Mid-Revenue Cycle MedicalBills

Mid-Revenue Cycle services include charge capture, coding, and documentation improvement ensuring claim accuracy.

Services We Provide

Clinical Documentation Improvement

  • Ensures provider documentation accurately reflects the care provided.
  • Helps improve code specificity and support medical necessity.

Medical Coding

  • Assigning ICD-10, CPT, and HCPCS codes based on clinical documentation.
  • Ensuring accuracy and compliance with payer rules and regulations.

Charge Capture

  • Recording all billable services and procedures.
  • Avoiding missed charges or duplications.

Charge Description Master (CDM) Maintenance

  • Updating pricing and coding in the CDM to reflect current rates and compliance requirements.

Utilization Review

  • Reviewing medical necessity and appropriate level of care during a patient’s stay.
  • Supporting prior authorizations and denial prevention.

Case Management Support

  • Coordinating care during hospitalization to ensure efficient resource use.
  • Communicating with payers to avoid unnecessary denials

Coding Audits & Compliance Checks

  • Regularly auditing coding and documentation practices.
  • Ensuring alignment with payer policies and federal guidelines (e.g., CMS, OIG)

What People Are Saying

Hear from doctors and partners who trust MedsRole.

Alex Fraser
Alex Fraser

MedsRole has truly changed the way I manage my healthcare. From fast service to expert support, they make getting the care and medication I need simple, secure, and stress-free. I trust them completely — and recommend them to anyone who values their health and time!

Doctor

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