NDS Case Study 2 - Innovations Unleashed

NDS Case Study 2 - Innovations Unleashed

Executive Summary:

We were approached by a medical billing company, which provides medical billing services for various specialties. This billing company was facing delays in billing and quality issues in the coding of their customers patient visits. Skilled NDS coders were able to find errors and deficiencies in codes selected by their staff and highlighted the quality issue at their end.


Though our client excelled in medical billing, collections, and revenue cycle management they did not have the required expertise in coding to help their clients obtain maximum reimbursement. They wanted NDS to be their silent partner to review their clients’ medical records and provide the required coding.

NDS Proposed solution:

NDS got to work by implementing a team of certified coders who had vast experience in the required specialties.
A project manager was assigned for the management of the production and process. The quality of coding is essential since only a correct code can help secure maximum reimbursement. So we had weekly meetings for reviewing the quality of the coding and also ensuring that all expectations and protocols are met. In short, our coding solutions were high quality, confidential and cost effective.

The client first wanted a trial. So they asked us to review some of the charts already coded by their staff and asked us to give our feedback. We were able to find errors and deficiencies in codes selected by their staff.

This convinced the billing company that NDS’s coders had the required skill set to do a quality job

The Result:

On returning the work, the client was not only impressed with our accurate coding, but also benefited from some issues we identified that could directly impact the provider’s revenue.

We discovered that the providers were under-coding in many cases which not only decreased reimbursement but could also lead to the payers initiating an audit. We could offer guidance when there was a lack of medical documentation in the chart, and also crosswalk codes depending on the billed insurances. Our certified coders are experts in coding and billing guidelines.

The client is extremely pleased with the medical coding services we are offering and our competitive prices too. Outsourcing the coding has had a very positive impact not only on their business but also on that of the clients they serve.