Evaluation and Management

Payers require accurate reporting of the E&M level and the service should meet the medical necessity for appropriate reimbursement. Clear and concise medical chart review and accurate CPT code selection is crucial for the physicians to receive accurate and timely payment for the services furnished.

It is important for a physician to partner with a E&M documentation specialist like Sigma Healthcare Solutions which will enable the physician to get better E&M reimbursement rates. Utilizing our E&M coding services is one of the best way to ensure optimal compliance and to avoid downcoding/upcoding.

Our coders are proficient in CPT, HCPCS and ICD-10 coding.
Our coders ensure the medical necessity of the service by checking the NCCI edits.
Our coders have in-depth knowledge in 1995 and 1997 documentation guidelines.
AAPC certified coding resources with an average experience of 5yrs in ED coding.
We will code your reports within 48hrs from the time we receive it.
Our volume-driven per-report pricing model will reduce your operational cost.
Sigma Healthcare Solutions is a practical solution for your E&M coding needs to improve coding accuracy, reimbursement, documentation and reduce your compliance exposure

E&M Coding Services

Ongoing E&M coding services.
Temporary E&M coding coverage
E&M coding audit
Backlog coding resolution services.
Physician documentation training services.
Coding compliance review services.

Radiology Coding

At Sigma Healthcare Solutions, we believe that a computer assisted coding (CAC) can make a skilled radiology coder faster and more productive, but CAC cannot simply replace a skilled coder.

Most of the CAC sales representatives promise 90% or even above accuracy, but this is not the fact based on our experience. We believe that CAC is a valuable productivity enhancing tool which makes the coder to code faster (which is reflected in our reduced coding fee), but our coder’s coding skill gives you an assurance of above 95% accuracy which is the requirement of OIG auditors.

Benefits of outsourcing to Sigma Healthcare Solutions

Our coders have in-depth knowledge in AMA and ACR guidelines.
Our coders are experts in reviewing the radiology reports and finding the accurate and most specific ICD-10 codes which meets the medical necessity.
Our coders locate and review all applicable coverage determinations.
Our coders are proficient in using the applicable modifiers for Radiology services.
We will code your reports within 48hrs from the time we receive it.
We will identify your radiologists’ documentation deficiencies and give feed backs to improve the quality of your medical records and optimize reimbursement.
Our volume-driven per-report pricing model will reduce your operational cost
Sigma Healthcare Solutions is a practical solution for your radiology coding needs to improve coding accuracy, reimbursement, documentation and reduce your compliance exposure.

Radiology Coding Services

Ongoing radiology coding services.
Temporary radiology coding coverage
Radiology coding audit
Backlog coding resolution services.
Physician documentation training services.
Coding compliance review services.

Emergency Department Coding

Facility coding guidelines are inherently different from professional coding guidelines. Facility coding reflects the volume and intensity of resources utilized by the facility to provide patient care, whereas professional codes are determined based on the complexity and intensity of provider performed work and include the cognitive effort expended by the provider. At Sigma Healthcare Solutions, we have a team of ED coding experts who have experience in facility and professional ED coding.

Benefits of outsourcing to MK Healthcare

Our coders have experience in facility and professional charges.
Our coders have a sound knowledge in ACEP and AMA coding guidelines.
Our coders have an extensive knowledge in CPT code selection based on the documentation which will eliminate down coding/upcoding.
AAPC certified coding resources with an average experience of 4yrs in ED coding.
We can set coding guidelines based on your facility resources which will facilitate accurate payments.
We will code your reports within 48hrs from the time we receive it.
Our volume-driven per-report pricing model will reduce your operational cost.
Sigma Healthcare Solutions is a practical solution for your ED coding needs to improve coding accuracy, reimbursement, documentation and reduce your compliance exposure.

ED Coding Services

Ongoing ED coding services.
Temporary ED coding coverage
ED coding audit
Backlog coding resolution services.
Physician documentation training services.
Coding compliance review services.

HEDIS CODING

Sigma Healthcare Solutions HEDIS Coding services, which focus on assisting managed care organizations (MCOs) with reporting valid HEDIS measures. With experience administering HEDIS Compliance Audits across the Medicaid, Medicare, and commercial product lines, our audit team provides MCOs with valuable expertise and insight to HEDIS protocol and methodology. In addition, we also perform HEDIS Compliance Audits for Preferred Provider Organizations (PPOs) and provides mock-audit services for those gearing up to report HEDIS measures.

Our coder has experience with all CMS and State-required measures
We work with auditors to resolve issues on any records to maximize HEDIS rates
Vigorous primary, secondary, and tertiary pursuits processes to maximize HEDIS rates
Our volume-driven per-report pricing model will reduce your operational cost
Sigma Healthcare Solutions is a practical solution for your HEDIS coding needs to improve coding accuracy, documentation and reduce your compliance exposure.

