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Credentialing is the establishment of a licensed medical professional by assessing their qualifications, legitimacy, and background. JCC conducts credentialing services for healthcare institutions and provider networks. Our credentialing services include:
We have established in-state/out of state practicing providers as well as residents and new providers. Our services are fast and smooth to ensure that you complete the process in time and avoid being out of the network. We maintain spreadsheets with expiry dates, and we build system ticklers to send reminder emails and phone campaigns as part of our credentialing maintenance.
We complete all the credentialing processes until fully approved. Every week, we provide updates on the progress so far, and we communicate with the providers to obtain the information needed for the credentialing process. Finally, we take deadlines seriously and ensure that everything follows its due process.
Revenue integrity is any approach taken to establish and support ethical business practices, while also compelling the hospital’s staff and associates to do the same thing, irrespective of the situation that they face. To prevent any revenue loss, internal control measures have to be geared towards sound financial practices and proper documentation, such that whenever audits are carried out, the hospital will not be found wanting.
Diligent billing and coding practices greatly reduce any risks of expensive downstream, for instance, external audits and management of payment denials. To ensure smooth operational efficiency, revenue integrity must be a priority for any healthcare institution. In fact, a recent survey has revealed that more than 25% of hospital CFOs list revenue integrity as their topmost priority.
Technological plays a major role in an organization that seeks to achieve its revenue integrity goals. For instance, automated RCM solutions, scanning, analytics, and several other modern tools help to strengthen your revenue integrity. Our company utilizes top technological solutions to minimize your risks.
Medical billing and coding are similar fields in our modern health care system. Both aspects are crucial to the reimbursement cycle, and they ensure that healthcare workers receive payment for their services. Accurate billing and coding practices ultimately mean that patients are not overcharged and that the healthcare workers give the best administrative care.
Medical billing is the process of reviewing records, identifying diagnoses, and patient management steps to submit the claims to insurance providers, programs, or patients for reimbursement.
Medical coding, on the other hand, is the transformation of the medical billing information into universal alphanumeric codes. The codes are taken from case files, doctors’ notes, radiological and laboratory investigations and transformed into codes that are applied correctly for reimbursement by the appropriate body.
At Just Coding Consultants, we provide coding services in all aspects of the Revenue Cycle Management process, including credentialing, auditing, and denials management.
Our team has experience in virtually all departments of patient care from family practice, obstetrics and pediatrics to cardiology, oncology, outpatient, and in-patient care. In essence, a career in billing and coding guarantees one of a competitive salary, a quick launch, and a long career filled with opportunities.
Our Mission Statement:
To work together with healthcare providers to enforce comprehensive documentation of examination findings, investigations, and other management processes involved in a patient’s care in order to formulate accurate codes, get research data and enable appropriate reimbursement and clinical action. Our mission statement is summarized into three major goals: