Central medical billing works in accordance to; procedure code (CPT) and diagnosis (ICD-10) Coding compliance with all of the Correct Coding Initiatives (CCI) and Local Medical Review Policies (LMRPs). We have a well-defined audit process that ensures highest level of accuracy by offering quality medical coding services to healthcare providers, hospital clients and Ambulance services. The coding denials are also being analyzed in depth and appropriate measures are taken with the review of the medical reports. Oxy Healthcare build a knowledge repository of all these denial case scenarios which forms an important part of the coding refresher training curriculum, including basic research on 'up-coding' or 'down-coding' for any denials.