S.I.& S provides comprehensive healthcare support services that include medical coding and healthcare revenue cycle consulting. We work on the principle that hospitals and physicians’ practices require a partner who can reduce their administrative burden so that they can focus on delivering patient care. Our primary goal is to create a business relationship that is essentially symbiotic in nature – we will act as an extension of your team to help you meet and exceed your operational goals and to collaborate with you to successfully navigate the challenges of today.
From large hospital facilities to small independent practice associations across North America, Europe, Australia and India, S.I.& S works with a variety of healthcare providers.
S.I.& S is committed to delivering medical coding services and revenue cycle solutions that will help your healthcare facilities achieve the correct reimbursement in the quickest possible time while maintaining the most stringent HIPAA compliance with customer and patient data.
We strictly adhere to AAMT guidelines with regards to grammar, punctuation, and formatting styles, unless the client specifies differently.
We are currently serving innumerable clinics from various locations in the US. The reports are multispecialty in nature. We are experienced with Speech Machines, Em-dat, and MD Transcription web-based transcription systems as well.
At S.I.&.S our main duties are to analyze clinical statements and assign standard codes using a classification system. The data produced are an integral part of health information management, and are used by local and national governments, private healthcare organizations and international agencies for various purposes, including medical and health services research, epidemiological studies, health resource allocation, case mix management, public health programming, medical billing, and public education.
S.I.&.S use a set of published codes on medical diagnoses and procedures, such as the International Classification of Diseases (ICD) or the Common Coding System for Healthcare Procedures (HCPCS), for reporting to the health insurance provider of the recipient of the care. The use of standard codes allows insurance providers to map equivalencies across different service providers who may use different terminologies or abbreviations in their written claims forms, and be used to justify reimbursements. The codes may cover topics related to
• Diagnoses
• Procedures
• Pharmaceuticals or topography.
S.I.&.S Coders have expertise, knowledge of medical terminology, anatomy and physiology, a basic knowledge of clinical procedures and diseases and injuries and other conditions, medical illustrations, clinical documentation (such as medical or surgical reports and patient charts), legal and ethical aspects of health information, health data standards, classification conventions, and computer- or paper-based data management, usually as obtained through formal education and/or on-the-job training.
At S.I.&S coders are expertised in coding inpatient/outpatient, general practitioner visits and population health studies can all be coded.
Our services have three key phases:
a) Abstraction;
b) Assignment; and
c) Review
Abstraction:
The abstraction phase involves reading the entire record of the health encounter and analysing the information to determine what condition(s) the patient had, what caused it and how it was treated. The information comes from a variety of sources within the medical record, such as clinical notes, laboratory and radiology results, and operation notes.
Assignment:
The assignment phase has two parts: finding the appropriate code(s) from the classification for the abstraction; and entering the code into the system being used to collect the coded data.
Review:
Reviewing the code set produced from the assignment phase is very important. Clinical coder must ask themselves, "Does this code set fairly represent what happened to this patient in this health encounter at this facility?" By doing this, clinical coders are checking that they have covered everything that they must, but not used extraneous codes. For health encounters that are funded through a case mix mechanism, the clinical coder will also review the diagnosis-related group (DRG) to ensure that it does fairly represent the health encounter.