Find The Care You Need
Providing Total Health Care Solution
Welcome to the Hilight Healthcare Family!
OUR SERVICES
Few certified coders have the extensive ambulance coding experience and specialty knowledge possessed by The Coding Network’s experts.
Physician
We are here to serve our clients with professionalism and courtesy, while diligently processing their medical claims as efficiently as possible in order to collect all payments due from insurance companies and patients in an ethical, moral, and confidential manner.
Facility
The Coding Network is a premier provider of accurate coding for all types of hospital outpatient departments and clinics, ambulatory surgical centers, emergency departments, cardiac catheterization labs, and both diagnostic-and-interventional radiology departments. Whether you have a temporary backlog or want to explore the cost efficiencies and quality of either temporary or long-term coverage for all or part of your coding, we can help.
Ambulance Coding
Many municipalities contract with private ambulance and patient transport companies. Medicare and the OIG are increasing oversight activities in the ambulance billing area due to the unique requirements for ambulance coding. Medicare and Medicaid spend billions on emergency medical services, and ambulance coding is a reappearing item on the OIG’s annual worklist. The scrutiny will only get more intense as more of the postwar “baby boomers” reach Medicare age.
ASC
An ambulatory surgery center (ASC) is a distinct entity that operates to provide same-day surgical care for patients who do not require inpatient hospitalization. An ASC is a type of outpatient facility that can be an extension of a hospital or an independent freestanding ASC.
HCC Risk Adjustment Coding / Audit
HCC coding relies on ICD-10-CM coding to assign risk scores to patients. Each HCC is mapped to an ICD-10-CM code. Along with demographic factors such as age and gender, insurance companies use HCC coding to assign patients a risk adjustment factor (RAF) score. Using algorithms, insurance companies can use a patient’s RAF score to predict costs.
Drive key practice performance indicators with optimized processes.
TESTIMONIALS
Our focus is on outpatient facility coding and reimbursement, but facility coders and pro-fee coders need to be aware that the facility is not the only entity that can submit claims for services performed in facilities.