Professional Medical Billing & Coding

Professional Medical Billing & Coding Services

At LifeCareBilling, we provide full-service medical billing and coding solutions designed to improve revenue integrity, reduce claim denials, and ensure full compliance with evolving payer requirements. Our AAPC-certified coders work hand-in-hand with our billing team to ensure accurate CPT, ICD-10, and HCPCS code assignment, proper modifier usage, and clean linkage between diagnoses and procedures—essential for both first-pass claim approval and audit protection.

We serve a wide range of specialties—including physical therapy, mental health, home health, primary care, and multi-specialty clinics—with coding workflows tailored to their documentation style and payer mix.

CMS Updates & Compliance

  • Ongoing CMS monitoring ensures coding accuracy.
  • Includes quarterly CPT® & HCPCS revisions.
  • Annual ICD-10-CM and E/M updates applied early.
  • Prevents denials from outdated codes.

Payer & Policy Alignment

  • Applies NCCI edits and payer logic pre-submission.
  • Follows Medicare LCDs/NCDs and commercial rules.
  • Meets Medicaid limits and documentation needs.
  • Minimizes denials with payer-specific coding.

CMS Updates & Compliance

  • Ensures correct modifier use for reimbursement.
  • Applies -25, -59, -XU when justified.
  • Uses GP, GO, GN for therapy coding.
  • Adds KX for extended medical necessity.

Comprehensive Solution

Certified Medical Coding with Payer-Specific Expertise

At LifeCareBilling, our AAPC-certified medical coders specialize in transforming clinical documentation into fully compliant, payer-ready claims. Every code we assign—CPT, ICD-10, or HCPCS—is backed by clear documentation, payer justification, and real-time policy validation. We go beyond surface-level accuracy, aligning each encounter with CMS, NCCI, and payer-specific rules, ensuring that your claims not only pass audits but get paid faster.

5,000+

Monthly claims processed error-free.

35%

Claim turnaround with payer-specific validation.

Specialty-Focused Coding Excellence

  • Coders trained for specialty-specific rules & units.
  • Therapy Clinics: Accurate unit counts, 8-minute rule.
  • Behavioral Health: Correct codes for sessions, telehealth.
  • Home Health: OASIS integration, LUPA tracking, & visit reconciliation.
  • Primary Care: Optimized E/M levels, preventive, & coordination services.
  • Multi-Specialty: Streamlined workflows with payer bundling compliance.

Chart-Based Coding: SOAP, EHR, or Paper

  • Supports SOAP notes, EHR exports, & scanned documentation formats.
  • Integrates smoothly with WebPT, Kareo, TheraNest, & Athena systems.
  • Applies CPT, ICD-10, and HCPCS codes with documentation validation.
  • Ensures every service meets payer and audit-ready requirements.
  • Adapts seamlessly to hybrid or paper-based charting workflows.
  • Maintains full compliance through consistent coding accuracy.

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How LifeCareBilling Should Differentiate

At LifeCareBilling, we don’t just process claims—we deliver a strategic, compliance-first medical billing & coding partnership. While many RCM vendors offer general billing support, our approach is built on accuracy, specialty-specific insight, and total transparency.

Flat Pricing

Flat monthly fee with no revenue-based charges—clear, predictable, and transparent billing every month.

Certified Coders

U.S.-based, AAPC-certified experts specializing in your practice for accurate, compliant, payer-ready claims.

Payer Precision

Every claim follows CMS updates, NCCI edits, and payer rules—reducing denials before submission.

Custom Workflows

Billing workflows tailored to your specialty—therapy, mental health, home health, or internal medicine.

Audit-Ready Claims

Each claim cross-checked with payer and CMS policies—ensuring compliance, accuracy, and defensibility.

Real-Time Reports

View clean claim rates, denials, and A/R aging in real time through your secure billing dashboard

Seamless Integration

Fast onboarding with zero downtime—fully integrated with WebPT, Kareo, TheraNest, and other EHRs.

Full RCM Service

End-to-end billing from chart-to-code to payment posting—claims, denials, and patient billing included.

Time has changed

Frequently Asked Questions

We offer full-service billing and coding support—from chart review and code assignment (CPT, ICD-10, HCPCS) to claims submission, modifier application, denial management, and payment posting. Our certified coders ensure every code is compliant, justified, and optimized for reimbursement. You’ll also receive performance dashboards, monthly reports, and dedicated support.

Yes. Our AAPC-certified coders are trained in specialties like physical therapy, occupational therapy, speech therapy, mental health, home health, internal medicine, and more. We apply coding logic based on specialty documentation (SOAP, EHR, OASIS), payer policy, and regulatory guidelines—reducing denials and improving clean claim rates.

Absolutely. We work with all major EHR/PM platforms including SimplePractice, WebPT, Kareo, TheraNest, DrChrono, and AthenaHealth. Our team can extract chart data directly, apply codes, and return billing-ready claims—all without disrupting your existing workflow.

Unlike many generic vendors, we deliver payer-specific coding, real-time CMS updates, modifier validation (e.g., -25, -59, KX), and audit-ready claims. Each encounter is manually reviewed and backed by documentation—not just automated rules—ensuring accuracy, compliance, and maximum reimbursement.

We follow a strict documentation-to-code mapping process that cross-references each service with payer LCDs/NCDs, CMS guidelines, and NCCI edits. All coding is backed by proper clinical justification, stored for auditing, and reviewed for medical necessity, modifier accuracy, and coding integrity before submission.