Seats from $1,500 a month · one month minimumUS business hours, your time zoneops@softhomeglobal.comCost calculator
Soft Home Global
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Medical Coding

Medical Coding from Soft Home Global costs $2,500 per seat per month. That is one full time trained person, forty hours a week, working United States business hours inside your own system. One seat, one month, cancel any time. On request. Nobody on our floor does that work yet. Ask, and we tell you in writing whether and when we can put a trained person in the seat, before you pay anything.

A full-time coding seat held to your audit, with a documented sample reviewed weekly.

Assigns billing codes from what the chart actually documents, then has a sample of that work audited every week so you see the result, good or bad.
Video transcript
  1. Medical Coding: turns your charts into codes.
  2. Codes only what the chart documents.
  3. A weekly sample audited in month one.
  4. Results shown to you, good or not.

What the seat actually does

  • Codes assigned from what the note documents, not from the charge sheet alone
  • Coding to your specialty and your payer mix
  • A documented weekly sample audited in month one
  • Results shown to you whether they are good or not
  • Queries raised rather than assumptions made
  • Denial patterns fed back into coding

What it costs

$2,500

On request Nobody on our floor does that work yet. Ask, and we tell you in writing whether and when we can put a trained person in the seat, before you pay anything.

Per seat, per month, in US dollars. Full time, forty hours a week, on US hours — not per hour, not per claim, and never a share of your collections.

Compare against the other 21 roles →

Reselling seats to your own clients instead of staffing your own practice? What changes for a billing company.

The denial codes this seat works

17 codes, grouped the way the queue is worked rather than by number. Each one links to what causes it, the order to work it, and how to stop it recurring.

Worked by being appealed with clinical documentation

  • CO-50 — Not deemed medically necessary
    The payer does not accept that the documentation supports the service. This is a clinical argument, not a clerical one.
  • CO-151 — Too many services billed
    The payer accepts the service but not the quantity or the frequency at which it was billed.
  • CO-234 — Not paid separately
    The payer treats this service as part of another one, similar to CO-97 but usually driven by the fee schedule rather than an NCCI edit.
  • CO-236 — Modifier combination not allowed
    Two things billed on the same day conflict under NCCI edits or a state fee schedule. The pair is the problem, not either code alone.
  • CO-231 — Mutually exclusive procedures
    The two procedures billed cannot clinically or by rule both have happened at the same encounter.
  • CO-150 — Level of service unsupported
    The payer accepts the visit happened but not at the level you billed — usually an E/M downcode.
  • CO-167 — Diagnosis is not covered
    The payer does not cover the condition you billed, whatever the procedure was.
  • N115 — Local coverage policy decided
    A published coverage policy for your region decided this, and that policy states exactly what would have been covered.
  • N122 — Add-on code billed alone
    The code billed only exists alongside a primary procedure, and no acceptable primary was on the claim.

Worked by being corrected and resubmitted

  • CO-4 — Modifier and code disagree
    The code and the modifier disagree, or a modifier the payer required was not there.
  • CO-11 — Diagnosis and procedure disagree
    The payer does not accept that the diagnosis submitted justifies the procedure performed.
  • CO-181 — Code invalid on that date
    The code existed at some point but was not valid on the day the service happened.
  • CO-182 — Modifier invalid on that date
    The modifier attached to the code was not valid on the day of the service.
  • N362 — Units over the maximum
    The line carries more units than the payer allows for that code on one date, so it rejected the quantity rather than the service.
  • M51 — Procedure code invalid
    The code on the line is not one the payer recognises for that date: deleted, mistyped, or from the wrong code set.

Worked by being worked at the edit pair, with a modifier only where the record supports one

  • CO-97 — Payment included in another service
    The payer is bundling this code into another one on the same claim. Sometimes that is correct and sometimes it is not.

Worked by being checked against the contract before any work is done

  • CO-B10 — Component already paid
    The payer paid part of this procedure on another line or claim and has reduced this one to the difference, so the practice is not paid twice for the same work.

Working a denied claim costs $57.23 per denied claim in administrative time (source) and payers ultimately pay roughly 90% of claims even while using an initial denial to slow payment. The reason they sit is almost never that nobody knows how. It is that nobody has the hours.

How a seat starts

Every seat works from our office in Rawalpindi, Pakistan, on your hours, logged into your own system rather than ours. Some payer contracts and some state Medicaid programs restrict or require disclosure of offshore access — Medicare Advantage plans in particular require First Tier/Downstream/Related Entity oversight, which can mean disclosing us as a subcontractor — so check yours before placing a restricted queue on this seat. More on /security/.

You issue one named login. We sign the Business Associate Agreement before it is used. We agree the numbers you will judge the seat on, which you pick and you measure. Then we train for about a week on your workflow and the seat starts. Every Friday you get a written report of what was done, what the numbers were, and what went wrong.

The four steps in full →

Questions

How much does medical coding cost?

$2,500 per seat per month. That is a full time person, forty hours a week, working United States business hours. Not per hour, not per claim, and not a percentage of what you collect. This seat is on request. Nobody on our floor does that work yet. Ask, and we tell you in writing whether and when we can put a trained person in the seat, before you pay anything.

Is there a minimum contract?

One seat for one month, cancellable with thirty days notice. There is no annual lock-in.

Do we have to change systems?

No. The work happens inside whatever you already use, through a named login you issue. We do not sell software and we do not route your data through anything of ours.

How quickly can a seat start?

This seat is on request. Nobody on our floor does that work yet. Ask, and we tell you in writing whether and when we can put a trained person in the seat, before you pay anything.

Related

Next step

Ask whether we can staff a medical coding seat

$2,500 a month once it is staffed. Nobody on our floor does that work yet. Ask, and we tell you in writing whether and when we can put a trained person in the seat, before you pay anything.

Or write to ops@softhomeglobal.com