ProMantra delivers expert medical coding services that transform your revenue cycle performance. Our certified coders ensure precision in every claim, reducing denials and accelerating reimbursements. Partner with a trusted name among medical coding companies like ProMantra to optimize your billing workflow and maximize revenue.
Clean Claims Rate
Faster AR Resolution
Specialties Served
Medical coding is the process of translating healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes. It includes assignment of ICD, CPT, and HCPCS codes, documentation review, compliance verification, code validation, and modifier application. Effective medical coding services bridge clinical documentation with billing operations to ensure accurate claim submission, appropriate reimbursement, and compliance with regulatory standards.
Effective medical coding services maximize reimbursement accuracy, reduce coding errors, and ensure compliant claim submissions across all payer types. With coding guidelines and regulatory requirements constantly evolving, professional coding processes help providers avoid audits, prevent revenue loss, and maintain coding integrity. Ultimately, reliable medical coding services strengthen financial performance, support audit readiness, and improve overall reimbursement outcomes while ensuring adherence to industry standards.
Healthcare organizations face stringent regulatory scrutiny, frequent coding updates, and complex reimbursement models that demand precision. Modern medical coding services are essential to protect revenue integrity and ensure compliance in this intricate regulatory environment. By strengthening coding processes, providers can reduce compliance risks, optimize reimbursement, and maintain financial sustainability in today’s healthcare landscape.
Maximize revenue, reduce denials, and accelerate payments with our proven RCM solutions. We deliver measurable results backed by 23+ years of expertise.
Our team comprises AAPC and AHIMA certified professionals with specialty-specific credentials. These expert coders average 5+ years of experience across diverse medical specialties, ensuring your claims receive accurate, specialty-appropriate coding that maximizes legitimate reimbursement while maintaining full compliance with coding regulations.
We recognize that cardiology coding differs vastly from orthopedics or behavioral health. At ProMantra, we assign specialty-focused coders familiar with your specific procedures, diagnoses, and documentation requirements. This targeted approach reduces errors, captures appropriate revenue, and addresses unique coding challenges within your specialty.
ProMantra maintains a 98.5% coding accuracy rate with denial rates under 3% which is significantly better than the industry average of 85-90% accuracy. Our medical coding outsourcing services have helped clients reduce coding-related denials by 67% and improve first-pass acceptance rates by 52% within the first six months.
Whether you're a solo practitioner or a multi-location health system, our medical coding solutions scale seamlessly to your needs. We handle volume fluctuations without compromising quality or turnaround times, providing flexible support during growth phases, staff transitions, or seasonal variations in patient volume.
Our medical coding services follow a systematic approach: document receipt, clinical review, diagnosis coding, code assignment, compliance verification, and submission preparation. Each coded chart undergoes multiple checkpoints before reaching your billing team, ensuring accuracy and regulatory compliance throughout the process.
Quality assurance is embedded at every level of our medical coding outsourcing workflow. Our certified coders use standardized coding guidelines, cross-reference multiple resources, and apply specialty-specific expertise. Regular accuracy audits, peer reviews, and continuous education programs maintain our 98%+ coding accuracy rate consistently.
Our medical coding services integrate seamlessly with leading EHR and practice management systems, ensuring uninterrupted data flow. This integration minimizes duplicate data entry, improves documentation access, and enables faster coding turnaround, allowing providers to maintain operational efficiency without disrupting existing clinical or billing workflows.
Before submission, every coded claim undergoes rigorous quality audits through our multi-tier review process. Senior coders verify code accuracy, medical necessity, and compliance requirements. Our medical coding solutions include monthly internal audits and quarterly comprehensive reviews to maintain industry-leading accuracy standards and minimize audit risks. This commitment to clinical documentation improvement ensures the highest quality in our coding output.
Our medical coding services consistently achieve 96%+ first-pass acceptance rates compared to the industry average of 75-80%. Clean claims mean faster revenue realization and reduced administrative costs. Healthcare providers typically see acceptance rate improvements of 30-45% within three months of partnering with ProMantra.
Professional medical coding outsourcing minimizes costly errors that trigger audits and recoupments. Our quality assurance processes identify and correct issues before submission, reducing audit risk by up to 75%. Compliance-focused coding protects your practice from penalties, improves documentation quality, and creates defensible audit trails.
ProMantra reduces average claim submission times from 5-7 days to 24-48 hours. Faster submissions combined with higher accuracy accelerate your entire reimbursement cycle. Most clients experience 30-40% improvements in days in accounts receivable, significantly enhancing cash flow and financial predictability.
Healthcare providers using our medical coding outsourcing services report average revenue increases of 15-25% through better code capture, reduced denials, and optimized documentation. We provide transparent performance dashboards tracking accuracy rates, turnaround times, denial rates, and revenue impact, demonstrating clear ROI for your coding investment.
Partner with ProMantra to enhance efficiency, reduce costs, and boost cash flow through optimized revenue cycle management.
