Vortexsoft Innovations

Medical Coding Services

We provide accurate and compliant medical coding services by certified professionals, helping reduce claim denials, improve reimbursement rates, and ensure smooth revenue cycle operations.

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Vortex Soft Innovation focuses on the following key areas in Revenue Cycle Management

  • Demographics Entry

  • Charge Capturing

  • Insurance/Eligibility Verification

  • Prior Authorization

  • Medical Coding

  • Accounts Receivables (A/R) Management

  • Payment Posting

Demographic Entry

At Vortex Soft Innovation, we recognize that accurate patient demographic data is essential to clean claims and timely reimbursements. Vital details such as patient name, date of birth, gender, contact information, and insurance ID are carefully gathered during registration. This information is then precisely entered into billing systems and transmitted to payers to initiate the billing cycle efficiently.

Charge Entry

Charge entry is a critical step in transforming clinical encounters into billable claims. Our team inputs procedure and diagnosis codes along with service dates and related charges into your billing software. This process ensures each service is documented correctly, forming the financial blueprint of the claim and enabling accurate and timely reimbursements.

Insurance / Eligibility Verification

Vortex Soft Innovation provides comprehensive insurance and eligibility verification services to confirm patient coverage before services are rendered. We check plan details, active status, co-pays, deductibles, and coverage limits directly with insurers. This proactive approach helps avoid claim denials, reduces administrative delays, and ensures patients receive the benefits they’re entitled to.

Prior Authorization

We assist in securing necessary authorizations before procedures are performed to ensure compliance with payer requirements. Our team handles all communication with insurance providers, manages documentation, and tracks approval statuses. This process prevents delays, supports full reimbursement, and ensures that both providers and patients are protected from denied claims.

Boost Claim Accuracy

Our expert team ensures precise coding, documentation, and claim formatting, reducing rejections and speeding up reimbursements.

Improve Cash Flow

We proactively track and manage denials with quick resolution processes, ensuring faster payments and healthier cash flow.

Ensure Compliance

We follow strict compliance protocols, including HIPAA and payer-specific rules, while maintaining the highest standards of data privacy.

Support Providers

Our back-office support allows your clinical team to focus on patient care, while we manage the administrative load effectively and efficiently.

Get Started with a Free Pilot

Submit this form to request your pilot.

Vortex Soft Innovations delivers cutting-edge digital solutions to empower your business for tomorrow. Curious to explore our services?

Why Vortex Soft Innovations

We offer a range of digital and IT services including software development, web and mobile app development, UI/UX design, cloud solutions, IT consulting, and digital transformation services tailored to your business needs.

Our solutions are ideal for startups, small-to-medium enterprises, and large organizations looking to streamline operations, enhance customer experience, or expand their digital presence.

You can get started by contacting us via our website, email, or phone. We’ll schedule a consultation to understand your requirements and provide a customized proposal.

We serve various industries including healthcare, education, retail, logistics, finance, and more. Our solutions are adaptable to different sectors.

Yes, we provide ongoing support and maintenance services to ensure your software or platform runs smoothly and stays up to date with the latest technologies.

Project timelines vary depending on complexity and scope. After the initial consultation, we provide a clear timeline and milestones so you know what to expect.