Synopsis
As healthcare providers focus more on delivering quality care, the complexity of documenting services for appropriate reimbursement continues to grow. Each specialty has unique coding requirements, and inconsistent documentation, staff turnover, and evolving payer guidelines can lead to frequent denials and revenue loss.
Orgusta’s Professional Fee (ProFee) Coding Services are designed to help providers across specialties code more efficiently and accurately. Our certified coders are trained in specialty-specific coding practices, ensuring that all Evaluation & Management (E/M) services, procedures, and ancillary services are correctly captured and reimbursed. We support clean claim submissions, streamline provider workflows, and maintain strict regulatory compliance.
Coding Excellence: Our Professional Fee Best Practices
✅Assign certified ProFee coders with specialty-specific experience (e.g., orthopedics, cardiology, oncology)
✅Use custom-built proprietary workflow tools to enhance accuracy and turnaround
✅Implement real-time E/M guideline adherence(2021 and beyond)
✅Conduct periodic audits and peer reviews to maintain compliance and improve claim quality
✅Offer feedback to providers for documentation improvement and query resolution
Measurable Financial & Operational Improvements
📉 25–35% reduction in claim denials due to coding issues
⏱ 3x to 4x ROI from faster, cleaner claim submissions and reduced rework
🎯 95–98% coding accuracy across all specialties
🛡️ Improved RVU capture for accurate provider productivity measurement
💰 Lower operational costs through flexible, scalable offshore coding support
