About Us
Who We Are
At KR-Medicode, we are dedicated to providing top-tier medical billing and coding services for healthcare providers of all specialties. Our goal is to relieve the burden of complex billing processes, improve your financial outcomes, and allow you to concentrate on patient care.
With a team of certified coders and billing experts, we navigate the intricacies of insurance claims, payment postings, and denial management, ensuring accurate coding and timely reimbursement.
Our Services
Find the best support for your medical administrative needs
Comprehensive Medical Billing
- Charge Entry & Claim Submission: Fast, accurate charge entry and clean claim submissions to minimize errors and maximize reimbursement.
- Electronic Payments & Reconciliation: Streamlined payment processing with full reconciliation to ensure transparency in every transaction.
- Custom Reporting: Regular reports that track your practice’s billing performance, providing actionable insights.
Medical Coding Expertise
- Specialized Coding Services: CPT, HCPCS, and ICD-10 coding tailored for various specialties like OB/GYN, cardiology, orthopedics, and more.
- Audit & Compliance: Ongoing reviews to ensure compliance with coding standards, reducing denials, and avoiding penalties.
- Up-to-Date Practices: Our team stays current with the latest coding guidelines and changes to avoid costly errors.
Denial & Appeals Management
- Denial Resolution: We follow up aggressively on denied claims to recover lost revenue.
- Root Cause Analysis: Identify common denial reasons and implement corrective measures to reduce future occurrences.
- Appeal Filing: Full management of the appeal process to overturn unjustified denials.
Patient Billing Services
- Statement Processing: Generate and send patient statements promptly, ensuring that balances are paid quickly.
- Patient Support: We handle all patient billing inquiries, offering flexible payment options and installment plans to improve patient satisfaction.
Full Revenue Cycle Management
- End-to-End RCM: From insurance verification to claim follow-ups, we manage every aspect of the revenue cycle for you.
- Insurance Verification: Proactive eligibility checks and CoB verification to reduce errors and improve claim success.
- Provider Credentialing: Assistance with the credentialing process to ensure compliance with payor requirements.
Training & Consulting
- Staff Training: Customized training programs for front desk staff on best practices for insurance verification and billing procedures.
- Internal Workflow Optimization: Consulting services to improve the efficiency of your internal billing operations and reduce claim errors.
Our Team
Rajan Kanda
MBA, MSHI, MA, PMP, CRCR, CLSSBB
Aurelis Figueroa
Medical Billing Manager
Payal Patel
Medical Coding Manager
Our Testimonials
Frequently Asked questions
We work with healthcare providers in a variety of fields, including OB/GYN, cardiology, orthopedics, and more.
Yes, we provide complete denial and appeal management, helping you recover revenue from denied claims.
Yes, we are experienced with most major EMR/EHR systems and will work seamlessly within your current setup.
We follow strict HIPAA guidelines and take every precaution to ensure the security and privacy of patient data.