Deep knowledge of specialty-specific coding, compliance requirements, and payer rules to maximize your reimbursements
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Our certifications and compliance standards ensure your revenue cycle operations meet the highest industry benchmarks for security, accuracy, and regulatory adherence.
Real metrics from real healthcare organizations we've helped transform
98.5%
Clean Claims Rate
30–40%
Faster AR Resolution
45+
Specialties Served
23+
Years RCM Expertise
200+
Healthcare Organizations Served
$2.5B+
Annual Revenue Managed
99.5%
Client Retention Rate
See how we’ve helped healthcare organizations like yours achieve measurable revenue growth
Multi-Specialty Hospital
Surgery Centre
Surgical Centre with Lab Services
After a bad experience with another billing company, I was hesitant to outsource again. ProMantra completely changed my perspective. Within three months, our clean claim rate jumped from 87% to 96%, and our days in AR dropped significantly. My office manager now focuses on patient care instead of billing headaches. The transparency and expertise they bring have transformed our practice finances. This is the best company for RCM services.
Orthopedic billing is incredibly complex, and we were leaving money on the table with coding errors and missed modifiers. ProMantra's specialized knowledge made an immediate impact on our collections, improving by 28% in the first year, and denials dropped from 12% to under 4%. Their authorization team prevents denials before they happen. I can finally focus on surgery while they handle the financial complexities with true expertise.
Managing billing for eight cardiologists was consuming our resources and affecting profitability. ProMantra reduced our AR from 68 to 41 days within six months and improved our authorization approval rate to 94%. The cost savings compared to in-house staff, combined with better results and real-time reporting, made this decision invaluable. Their dedicated support and responsiveness set them apart from any billing partner we've worked with.
Mental health billing has unique challenges that most billers don't understand. ProMantra reduced our claim rejections from 15% to under 3% and helped us implement documentation practices that reduced audit risk. The financial improvement allowed us to hire another therapist and serve more patients. My clinicians are less stressed, and we're making a bigger impact in our community thanks to their behavioral health expertise.
I was handling my own billing to save money and nearly couldn't make payroll for one month. ProMantra found over $47,000 in unpaid claims and recovered $38,000 I thought was lost. My monthly revenue increased by 35%, and I spend evenings with my family instead of fighting insurance companies. They gave me my life back while making my practice significantly more profitable. I recommend ProMantra for any RCM Services.
ProMantra's revenue cycle management services are designed to support healthcare providers across the spectrum, from solo practitioners to large health systems. Our scalable solutions adapt to your organization's size, specialty, and unique requirements.
RCM companies partner with experienced revenue cycle teams to scale operations and deliver reliable results to their clients. Support across coding, billing, AR, and denial management helps manage higher volumes, reduce operational costs, and maintain accuracy while meeting strict SLAs and compliance standards.
Solo practitioners and small group practices benefit from our cost-effective RCM services that provide enterprise-level capabilities without the overhead. We help independent practices compete effectively by optimizing their revenue cycle and reducing administrative burden.
Large group practices with multiple specialties appreciate our ability to handle diverse coding requirements and payer relationships. Our centralized approach provides consistency while accommodating specialty-specific needs, including complex insurance contracting.
Hospital-based practices and health systems leverage our expertise in complex billing scenarios, including facility and professional fee billing. We understand the unique challenges of hospital RCM and provide solutions that integrate with existing systems, focusing on revenue integrity and acuity capture.
Whether you are in cardiology, orthopedics, gastroenterology, dermatology, or another specialty, our team includes certified coders and billing specialists with deep expertise in your field. We understand the nuances of specialty billing and maintain current knowledge of specialty-specific regulations and requirements.
High-volume, challenging environments like urgent care centres benefit from our efficient processing capabilities and real-time eligibility verification. We help these practices maintain quick patient throughput while ensuring accurate billing and collections, including efficient supply billing processes.
Clinical and reference laboratories benefit from our specialized expertise in navigating complex test ordering and billing workflows. We handle the intricacies of panel billing, medical necessity documentation, and compliance with evolving PAMA requirements. Our team ensures accurate claim submission for diverse test portfolios while managing multiple ordering physician relationships and maintaining optimal reimbursement rates.
Imaging and diagnostic centres leverage our comprehensive understanding of technical component billing and authorization management. We streamline prior authorization workflows, optimize CPT code selection for various modalities, and manage the complexities of bundled and split-billing scenarios. Our specialized approach ensures timely reimbursement while maintaining compliance with facility-specific billing regulations and payer-specific imaging policies.
Partner with ProMantra to enhance efficiency, reduce costs, and boost cash flow through optimized revenue cycle management.
Healthcare providers consistently choose ProMantra for our revenue cycle management services because we deliver results that directly impact their bottom line. Our client retention rate exceeds 98%, reflecting the value and satisfaction our services provide.