Anesthesiology and Pain Management Coding

It is imperative for an anesthesiology and pain management coder to use the correct CPT codes, modifiers, and times to ensure that the physician is reimbursed for every procedure he performs in a session. The coder should code the procedures correctly and do the research on guidelines, CCI edits, and correct documentation before releasing the claim. The difference between a payable claim and a denied claim can be as simple as an incorrect modifier or diagnosis.

It is important to understand the policies and guidelines of payers when coding for Anesthesia services. It’s crucial to have in-depth knowledge about all evolving rules that apply to the physicians specific locality to ensure accurate anesthesiology and pain management coding. At Sigma Healthcare Solutions, we have a simple, structured payer specific process for coding anesthesiology and pain management services.

Our anesthesiology and pain management coders are experts in CPT, HCPCS, ICD-10 coding and have extensive knowledge in ASA crosswalk and ASA relative value guide.
Our Anesthesia coders have a sound knowledge on pre-anesthesia assessments, time calculations, base units and special units that are permissible to bill.
Our coders are proficient in using the primary and secondary modifiers for Anesthesia codes.
AAPC certified coding resources with an average experience of 6yrs in anesthesiology and pain management
We will code your reports within 48hrs from the time we receive it.
Our volume-driven per-report pricing model will reduce your operational cost.
Sigma Healthcare Solutions is a practical solution for your anesthesiology and pain management coding needs to improve coding accuracy, reimbursement, documentation and reduce your compliance exposure.

Anesthesia and pain management coding Services

Ongoing anesthesia and pain management coding services.
Temporary anesthesia and pain management coding coverage
Anesthesia and pain management coding audit
Backlog coding resolution services.
Physician documentation training services.
Coding compliance review services.

Ambulance Coding

Sigma Healthcare Solutions Ambulance Coding is passionate about Ambulance coding and the EMS industry and are driven to ensure that every dollar that can be collected is collected. Whether you need specialized facilities billing, or billing to Private Insurance, Private Pay or Medicare/Medicaid patients we can meet your needs.

Our coders identify emergency vs nonemergency services, patient’s condition, method of transport, type and level of care.
Our Ambulance coders are experts in CPT, HCPCS, ICD-10 coding and have extensive knowledge in Ambulance modifiers
such as GY, QL, GM, GA, GZ.
Our Ambulance coders have a sound knowledge HCPCS Level II procedure codes for ground and air ambulance services
AAPC certified coding resources with an average experience of 3yrs in Ambulance and EMS.
We will code your reports within 48hrs from the time we receive it.
Our volume-driven per-report pricing model will reduce your operational cost.
Sigma Healthcare Solutions is a practical solution for your Ambulance and EMS coding needs to improve coding accuracy, reimbursement, documentation and reduce your compliance exposure.

Our coders identify emergency vs nonemergency services, patient’s condition, method of transport, type and level of care.
Our Ambulance coders are experts in CPT, HCPCS, ICD-10 coding and have extensive knowledge in Ambulance modifiers
such as GY, QL, GM, GA, GZ.
Our Ambulance coders have a sound knowledge HCPCS Level II procedure codes for ground and air ambulance services
AAPC certified coding resources with an average experience of 3yrs in Ambulance and EMS.
We will code your reports within 48hrs from the time we receive it.
Our volume-driven per-report pricing model will reduce your operational cost.
Sigma Healthcare Solutions is a practical solution for your Ambulance and EMS coding needs to improve coding accuracy, reimbursement, documentation and reduce your compliance exposure.

HCC Coding

At Sigma Healthcare Solutions, We provide retrospective coding services for Medicare, Commercial and Medicaid using CMS-HCC, HHS-HCC, and state specific Medicaid models. Our HCC coding team has 120 experienced coders with an average experience of 3yrs exclusively in HCC. We consistently maintain above 95% quality and we believe that quality is the driven force behind our success story in HCC coding.

Our certified and experienced coding teams in-depth chart review skills combined with our technology enabled coding process provides the highest level of accuracy consistently. Our pricing model is based on the quality percentage we score and we assure above 95% quality. Sigma Healthcare Solutions have the scalability capacity to code 1.5 million patient charts in the year 2018-2019.

Benefits of outsourcing to Sigma Healthcare Solutions

Highest quality service in a competitive pricing
Certified and experienced coding professionals
Capable to handle large volumes and deliver on time
We can provide training to physicians on documentation requirements
Technology enabled solution of medical records retrieval

HCC Coding Services

Ongoing HCC coding services.
Backlog HCC coding resolution services.
HCC coding audit
Physician documentation training services.
Coding compliance review services.

HCC Coding Analytic Services at NO COST

We can audit your 30 coded charts and let you know whether your current HCC coder/ coding company is doing a good job or missing the HCC codes. We will give you a report on the difference in scores compared to our coding.

Documentation review and tips for HCC documentation improvement based on our findings.