Your revenue cycle begins at the moment of coding and ends when payment lands in your account. We make sure every CPT®, HCPCS, and ICD-10-CM/PCS code tells the right story, the first time.
Coding is more than just data entry it’s the language payers use to decide what, when, and how much to pay. Incomplete, outdated, or incorrect codes slow payments, trigger denials, and expose you to compliance risks.
Our certified coders ensure that each procedure, supply, and diagnosis is assigned the correct CPT®, HCPCS, and ICD-10-CM/PCS code so your claims meet payer-specific requirements from the start.
By improving coding accuracy, you also strengthen the results of services like Before & After Financial Analysis and AR Follow-Ups, creating a consistent revenue cycle improvement loop.
Even the most experienced practices face ongoing challenges:
• Frequent Code Changes: CPT®, HCPCS, and ICD-10 updates occur annually, and payers may apply changes mid-year.
• Payer-Specific Rules: Each insurer interprets and bundles codes differently, making “one-size-fits-all” coding impossible.
• Documentation Gaps: Without supporting clinical notes, even correct codes can be denied.
• Claim Rework: Incorrect codes lead to resubmissions, delayed cash flow, and staff frustration.
• Compliance Risks: Errors can result in audits, penalties, or clawbacks.
Our service tackles these issues head-on, ensuring your billing and coding process is both accurate and compliant.
The process begins with collecting and organizing all relevant patient information including demographics, encounter notes, diagnostic reports, operative summaries, and provider orders. This ensures every claim is built on a complete and accurate record.
Before assigning codes, our team reviews the documentation for completeness, clarity, and compliance. Any missing or unclear details are flagged, and our coders communicate with providers to correct them. This step prevents coding errors caused by incomplete data.
Certified coders assign the most accurate CPT®, HCPCS, and ICD-10-CM/PCS codes for the services, procedures, and diagnoses documented. Specialty-specific knowledge ensures coding matches payer requirements and reflects the true scope of care provided.
Every code is validated against the latest regulatory guidelines, payer policies, and coding standards (such as AMA, CMS, and ICD guidelines). This reduces compliance risks and ensures claims are audit-ready
Once codes are finalized, they are entered into the billing system with corresponding charges. This stage links services to appropriate fee schedules, ensuring accurate billing and avoiding underpayment.
Claims undergo automated and manual scrubbing to detect missing modifiers, incorrect code combinations, or payer-specific rule violations before submission. This extra layer reduces denial rates and speeds reimbursement.
Clean claims are submitted electronically or manually (where required) to insurance carriers, clearinghouses, or government payers. Timely submission is crucial to maintaining healthy cash flow.
Payments are posted against each claim, and any variances are reconciled against expected reimbursement. This ensures accurate financial tracking and quick identification of short payments.
If a claim is denied or underpaid, our denial management team analyzes the reason, corrects coding or documentation if necessary, and resubmits promptly. Persistent patterns are flagged for process improvement.
We deliver detailed performance reports, highlighting claim acceptance rates, denial causes, and payment trends. Feedback loops with providers help prevent recurring issues and improve documentation quality.
We provide more than coding we deliver a complete revenue protection system. By combining certified expertise, advanced tools, and payer specific insight, we help your practice get paid faster, with fewer denials.
Our coders hold certifications such as CPC®, CCS®, and CPB®, ensuring your claims are in the hands of professionals trained to national standards.
From cardiology to orthopedics, we adapt coding strategies to your specialty’s unique procedures and payer mix.
Automated validation tools catch common errors, while human coders ensure compliance and proper documentation.
Works seamlessly with Claims Submission and Denials & Rejection Fixation for a smooth revenue cycle.
At MediPro Billing USA, trust and compliance are at the heart of everything we do. We adhere to the highest industry standards, including HIPAA, ISO 27001, and SOC 2 Type II, ensuring patient data security, operational excellence, and reliable results. Our certified coders and strict quality protocols guarantee accuracy, faster reimbursements, and full regulatory compliance for your practice.
Our certified billing and coding experts ensure error-free claims, faster approvals, and full compliance helping you get paid faster and protect your revenue.
Find quick answers to common questions about our services, process, and support.
Medical billing and coding translate patient diagnoses, treatments, and services into standardized codes (CPT, HCPCS, ICD-10) for accurate claim submission and reimbursement.
Incorrect codes can lead to claim denials, payment delays, or compliance issues. We ensure 100% accuracy to keep your revenue cycle smooth and compliant.
Yes. While the package is designed for end-to-end coverage, we can customize it to include only the services your practice needs.
We follow the latest CMS and payer-specific guidelines, perform regular audits, and stay updated on all regulatory changes to avoid penalties.
Absolutely. Correct, detailed coding prevents down-coding and underpayments, leading to faster, full reimbursements.

Your trusted USA based partner for end-to-end medical billing and revenue cycle management, delivering a 99% clean claim rate, faster reimbursements, and industry leading compliance.
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