With over 23+ years in healthcare revenue cycle management, we have helped hundreds of practices improve their financial performance. Our experience spans multiple specialties, practice sizes, and geographic regions, giving us insights that benefit all our clients.
Our proprietary technology platform provides real-time visibility into your revenue cycle performance. Advanced analytics help identify trends and opportunities, while automated workflows reduce manual errors and improve efficiency. Our platform integrates with over 50 EHR and practice management systems, ensuring seamless data flow and improved charge capture.
Each client is assigned a dedicated account manager who understands your practice's unique needs and challenges. Our support team is available during business hours for questions and issues, with emergency support available 24/7 for critical situations.
We provide detailed monthly reports that give you complete visibility into your revenue cycle performance. Our reports include key metrics, trend analysis, and actionable recommendations for improvement. You will always know exactly how your revenue cycle is performing, including your clean claims ratio and net collection rate.
Whether you are a solo practitioner or a large health system, our RCM services scale to meet your needs. As your practice grows, our services grow with you, providing consistent support and performance regardless of your size.
Our RCM services typically cost less than maintaining an in-house billing department while delivering superior results. Most clients see a positive return on investment within the first three months of partnership, with significant improvements in their collection rate and overall revenue integrity.
Stop leaving revenue on the table. Partner with ProMantra and experience the difference that expert revenue cycle management makes
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Find answers to common questions about our RCM services and how we can help your practice
Medical coding services convert healthcare diagnoses, procedures, and treatments into standardized alphanumeric codes used for billing and insurance claims. Healthcare providers need these services to ensure accurate reimbursement, maintain compliance with regulations, reduce claim denials, and optimize revenue cycle management. Professional coding expertise helps practices maximize legitimate revenue while minimizing audit risks and administrative burden.
Yes, most comprehensive medical coding solutions like ProMantra include denial management and appeals support as part of their services. Expert coders analyze denial reasons, identify coding versus billing issues, provide documentation for appeals, and recommend process improvements to prevent future denials. Medical coding outsourcing services with robust denial management typically reduce overall denial rates by 40-60% through proactive error prevention and effective appeals processes.
Medical coding companies like ProMantra provide specialized expertise, scalability, and quality assurance that single in-house coders cannot match. At ProMantra, we maintain certified coders across multiple specialties, invest in advanced technology, implement rigorous quality controls, and absorb training and compliance costs. In-house coders offer direct communication and familiarity with your practice but require significant investment in recruitment, training, benefits, software, and ongoing education.
Implementation of medical coding outsourcing typically takes 2-4 weeks depending on practice size and system complexity. The process includes system integration setup, documentation review, workflow establishment, and coder training on your specific requirements. We begin with a pilot phase processing 20-30% of volume before scaling to full capacity, ensuring smooth transition with minimal disruption.
Reputable medical coding services maintain professional liability insurance and take full responsibility for coding errors. When errors are identified, the coding firm immediately corrects and resubmits claims, handles appeals if necessary, and implements process improvements to prevent recurrence. Quality medical coding companies typically guarantee accuracy rates and may offer financial protection against coding-related denials, demonstrating confidence in their service quality and accountability.
Medical coding solutions improve claim acceptance rates through expert code selection, compliance verification, and quality audits before submission. Professional coders understand payer-specific requirements, apply current coding guidelines, ensure proper documentation support, and verify medical necessity. This expertise eliminates common errors like incorrect modifiers, unbundling issues, or missing diagnosis linkages that cause claim rejections.
Yes, established medical coding companies like ProMantra typically support 40+ medical specialties including primary care, cardiology, orthopedics, behavioral health, radiology, and surgical subspecialties. We assign specialty-trained coders familiar with procedure-specific codes, documentation requirements, and common billing scenarios. Multi-specialty practices benefit from single-source medical coding outsourcing services that understand the nuances across different clinical areas.
Standard turnaround time for medical coding outsourcing ranges from 24-48 hours for routine encounters, with complex cases completed within 72 hours. Emergency or STAT coding can be processed within 4-8 hours when needed. At ProMantra, we maintain adequate staffing and workflow management to handle volume fluctuations while consistently meeting turnaround commitments and maintaining accuracy standards.
ProMantra ensures HIPAA compliance through encrypted data transmission, secure cloud storage, role-based access controls, and comprehensive Business Associate Agreements (BAAs). They implement regular security audits, staff training on privacy protocols, secure workstations, and incident response procedures. Reputable providers maintain ISO 27001 certification, demonstrating independently verified security controls and compliance frameworks.
Key performance metrics for medical coding services include coding accuracy rate (target 98.5%+), first-pass claim acceptance rate (target 90%+), average turnaround time, denial rate by reason, days in accounts receivable, and coding-related revenue impact. Leading medical coding companies like ProMantra provide monthly dashboards tracking these KPIs, allowing you to measure ROI, identify improvement opportunities, and ensure consistent service quality over time.
Partner with ProMantra to enhance efficiency, reduce costs, and boost cash flow through optimized revenue cycle management.
