MediByte Healthcare delivers specialized HCC medical coding and end-to-end medical billing services — maximizing your revenue, ensuring compliance, and eliminating audit risk for healthcare providers across the US.
From HCC risk adjustment coding to complete revenue cycle management, MediByte covers every step that gets your practice paid accurately and on time.
Accurate mapping of patient diagnoses to HCC categories under CMS-HCC models to ensure proper risk scores and reimbursements for Medicare Advantage plans.
Thorough review of patient medical records to identify all documented chronic conditions and ensure every billable diagnosis is captured correctly.
Both prospective (pre-encounter) and retrospective (post-encounter) HCC coding to optimize risk capture at every stage of care.
Expert support to help practices stay compliant with CMS guidelines, prepare for audits, and minimize risk of claim denials or penalties.
Tailored training programs for in-house coding teams to stay current with evolving HCC guidelines, ICD-10-CM updates, and payer-specific requirements.
Detailed reporting on coding accuracy, RAF scores, and revenue impact so your organization can make data-driven decisions with confidence.
Real-time verification of patient insurance coverage, benefits, co-pays, and deductibles before the encounter — eliminating claim denials at the source.
Accurate capture and entry of all procedure codes (CPT/HCPCS) and diagnosis codes (ICD-10-CM) to ensure claims reflect all services rendered.
Electronic claims submission to all major payers with real-time tracking, status monitoring, and proactive follow-up to avoid delays in reimbursement.
Systematic review of denied and rejected claims with expert-driven appeals — recovering maximum revenue that practices often leave on the table.
Accurate posting of insurance payments, patient payments, and adjustments with detailed reconciliation reports to keep your books balanced.
Professional patient statements, payment plan setup, and collections follow-up — improving patient satisfaction while accelerating accounts receivable recovery.
We combine deep clinical expertise with technology to deliver coding and billing accuracy your organization can rely on.
Our coding and billing teams are experienced across all major medical specialties and practice types.
From onboarding to final delivery — we make HCC coding and medical billing effortless for your team.
We assess your organization's coding and billing needs, payer mix, specialty, and current revenue challenges to build a tailored engagement plan.
We sign a BAA and set up a HIPAA-compliant secure data pipeline with your EHR or practice management system — typically within 48 hours.
Our certified coders process charts and billing specialists submit claims — each record passes a multi-level quality audit before delivery.
You receive detailed accuracy, RAF impact, and collections reports monthly — with continuous optimization to maximize your reimbursements.
Reach out today for a free consultation. Our team is ready to help you improve accuracy, maximize revenue, and stay compliant.