Medical Billing & Coding

Most claim denials trace back to eligibility that wasn't checked, or coding that wasn't right. ProEnrollment's CPT certified coders code every encounter, scrub the claim against payer-specific edits before it leaves the building, and submit electronically for the fastest possible turnaround.

CPT, ICD-10 & HCPCS Coding

Every encounter is coded by CPT certified staff with specialty-specific coding knowledge, covering CPT procedure codes, ICD-10-CM diagnosis codes, and HCPCS Level II codes for supplies and drugs.

Claim Scrubbing

Claims are checked against payer-specific edits, NCCI bundling rules, and modifier requirements before submission — catching errors before the payer does.

Electronic Claim Submission

Claims are submitted electronically for the fastest processing time, with clearinghouse rejections monitored and status tracked through to payment or denial.

Part of Complete RCM Medical Billing

Medical billing and coding can be engaged on its own or as part of ProEnrollment's complete RCM medical billing services, alongside eligibility verification & authorization, accounts receivable management, and CPT certified coding. Schedule a free consultation.

FAQ

Are your medical coders certified?

Yes. Claims are coded by CPT certified coding staff, which reduces the coding errors that drive first-pass denials.

What codes do you handle?

CPT, ICD-10-CM diagnosis codes, and HCPCS Level II codes for supplies, drugs, and durable medical equipment.

What happens if a claim is denied?

Denied claims are reviewed, corrected, and resubmitted as part of the standard service — not billed as separate rework.