Medical Insight Solutions

– Precision Coding = Maximized Reimbursements + Fewer Claim Disputes

ICD-10 & CPT Coding

ICD & CPT Coding Made Simple

Incorrect diagnostic (ICD) or procedural (CPT) coding triggers:

  • Minimize short and member co-payment

  • Avoidable claim rejections from medical schemes

  • Maximize Invoice Billing amount

We audit, correct, and optimize your coding practices to capture full revenue potential.

Switching houses such as IQuest or Surgicom is the critical platform hospitals use to place orders – if your product isn’t listed, you’re missing a smooth billing Experience. We manage price file submissions and updates, ensuring your NAPPI codes, catalogue details, and sell prices are accurately reflected. No entry means no orders can be placed, even if your product is approved.

Why Choose Our

ICD & CPT Coding Optimization ?

Every Decimal Point Matters –

Empowering
Healthcare Through Smart Consulting SolutionS

A single coding error can cost your practice:

  • Identify of potential  conditions per patient

We implement accurate coding protocols..

0 %

Accuracy Rate on Claim Coding

Our Coding Accuracy Framework

1. Clinical Coding Review “Identify under-coded conditions 2. Dual-Coding Opportunities “Flag billable secondary procedures  3. Scheme-Specific Rules “Apply Funder specific rules eg: Self inflicted injury  4. Staff Training “Teach practice managers to code correctly 

Are you leaving money on the table? Let’s analyze your last 50 claims.

Our experts find an average of R28,000/month in missed billing per practice.

Help Centre.

Got questions?

How does ICD-10 coding impact PMBs?

Specific ICD-10 codes trigger Prescribed Minimum Benefit coverage. We ensure payment from the accurate Funding Bucket

What CPT modifiers are most missed?

Bilateral procedures 

Can you help with historical coding corrections?

Yes – Within 4 months of date of treatment 

Do you train clinical staff?

Yes , Please request a consultation 

Still Have Questions?

Get in touch with us.