Medical Coding & Claims Done Right: The Foundation of Revenue Success
In the complex world of healthcare reimbursement, accurate medical coding and claim submission are more than just administrative tasks—they’re the beating heart of your revenue cycle. Whether you’re a solo provider, group clinic, or healthcare startup, getting paid on time and in full starts with precise coding and airtight claims.
At GladMedRCM, we take the guesswork and grunt work out of coding and claims. Here’s how we do it—and why it matters more than ever.
The Power of Accurate Medical Coding (CPT, ICD, HCPCS)
Medical coding is how your clinical care gets translated into reimbursable services. Every procedure, diagnosis, and supply you use must be assigned a valid code—whether it’s a CPT for a surgical procedure, an ICD-10 code for a diagnosis, or a HCPCS code for medical supplies.
But coding isn’t just about clicking boxes. It’s about:
- Compliance – Avoiding audits, clawbacks, and penalties
- Cash flow – Reducing delays and denials that strangle your revenue
- Accuracy – Ensuring you get paid appropriately for the services you provide
The Risk of Poor Coding
Coding mistakes can cost you big. A missed modifier, outdated code, or vague diagnosis can lead to:
- Denied or underpaid claims
- Increased days in A/R
- Payer audits or takebacks
- Unhappy patients due to surprise bills
How GladMedRCM Gets Coding Right
Our certified coders speak the language of every specialty. We bridge the gap between your documentation and the codes that drive payment. Here’s how:
We review your clinical notes to ensure complete documentation
We apply specialty-specific codes and modifiers—from E/M levels to surgical bundles
We stay current on payer rules and annual code updates
We catch and correct inconsistencies before the claim goes out
Our proactive approach prevents coding errors that delay payment and compromise compliance. From primary care to dental billing (CDT), our team ensures every service is coded clearly, accurately, and defensibly.
Claim Submission & Tracking: Where Accuracy Meets Speed
You’ve provided great care and coded it correctly—now it’s time to get paid. That’s where our Claim Submission & Tracking process kicks in.
At GladMedRCM, we don’t just submit claims—we optimize every step of the process to ensure speed, visibility, and accuracy:
Our Process Includes:
27-Point Claim Scrub
We rigorously check each claim for missing or incompatible codes, modifier errors, bundling conflicts (using CCI edits), and documentation alignment.
Clean Claim Submission
We aim for a 98%+ clean claims rate on first submission—far above the industry average of 85–90%.
Real-Time EDI Filing
We send claims electronically to all payers that accept them, speeding up the processing time significantly.
Paper Claims When Needed
For non-EDI payers, we prepare and mail fully documented paper claims—no gaps, no delays.
Claim Tracking & Alerts
Our team monitors every claim in flight. If a claim is rejected at the clearinghouse or payer level, we’re alerted instantly, and corrections are made within 24 hours.
Payer Follow-Up
If a claim stalls, we don’t wait—we contact the payer to move things forward and prevent revenue from getting stuck.
Transparent Dashboards
You get real-time visibility into claim status, payments, denials, and aged A/R. No more guessing where your money is.
Built-In Compliance & Audit Protection
We bake compliance into everything:
- Updated CPT/ICD/HCPCS codes
- Modifier and documentation checks for services like telehealth
- Adherence to payer-specific rules
- HIPAA-compliant claim handling and communication
With GladMedRCM, you don’t just get paid—you stay protected.
Real Results You Can Feel
Our clients report:
Reduced denials and rework
Faster reimbursements (within 2–3 weeks)
Improved A/R performance
Peace of mind knowing billing is handled expertly
Whether you’re a growing practice or launching a new one, our coding and claim expertise helps you maximize reimbursement and minimize hassle.
Ready to Stop Leaving Money on the Table?
Don’t let coding errors and inefficient claims processes slow down your revenue. Let GladMedRCM manage your coding and claims with precision and speed.
Book a free consultation today and take the stress out of getting paid.