Medical Billing, Medical Billing & Coding, Medical Billing Outsourcing

Structured Concepts provides medical billing and coding services that facilitate our physician clients to successfully reduce employee count, and make your practice more efficient. Our assurance is that you will start collecting in days and not months. Structured Concepts brings you the answer to the increasingly difficult challenge of collecting insurance payments with a commitment of ending your frustration today. All you have to do is focus on your patients and leave insurance claims and patient billing to Structured Concepts.

Healthcare fraud has become a major concern today in the billing industry. We recognize our responsibility in ensuring accuracy for the submission of all your clients' charges. We are committed to providing services within compliance standards, in accordance with all existing Federal, State and Payer regulations. Structured Concepts can assist Third Party Medical Billing companies with Charge Entry, Demographic Entry and Payment Posting Services; and Insurance Payors, MSOs and TPAs with Data Entry of HCFA 1500s and UB-92 forms, thereby saving costs and improving turnaround time and quality.

As pressures on profit margins increase, so do the constraints of hiring and motivating quality, affordable staff. In short, you are facing challenging strategic and operational decisions. Structured Concepts can help. Our mission is to make you more effective. As trusted partners we are your back office support and get paid by Outcomes - period. If we don't cut your costs or make you more effective, we don't get paid.

Medical Coding

The explosion of scientific knowledge that followed World War II brought increasingly sophisticated and complex procedures to the science of medicine. Improvements and refinements in these procedures were constantly developed and utilized, but physicians, in their statements for professional services, found it difficult to explain concisely the differences and refinements in procedures and to distinguish with clarity one procedure from another. Some providers furnished the same description for different services while others furnished different descriptions for the same services. The resulting confusion and uncertainty led to delayed or inequitable payments, creating dissatisfaction among consumers, payers and physicians.

Our Coders in are AAPC (American Association of Professional Coders) certified and have a minimum of 4 years hands on experience. They do the coding for the handwritten physician's diagnosis on the charge sheet.

The coder determines the code to be used following each patient encounter. An AAPC Coder, is extremely careful while coding for patient records. Utmost attention if given to quality to get reimbursement from the Insurance Company for the services rendered by the physician. Our coders are skilled and provide high quality results within the stipulated period of time for multi-specialty clients like Cardiology, Radiology, Neurology, Infectious Diseases, Internal Medicine, Pathology and Oncology. The coders are proficient with CPT, ICD-9, and HCPCS coding across various specialties; Insurance and governmental regulatory requirements; and Payer-specific coding requirements.

You are assured of the following benefits when you outsource to us:

  • HIPPA Compliance: Compliance with the Health Insurance Portability and Accountability Act (HIPAA) as requirements are finalized and released, specifically regarding standard transaction sets, privacy and security.
  • Cost Reduction: Reduction in operating and administrative services costs through efficiencies inherent in new technology and innovative automated workflow management.
  • Cleaner Claims, Fewer Denials: We guarantee 95-98% accuracy and compliance with all government regulations.
  • Transparency: Transparency in the coding methodology gives you access, produces consistency, and eliminates the risk of errors.