Medical Coding/Billing & Appeals Expert – 55 Madison Avenue, Suite 400, Morristown NJ 07960. Tel# 973-532-4327 Fax# 9732853272

Improving Hospitals’ Net Revenue requires an effective and robust Denial Management System that consists of strong denial prevention mechanisms, dynamic appeals management, an effective internal audit and recovery system, and clinical documentation improvement strategies, just to mention a few. A robust Denial Prevention strategy helps hospitals to stay ahead of the game.

Our appeals writers have more than 10 years of experience in medical necessity appeals and coding/DRG Validation. Our reversal rate is very high and our work speaks for itself. Give us a call, or visit us at our office for your denials and appeals work.

Get

Our Services
Why Choose Us

Medical Coding and Billing

At Medical Coding and Appeals Expert, we offer medical coding and billing services to hospitals, physician offices, rehab, physical therapy, laboratory and diagnostic centers. Our coders/billers are CPC & CPB with over 12 years of coding/billing experience. Our services are competitively priced and cheaper than hiring your own staff. Claims are processed timely and electronically. If required, we can also send out paper claims. In addition we mail statements to patients for free. Contact us today for your coding and billing services

Coding/DRG Validation Appeals

Are you struggling with appealing your coding denials/DRG validation? We can help. Our appeal writers are Certified Coding Specialist (CCS) and Documentation Improvement Practitioners (CDIP) with many years of coding/ DRG validation experience . Stop conceding those cases, let us appeal them for you. We know the work,and will fight hard for the reversal of your denied claims. Give us a call today.

Medical NecessityAppeals

At Medical Denials and Appeals Expert, we write medical necessity and coding appeals in response to medical necessity & coding denials from healthcare payers for our clients. We write both outpatient and inpatient appeals. We do all levels of Appeals (level 1, 2 and 3-coordination of Medicare ALJ Hearings). Our appeal writers include RNs, PAs, MDs, CPC, etc. Our appeal writers have more than 15 years of appeal writing experience. Our clients include major hospitals and third party appeal contractors in New York and Maryland. Our appeals are well written and backed by evidence-based literature. We work 7 days a week and get the job done in a timely manner. Our team works in a secured and HIPAA compliant environment, and understands the importance of keeping patient's information secured and private. Give us a call today and learn more about other ways we can be of help to your organization.

Experience

We have successfully appealed thousands of Medical Necessity and Coding/DRG Validation denials, our reversal rate is at 65% for short stay Medical Necessity Appeals and 70% for Coding/DRG Validation. Most of our appeal writers/contractors have over 15 years of experience on the job with astounding results. With the implementation of the Medicare 2MN Guidelines for admission into inpatient level of care by the CMS in October 2013, the focus has shifted again to short stay/less than 2 midnights denials. Our team of experts on Medicare guidelines will guide you through the process to reduce your probe and educate denial rate. We can also help you with the appeals for the "Probe and Educate" denials.

Security of protected Health Information

We take the security of Protected Health Information seriously. We store our data on a secured HIPAA compliant server hosted in a fully private environment and monitored by IT professional who are trained in this area. You can be rest assured that your information will be secured with us.

Wide range of services

Our services include Medical Coding and Billing, Medical Necessity and Coding/DGR Validation appeals for both Outpatient and Inpatient. In addition, we do pre admission, continued stay and post discharge review of medical records for inpatient level of care and organize training sessions for hospital appeals staff.

Negotiable Rates

We offer a flat rate for all our coding/billing, appeals and Medical Necessity Reviews. Our rates are negotiable to an extent based on the volume of cases. In addition we provide weekly reports of the statuses of all the cases we received.

Patient says

In 2011, our company received a huge stack of coding/DRG validation denials from one of our clients. The due dates for most of them were really close and we need to appeal them as quickly as possible. We were running out of time and needed appeal writers urgently. We found out about "Offsite Appeals"-an online appeals resource site- from one of our staff, and quickly contacted them for help. We were surprised how quickly they responded and got the job done in no time, with outstanding success. I am proud to recommend this site to others.

Richard MaxmargeClinical Director, Independent Appeals contractor

I just want to thank you for your support, resources and the training of our appeals staff over the last 2 years . Our staff feel very confident with their appeals and are having tremendous success.

Fleece MarigoldRegistered Nurse