Coding & CE

HCRCM has experienced and certified coding professionals (AHIMA/AAPC) with skills to perform at the highest level of proficiency. We provide Concurrent review, Inpatient, ED, Same Day Surgery, & Interventional Radiology coding services.The KPAI CAC, the computer assisted coding tool, is the key in driving the productivity, quality and expertly managing the workflow.

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  • All coded work is 100% audited by Coding Auditors and maintain 95% accuracy
  • Coding team is spread across locations in India and United States for business continuity
  • All coders are ICD-10 trained/Certified
  • HCRCM provides a TAT of 24-48 hours with expanded coverage as required
  • HIPAA compliant with security, systems access and privacy under strict monitoring
  • Quick scalability as per the facility requirement
  • Customized solutions as per your needs

    • Coding Audits

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    HCRCM's team of coding auditors compliant with the latest coding guidelines audit various account types that will help,

  • Review of patient clinical information and coding data
  • Identify coding, documentation integrity, reimbursement, and compliance issues
  • Comprehensive audit report

    • HCRCM offers the following audit services for hospitals:

  • Inpatient
  • Emergency Departments
  • Same Day Surgeries/Observations

    • Provider Billing

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    HCRCM's medical billing team can take care of your entire billing cycle by putting you at an advantage on time saving, faster collection of accounts receivables, and accuracy. Our reliable billing service helps the healthcare providers to eliminate the time spent by their physicians and nurses on billing and relieve them of the entire administrative burden so that their time can be used for patient care which is their highest priority.

  • Claim filling and Management
  • Charge Entry and Claims Submission
  • Claim Scrubbing
  • Generation of Billing Statements
  • Management of Account Receivable
  • Denial Analysis and Rebilling
  • Eligibility Verification
  • Collection Services
  • Detailed Financial reporting

    • Denials & Appeals

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    HCRCM'sDenials & Appeals management comprises of a very experienced team of physicians/nurses with vast knowledge of medical criteria, payer authorization requirements, and necessary protocols for successful appeals. We will help reduce your denial backlog and put in the best practices to reduce the denial rates. The HCRCM team will manage the claims appeal process from start to resolution which includes review of medical records to preparing and filing affective appeals. The HCRCM Denials - an Integrated Denials Management Tool helps in streamlining and managing this process effectively.


  • Reduce Denials Backlog
  • Incorporate Industry best practices to reduce the Denials rate
  • Provide regular dashboards for further analysis