Client-Coded Billing & Payment Support
Administrative billing support using diagnosis and procedure codes supplied or approved by the client or an appropriately qualified coding professional.
Support May Include
Depending on your agreed scope, support may include:
- Claim preparation or submission support.
- Use of client-supplied or approved codes.
- Payment and remittance posting where included in scope.
- Claim-status follow-up.
- Identification of administrative exceptions.
- Routing of unresolved issues for appropriate review.
Service Boundary
Billing support is administrative and based on approved coding.
- No independent diagnosis selection.
- No independent clinical coding judgment.
- No legal advice.
- Coding responsibility remains with the client or qualified professional.
- Clinical documentation questions are escalated.
Common questions.
Does Maono assign diagnosis or procedure codes?
No. Codes must be supplied or approved by the client or an appropriately qualified professional.
Can your team submit claims?
Claim submission support can be included within the agreed administrative scope.
Can you post payments and remittances?
Yes, where payment or remittance posting is included in the agreed workflow.
How are coding issues handled?
Issues requiring coding judgment are escalated to the client or qualified coding professional.
Can your team follow up on claim status?
Administrative claim-status follow-up can be included through approved payer channels.
What happens when information is incomplete?
The issue is documented and routed back to the appropriate client team member for resolution.