Orkatok RCM Services employs a team of certified and experienced medical coders who are well-versed in various coding systems, including ICD-10-CM, CPT, and HCPCS Level II. Our coders undergo regular training and stay updated with the latest coding guidelines and industry changes to ensure accuracy and compliance.

Our coders meticulously review medical records and documentation provided by healthcare providers to accurately assign appropriate codes for diagnoses, procedures, and services rendered during patient encounters. By ensuring accurate code assignment, we help healthcare providers capture all relevant information for billing and reimbursement.

Orkatok RCM Services strictly adheres to coding guidelines established by regulatory bodies such as the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS). We ensure that all codes are applied in accordance with these guidelines to prevent compliance issues and audit risks.

Once coding is completed, Orkatok RCM Services utilizes advanced software systems to submit claims electronically to insurance companies, Medicare, Medicaid, and other payers. Electronic claims submission expedites the processing time and reduces the likelihood of errors compared to manual paper-based submissions.

Before submitting claims, we perform thorough validation and quality checks to ensure that all required information is included, and claims meet payer-specific requirements. This proactive approach minimizes the risk of claim rejections and denials, accelerating the reimbursement process for healthcare providers.

Orkatok RCM Services monitors the status of submitted claims closely and proactively follows up on any delayed or pending claims. Our team works diligently to resolve any issues that may arise during the adjudication process, such as missing information or payer inquiries, to expedite reimbursement and minimize revenue loss.

We provide healthcare providers with comprehensive reporting and analytics to track the status of their claims throughout the reimbursement cycle. Our detailed reports offer insights into claim submission metrics, payment trends, denial reasons, and opportunities for process improvement, empowering providers to make informed decisions and optimize revenue.