhancement of overall coding performance and compliance.
  • Analytical reporting and training for overall coding performance.
For Providers/Hospitals
  • Focused to analyse the clinical documentation gap for inpatient or outpatient coding.
  • Analysis and reporting to improve overall clinical documentation.

Retrospective audit

For coding quality improvement
  • Review of over coding, under coding and bundling issues.
  • Case mix index & DRG creep review
  • Medical necessity review.
For compliance
  • Medicare audit review, analysis, reporting and appeal.
  • Fraud and abuse review.

CDAI

Clinical Documentation Analysis and improvement
A comprehensive clinical documentation improvement (CDI) program is a key factor to adhere with industrial benchmark and advancing patient care. At Sterling adopt international standard and strategical approach to analyze, document and improve.
Detailed analysis of clinical documentation
Medical necessity review
Reporting
Reporting and summarization of clinical documentation review
Education on documentation
Education on documentation including Electronic Health Record (EHR) requirements to clinicians and clinic staff
Data analysis
Data analysis and reporting on down coding and up coding (bell curves)

Expertise with EMR/PMS

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NextGen
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Laserfische
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JefBar
(Ambulance Coding)
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SequelMed
Print
GE Centricity
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EPIC
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ALife
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Cerner
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Allscripts
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Zoll
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Carecloud
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eCW
medapoint
MedaPoint
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CareTracker
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Urgentcare Works
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RPMS
3M
3M and Other ICD tools 
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Aprima
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AMD
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Trietech
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Medic
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Intergy
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NexTech
athena
Athena

​​Sterling Healthcare Services provides you with end to end solutions for your healthcare business.

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