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Service
After a patient visit to a physician, a chart is prepared and given to Medical Coders, whose job is to read the chart, match the problem its corresponding numerical code from the
most current ICD-9 (International Classifications of Diseases) Book and assign the proper diagnosis code with its numerical code from the CPT (Current Procedural Terminology)
Book. These two codes and any modifier codes that may be needed to better describe the problem and its treatment are placed on a patient encounter form or superbill. The
patient’s chart is then re-filed and the encounter form/ superbill is given to a medical billing team. For the billing purposes, the use of the ICD codes, when juxtaposed to CPT
codes, tells the payer not only what service has been provided but also lists the diagnosis, symptom, complaint, condition or problem (e.g., the reason for performing the service).
Our experience and technological innovations ensure optimal revenue. Transparency in our coding methodology gives you access, produces consistency, and eliminates the risk
of errors. Clients receive regular feedback on coding changes, front-office documentation practices, and periodic reports, such as utilization reviews, case-mix review, and coding-
related denial analysis.
Process and Delivery
A hospital intake form or charge sheet is batched and arrives on the desk of a coder who will abstract the following handwritten information, convert it to code and get it in front of
data entry. Bokharis coders are certified by the AAPC (American Association of Professional Coders) and have a minimum of 4 years hands on experience. They do
coding for the handwritten Physician's diagnosis on the charge sheet.
1. Pre-Sales Requirements Analysis: This process commences once Bokharis receives Client approval to conduct process study and to submit a presentation on
the benefits of business process management through outsourcing. During this process Bokharis will conduct the Client Requirements Analysis Study. The study
will involve specialties covered, required turn around time, type of files, reports requirement, and formats to be followed.
2. Receipt of Files from client: Bokharis receives scanned clinical information or patient charts from the client through a FTP site.
3. Download and Allocation of Files: The files uploaded from the client using the FTP site will be downloaded by Bokharis’s Medical Coding Team and allocated to the appropriate Pre-Coders and Coders.
4. Pre-Coding: After the files are downloaded and allocated to the appropriate team, the Pre-Coders enter details such as Place of Service, Physician Name, and any price modifiers.
5. Coding: Coding consists of two main divisions-Procedural and Diagnostic Coding. Certified Coders (CPC) handle this process using references such as ICD-9-CM, LMRP, CPT Assistant, HCPCS Level II. The Coding team checks the compatibility of the diagnosis with the procedure code.
6. Uploading of Completed Files: On successful completion of the Coding work, the files will be uploaded to Bokharis’s FTP site.
7. Quality Evaluation: The coded files are forwarded to the client from Bokharis’s FTP site. These files will be checked for quality by the client.
8. Client Feedback: On receiving Quality Feedback from the Client, Bokharis shall work towards improvement and refinement in the Coding Process in order to provide the most accurate and reliable services.
Resources
Bokharis coding team members are dedicated and they act according to the norms set up by AHIMA. Bokharis Medical Coders are certified by the AAPC (American Association of
Professional Coders) and have a minimum of 4 years hands on experience. Our AAPC Certified Coders follow set guidelines and procedures when they code for the patient
records in order to get maximum reimbursement from the Insurance Company for the services rendered by the Physician. We have highly skilled coders who are excellent in
giving high quality results within the stipulated period of time for multi-specialty clients like Cardiology, Radiology, Neurology, Infectious Diseases, Internal Medicine, Pathology,
Anesthesia and Oncology.
Our coding staffs have received extensive training under coding experts in the U.S. Certified coders monitor their work regularly and external coding and compliance experts
periodically audit the coding department. Our coders are proficient with:
• CPT, ICD-9, and HCPCS coding across various specialties
• Insurance and governmental regulatory requirements
• Payer-specific coding requirements
• Software like ENCODERPRO and CODERITE
Infrastructure
Bokharis’s processing center deploys a multi-site processing strategy, for clients with significant scale and size needs, to mitigate risk. Highlights of our comprehensively frame
worked infrastructure include:
• Independent Internet Leased Circuits from multiple ISPs are installed for data access and redundancy.
• Built in IT redundancies for uninterrupted operation.
• Networked capacity of over 300 seats
• 200% power back up
• Dedicated, fully equipped training infrastructure
• 24/7 security supported by state-of art access control system
• Fire alarm system
Bokharis Advantage
Bokharis’s main advantage over other peers in this industry is that there is increased
accuracy in code selections causing a smoother billing process with quicker and better
reimbursement.
Our experience and technological innovations ensure optimal revenue. Transparency in
our coding methodology gives you access, produces consistency, and eliminates the risk
of errors. Clients receive regular feedback on coding changes, front-office documentation
practices, and periodic reports, such as utilization reviews, case-mix review, and coding-
related denial analysis.
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